What is Medicare Fraud?

Medicare fraud occurs when a hospital, nursing home, doctor's office, hospice care facility, ambulance service, pharmacy, rehabilitation center, or any other type of healthcare provider overbills Medicare.

 

Who can report Medicare fraud?

Medicare fraud whistleblowers are almost always healthcare professionals. They are commonly employed as hospital administrators, nurses, hospice or nursing home workers, ambulance drivers, pharmacists, or as any other type of healthcare professionals.

Receive a financial reward for your information.

Healthcare professionals may be entitled to a significant financial reward for becoming Medicare whistleblowers. Learn about receiving a financial reward for your information here.

 

Medicare Fraud News
Occupational therapist charged with Medicare Fraud
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An August 25, 2011 US Department of Justice (DOJ) press release told of the announcement by the Departments of Justice and Health and Human Services (HHS) of the guilty plea by a Detroit-area occupational therapist for her involvement in a Medicare fraud operation.

 
Four persons convicted for their involvement in a $4.7 million Medicare fraud scheme
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The US Department of Justice (DOJ), in an August 17, 2011 press release, reported the August 16 conviction of four persons for their involvement in a $4.7 million Medicare fraud scheme.

 
patient recruiter for a Houston durable medical equipment (DME) company convicted of Medicare fraud
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In a May 26, 2011 press release, the US Department of Justice (DOJ) reported the conviction of a patient recruiter for a Houston durable medical equipment (DME) company for Medicare fraud. The announcement was made by the Departments of Justice, Health and Human Services (HHS) and the FBI.

 
Miami doctor charged with HIV injection Medicare Fraud
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A Miami physician, Rene De Los Rios, was convicted for his role in a $23 million HIV injection and infusion Medicare fraud scheme. He was convicted on five felony counts by a federal jury, according to a Department of Justice (DOJ) and Health and Human Services (HHS) announcement on April 14, 2011.

 
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