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词条 Medicare Fraud Strike Force
释义

  1. References

  2. External links

The Medicare Fraud Strike Force is a multi-agency team of United States federal, state, and local investigators who combat Medicare fraud through data analysis and increased community policing. Launched in 2007, the Strike Force is coordinated by the United States Department of Justice and the Department of Health and Human Services. It combines the data-analysis capabilities of the Centers for Medicare and Medicaid Services, the investigative resources of the FBI, and the prosecutorial resources of the Department of Justice and the U.S. Attorneys' Offices.[2]

The Strike Force operates out of Baton Rouge, Brooklyn, Chicago, Dallas, Detroit, Houston, Los Angeles, Miami, and Tampa Bay.[3] As of May 2013, the Strike Force has charged more than 1,500 people for false billings of more than $5 billion.[4]

Some cases investigated by the Strike Force include the following:

  • In June 2015, more than 240 individuals—including doctors, nurses, and other licensed professionals—were arrested for their alleged participation in Medicare fraud schemes involving approximately $712 million in false billings.[1] The alleged crimes included conspiracy to commit healthcare fraud, money laundering, kickbacks, and aggravated identity theft.[2]
  • In August 2015, the task force investigated and arrested Rouzbeh Javaherian, owner of a Beverly Grove, California pharmacy called Westaid Pharmacy. He was sentenced to a year-and-a-half in prison and a $644,060 fine. Javaherian had pleaded guilty to paying cash kickbacks to Medicare patients and submitting false claims to Medicare Part D.[3]
  • In August 2015, a fake hospice nurse who treated more than 200 patients was sentenced to four years in prison.[4]
  • In September 2015, a psychiatrist in Houston was convicted in a fraud scheme amounting to $158 million in a federal criminal trial in Houston, Texas.[5]
  • In September 2016, two psychologists were convicted of health-care fraud, having participated in a $25-million scheme that administered repeated and medically unnecessary tests to nursing-home residents in Mississippi, Louisiana, Florida, and Alabama.[6]
  • In July 2017, Federal officials announced charges against more than 400 individuals—including doctors, nurses, and licensed medical professionals—for their roles in fraud schemes involving about $1.3 billion in false Medicare billings.[7]

References

1. ^{{cite web|url=https://www.fbi.gov/news/stories/2015/june/health-care-fraud-takedown|title=Health Care Fraud Takedown: 243 Arrested, Charged with $712 Million in False Medicare Billings|work=FBI|date=18 June 2015}}
2. ^{{cite news|title=Medicare Fraud Strike Force charges 243 people in nationwide sweep|url=http://americanpharmacynews.com/stories/510550527-medicare-fraud-strike-force-charges-243-people-in-nationwide-sweep|accessdate=2 October 2015|work=American Pharmacy News|date=23 June 2015}}
3. ^{{cite news|title=Los Angeles pharmacy owner sentenced in Medicare Part D scheme|url=http://americanpharmacynews.com/stories/510631975-los-angeles-pharmacy-owner-sentenced-in-medicare-part-d-scheme|accessdate=2 October 2015|work=American Pharmacy News|date=6 August 2015}}
4. ^{{cite web|url=https://www.fbi.gov/news/stories/2015/october/identity-theft|title=Identity Theft: Fake Hospice Nurse Treated More Than 200 Patients|work=FBI|date=8 October 2015}}
5. ^{{cite news|title=Jury convicts Houston psychiatrist in $158 million Medicare fraud scheme|url=http://www.yourhoustonnews.com/deer_park/news/jury-convicts-houston-psychiatrist-in-million-medicare-fraud-scheme/article_f08495bd-8a70-5c07-bc40-eca95564311e.html|accessdate=2 October 2015|work=Deer Park Broadcaster|publisher=Your Houston News|date=14 September 2015}}
6. ^{{cite web | url=https://www.justice.gov/opa/pr/two-psychologists-plead-guilty-25-million-nursing-home-testing-scheme | title=Two Psychologists Plead Guilty in $25 Million Nursing Home-Testing Scheme | publisher=United States Department of Justice | work=Press Release Number 16-1018 | date=September 7, 2016 | accessdate=February 2, 2018 | author=Department of Justice Office of Public Affairs}}
7. ^{{cite web|url=https://www.fbi.gov/news/stories/nationwide-sweep-targets-enablers-of-opioid-epidemic|title=Nationwide Sweep Targets Enablers of Opioid Epidemic|website=Federal Bureau of Investigation}}
8. ^1 {{cite book | url=https://books.google.com/books?id=nExSi_NhHM0C&lpg=PA10&dq=%22medicare%20fraud%20strike%20force%22&pg=PA10#v=onepage&q=%22medicare%20fraud%20strike%20force%22&f=false | title=Health Care Fraud and Abuse Control Program: Annual Report for Fiscal Year 2009 | publisher=DIANE Publishing | author=Levinson, Daniel R. | year=2010 | pages=10 | isbn=1437935176}}
9. ^1 {{cite web | url=http://www.stopmedicarefraud.gov/aboutfraud/heattaskforce/ | title=HEAT Task Force | publisher=U.S. Department of Health & Human Services | work=STOP Medicare Fraud | accessdate=November 28, 2013}}
10. ^1 {{cite web | url=http://www.justice.gov/opa/pr/2013/May/13-crm-553.html | title=Medicare Fraud Strike Force Charges 89 Individuals for Approximately $223 Million in False Billing | publisher=U.S. Department of Justice | date=May 14, 2013 | accessdate=November 28, 2013}}
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External links

  • Medicare Fraud Strike Force - official website

3 : Law enforcement agencies of the United States|Medicare and Medicaid (United States)|Medical and health organizations based in Washington, D.C.
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