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Feds charge 15 suspects in multiple alleged insurance, Medicare fraud schemes

Feds charge 15 suspects in multiple alleged insurance, Medicare fraud schemes

Summary

Federal prosecutors charged 15 people in several states with Medicare and insurance fraud totaling about $2 billion. The alleged crimes included billing for fake substance abuse treatment, unnecessary surgeries, and hospice care for patients who were not terminally ill.

Key Facts

  • 15 suspects face federal charges related to Medicare and insurance fraud.
  • Eight suspects, including some doctors, were arrested mostly in California.
  • One scheme involved billing fake substance abuse treatment, earning over $1.6 billion.
  • Another involved falsely diagnosing patients and billing for unnecessary blood vessel surgeries (atherectomies), totaling over $135 million.
  • Three cases included billing Medicare for hospice care for patients who were not terminally ill, amounting to about $138 million.
  • Some suspects will appear in federal courts in Los Angeles, Texas, and Illinois.
  • Federal agents conducted early morning raids in Los Angeles to arrest suspects.
  • The fraud schemes involved taking advantage of both private insurers and Medicare, a government health insurance program for people 65 and older or with certain disabilities.
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