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1. oig.hhs.gov › fraud › strike-forceMedicare Fraud Strike Force | Office of Inspector General ...

   oig.hhs.gov › fraud › strike-force

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   Medicare Fraud Strike Force. Medicare Fraud Strike Force Teams harness data analytics and the combined resources of Federal, State, and local law enforcement entities to prevent and combat health care fraud, waste, and abuse.

   • 2024 Nationwide Health Care Fraud Enforcement Action

     The Department of Health and Human Services, Office of...

   • 2018 National Health Care Fraud Takedown | Office of ...

     These enforcement actions protect Medicare and Medicaid and...

2. www.cms.gov › Outreach-and-Education › MedicareMedicare Fraud & Abuse: Prevent, Detect, Report

   www.cms.gov › Outreach-and-Education › Medicare

   The diference between “fraud” and “abuse” depends on specific facts, circumstances, intent, and knowledge. Examples of Medicare abuse include: Billing for unnecessary medical services. Charging excessively for services or supplies. Misusing codes on a claim, such as upcoding or unbundling codes.

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3. oig.hhs.gov › newsroom › media-materials2024 Nationwide Health Care Fraud Enforcement Action

   oig.hhs.gov › newsroom › media-materials

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   Jul 1, 2024 · The Department of Health and Human Services, Office of Inspector General participated alongside key law enforcement partners in the 2024 Nationwide Health Care Fraud Enforcement Action. This action resulted in criminal charges brought against 193 defendants, with intended losses exceeding $2.75 billion.

4. Videos

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     HHS OIG testifies about Medicare Fraud

     Mar 27, 2015

     8.1K Views

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     Feds Take Down $2 Billion Medicare Fraud Scheme | NBC Nightly News

     Apr 9, 2019

     17.4K Views

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     How Medicare And Medicaid Fraud Became A $100B Problem In The U.S.

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     926.7K Views

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5. www.justice.gov › opa › prTwenty-Three Individuals Charged in $61.5 Million Medicare ...

   www.justice.gov › opa › pr

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   Feb 7, 2023 · The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this program, comprised of 15 strike forces operating in 25 federal districts, has charged more than 5,000 defendants who collectively have billed federal health care programs and private insurers more than $24 billion.

6. www.justice.gov › criminal › criminal-fraudCriminal Division | Health Care Fraud Unit

   www.justice.gov › criminal › criminal-fraud

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   Feb 16, 2024 · The Strike Force Model centers on a cross-agency collaborative approach, bringing together the investigative and analytical resources of the Fraud Section, Federal Bureau of Investigation, U.S. Department of Health and Human Services-Office of the Inspector General, Centers for Medicare & Medicaid Services, Drug Enforcement Administration, Defense Criminal Investigative Service, Federal ...

7. www.justice.gov › opa › speechAttorney General Merrick B. Garland Delivers Remarks on a ...

   www.justice.gov › opa › speech

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   Jun 27, 2024 · We are here today to announce the results of a two-week nationwide law enforcement action, across 32 federal districts, and against 193 defendants, for their roles in health care fraud schemes. In addition to the charges and arrests being announced today, we are also announcing that we have seized over $230 million in cash, luxury vehicles, gold, and other assets in connection with these cases.

8. People also ask

   What is Medicare fraud strike force?

   • Medicare Fraud Strike Force Teams harness data analytics and the combined resources of Federal, State, and local law enforcement entities to prevent and combat health care fraud, waste, and abuse.

   Medicare Fraud Strike Force - Office of Inspector General

   oig.hhs.gov/fraud/strike-force/

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   What is Medicare's role in preventing fraud?

   • Medicare and other Federal health care programs rely on physicians’ medical judgment to treat patients with appropriate, medically necessary services, and to submit accurate claims for Medicare-covered health care items and services. You play a vital role in protecting the integrity of the Medicare Program. To combat fraud

   Medicare Fraud & Abuse: Prevent, Detect, Report - Centers for Medicare

   www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf

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   Do fraud and abuse laws apply to Medicare & Medicaid?

   • When the Federal Government covers items or services rendered to Medicare and Medicaid beneficiaries, the Federal fraud and abuse laws apply. Many similar State fraud and abuse laws apply to your provision of care under state-financed programs and to private-pay patients.

   Medicare Fraud & Abuse: Prevent, Detect, Report - Centers for Medicare

   www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf

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   How many defendants have been charged with Medicare fraud?

   • More than 600 defendants in 58 federal districts were charged with participating in fraud schemes involving about $2 billion in losses to Medicare and Medicaid. Since the last takedown, OIG also issued exclusion notices to 587 doctors, nurses, and other providers based on conduct related to opioid diversion and abuse.

   2018 National Health Care Fraud Takedown | Office of

   oig.hhs.gov/newsroom/media-materials/2018-national-health-care-fraud-takedown/

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   How has strike force impacted health care fraud?

   • Strike Force teams have shut down health care fraud schemes around the country, arrested more than a thousand criminals, and recovered millions of taxpayer dollars.

   Medicare Fraud Strike Force - Office of Inspector General

   oig.hhs.gov/fraud/strike-force/

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   What does the Justice Department do about health care fraud?

   • The Justice Department has been clear that we will bring to justice criminals who defraud Americans and steal from taxpayer-funded programs. We take a particularly aggressive approach to combating health care fraud schemes that put people in danger for the sake of profits.

   Office of Public Affairs - United States Department of Justice

   www.justice.gov/opa/speech/attorney-general-merrick-b-garland-delivers-remarks-national-health-care-fraud-0

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9. oig.hhs.gov › newsroom › media-materials2018 National Health Care Fraud Takedown | Office of ...

   oig.hhs.gov › newsroom › media-materials

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   Mar 4, 2021 · These enforcement actions protect Medicare and Medicaid and deter fraud -- sending a strong signal that theft from these taxpayer-funded programs will not be tolerated. The money taxpayers spend fighting fraud is an excellent investment: For every $1 spent on health care-related fraud and abuse investigations in the last 3 years, more than $4 has been recovered.