Medicare Fraud Lawyer

The Federal government is getting serious about cracking down on Medicare fraud. In July 2010 a federal raid nabbed 36 suspects operating out of five states, alleged by Medicare Fraud Lawyer (s) working for both the U.S. Department of Justice and the U.S. Department of Health and Human Services to have bilked Medicare out of $251 million.

Among those arrested in Florida, New York, Michigan, Texas, and Louisiana, were several physicians and nurses accused of billing Medicare for equipment, therapies and pharmaceutical treatments that were never delivered. Ninety-four arrest warrants in all were prepared by Medicare Fraud Lawyer (s) working for the federal government, 33 of them for individuals in the Miami, Florida area. Earlier that week, according to a report from the Department of Health and Human Services’ Office of Inspector General, Miami-Dade County had received over half a billion dollars from Medicare for home healthcare services – more than the rest of the country combined.

The busts were a joint effort by the U.S. Department of Justice and U.S. Department of Health and Human Services. In a press conference following the announcement of the raids, Attorney General Eric Holder told reporters this was just the beginning of the crackdowns.

Medicare Fraud Lawyer (s) say the nature of Medicare fraud is changing rapidly. Organized crime rackets have become key players, lured by the potential to make big bucks with a relatively low risk of incurring severe criminal penalties.

Traditionally Medicare swindles involved multiple billing for equipment or services. But Medicare Fraud Lawyer (s) uncovered multiple networks of physicians, clinic proprietors and recruiters involved in sophisticated swindles while preparing for the July crackdown. One scam offered kickback fees to “patients” prepared to feign symptoms for which they were then prescribed expensive treatments; another involved the egregious misrepresentation of existing patients as far sicker than they really were. In Brooklyn New York, eight people have been charged in connection with a Medicare fraud ring involving spurious physical therapy treatments to elderly Russian immigrants, said to have cheated Medicare out of $72 million.

It’s been estimated that Medicare scam artists bilk taxpayers out of $60 to $90 billion a year. The recovery of these funds is an important part of the mechanism by which the Obama administration hopes to subsidize the overhaul of the healthcare delivery system outlined in spring 2010’s Affordable Health Care Act. This legislation also contains provisions that should make the job of a Medicare Fraud Lawyer easier, such tighter screening procedures for healthcare providers, criminal background reviews, and database and licensure checks.

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September 28th, 2010