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Historic Medicare Fraud Strike Force Takedown

A nationwide takedown by Medicare Fraud Strike Force operations in seven cities has resulted in charges against 107 individuals, including doctors, nurses, and other licensed medical professionals, for their participation in Medicare fraud schemes involving approximately $452 million in false billing. This coordinated operation involved the highest amount of false Medicare billings in a single takedown in strike force history.

Historic Medicare Fraud Strike Force Takedown

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FBI Deputy Director Sean Joyce (at podium) and Attorney General Eric Holder at press conference


A nationwide takedown by Medicare Fraud Strike Force operations in seven cities has resulted in charges against 107 individuals, including doctors, nurses, and other licensed medical professionals, for their participation in Medicare fraud schemes involving approximately $452 million in false billing. This coordinated operation involved the highest amount of false Medicare billings in a single takedown in strike force history.

FBI Deputy Director Sean Joyce joined Attorney General Eric Holder, Health and Human Services Secretary Kathleen Sebelius, and several other officials at a press conference in Washington, D.C. today to announce the charges. Said Joyce, “Health care fraud is not a victimless crime. Every person who pays for health care benefits, every business that pays higher insurance costs to cover employees, every taxpayer who funds Medicare—all are victims.”

Joyce also said that the FBI is currently investigating more than 2,600 cases of health care fraud and that more and more criminal enterprises are engaging in this crime. “These syndicates share strategies to steal money and avoid detection. They shift from one jurisdiction to the next to find new patients and new victims. They are savvy to health care rules and regulations, and they know how to exploit the system.”

To combat this fraud, the FBI has more than 500 agents and analysts using intelligence to uncover schemes and collecting evidence through undercover operations and wiretaps. In 2011, the FBI and its partners obtained more than 300 disruptions or dismantlements of criminal groups, charged more than 1,600 individuals, and helped secure more than 700 convictions.

The Medicare Fraud Strike Force, a joint effort of the Department of Justice and the Department of Health and Human Services, is multi-agency team of federal, state, and local investigators designed to combat fraud through the use of Medicare data analysis techniques. Since their inception in March 2007, strike force operations have charged more than 1,330 defendants who have collectively billed the Medicare program for more than $4 billion.

Department of Justice press release
Remarks by Attorney General Eric Holder
Remarks by Assistant Attorney General Lanny Breuer
Remarks by Deputy Director Sean Joyce
Related Chicago press release
Related Detroit press release
Related Los Angeles press release
Related Miami press release
Related New Orleans press release
Related Tampa press release

May 02, 2012 09:00 PM