In some cases, doctors took part in schemes to submit claims to Medicare and Medicaid for treatments that were not necessary and were never provided. In others, health care providers offered kickbacks to “patient recruiters” to help assemble beneficiary information that could be used in phony filings.
One of the biggest scams involved phony billings for costly prescription drugs at a time when Medicare’s drug costs are spiking.
Taken together, doctors, nurses, licensed medical professionals and health care companies conspired to submit a total of $900 million in fraudulent billing in the past year to the premier federal programs providing health care to the elderly and poor, according to joint announcements on Wednesday by the Justice Department, the Department of Health and Human Services and the FBI.
– The Fiscal Times