January 17, 2018 – Law enforcement agencies and federal healthcare administrators including HHS, the Office of the Inspector General (OIG), the FBI, and US Attorney’s Offices across the country investigated provider healthcare schemes that defrauded Medicare and Medicaid more than $310 million.
The investigations led to criminal charges and one settlement to resolve False Claims Act allegations. Aggressive prosecution involving healthcare fraud perpetrators was a regularity in 2017 and looks to continue throughout 2018.
Source: Provider Health Insurance Fraud Schemes, Settlements Top $310M / HealthPayer Intelligence