In the largest ever health care fraud enforcement action by the Medicare Fraud Strike Force, 412 individuals, including 115 doctors, nurses, and other licensed medical professionals, have been charged across 41 federal districts for their alleged participation in health care fraud schemes involving approximately $1.3 billion in false billings.

Of those charged, over 120 defendants, including doctors, were charged for their roles in allegedly prescribing and distributing opioids and other dangerous narcotics.

According to court documents, the defendants allegedly participated in schemes to submit claims to Medicare, Medicaid, and TRICARE for treatments that were medically unnecessary and often never provided. In many cases, patient recruiters, beneficiaries, and other co-conspirators allegedly were paid cash kickbacks in return for supplying beneficiary information to providers, so that the providers could then submit fraudulent bills to Medicare for services that were medically unnecessary or never performed.

For the Strike Force locations, in the Southern District of Florida, a total of 77 defendants were charged with offenses relating to their participation in various alleged fraud schemes involving over $141 million in false billings for services including home health care, mental health services, and pharmacy fraud.

In the Eastern District of Michigan, 32 defendants were charged for their alleged roles in fraud, kickback, money laundering, and drug diversion schemes involving approximately $218 million in false claims for services that were medically unnecessary or never rendered.

In the Southern District of Texas, 26 individuals were charged in cases involving over $66 million in alleged fraud.

In the Northern District of Illinois, 15 individuals were charged in cases related to six different alleged schemes concerning home health care services and physical therapy fraud, kickbacks, and mail and wire fraud.

In the Middle District of Florida, 10 individuals were charged with participating in a variety of alleged schemes involving almost $14 million in fraudulent billing.

In the Eastern District of New York, 10 individuals were charged with participating in a variety of alleged schemes including kickbacks, services not rendered, and money laundering involving over $151 million in fraudulent billings to Medicare and Medicaid.

In the Southern Louisiana Strike Force, operating in the Middle and Eastern Districts of Louisiana as well as the Southern District of Mississippi, seven defendants were charged in connection with alleged health care fraud, wire fraud, and kickback schemes involving more than $207 million in fraudulent billing.

In addition to the Strike Force locations, the enforcement actions included cases and investigations brought by an additional 31 U.S. Attorney's Offices, including the execution of search warrants in investigations conducted by the Eastern District of California and the Northern District of Ohio.

In the Northern and Southern Districts of Alabama, three defendants were charged for their roles in two alleged health care fraud schemes involving pharmacy fraud and drug diversion.

In the Eastern District of Arkansas, 24 defendants were charged for their roles in three alleged drug diversion schemes that were all investigated by the DEA.

In the Northern and Southern Districts of California, four defendants, including a physician, were charged for their roles in an alleged drug diversion scheme and a health care fraud scheme involving kickbacks.

In the District of Connecticut, three defendants were charged in two alleged health care fraud schemes.

In the Northern and Southern Districts of Georgia, three defendants were charged in two alleged health care fraud schemes involving nearly $1.5 million in fraudulent billing.

In the Southern District of Illinois, five defendants were charged in five separate alleged schemes to defraud the Medicaid program.

In the Northern and Southern Districts of Indiana, at least five defendants were charged in various alleged health care fraud schemes related to the unlawful distribution and dispensing of controlled substances, kickbacks, and services not rendered.

In the Southern District of Iowa, five defendants were charged in two alleged schemes involving the distribution of opioids.

In the Western District of Kentucky, 11 defendants were charged with defrauding the Medicaid program.

In the District of Maine, an office manager was charged with embezzling funds from a medical office.

In the Eastern and Western Districts of Missouri, 16 defendants were charged in alleged schemes involving over $16 million in claims, including 10 defendants charged as part of a scheme involving fraudulent lab testing.

In the District of Nebraska, a dentist was charged with defrauding the Medicaid program.

In the District of Nevada, two defendants, including a physician, were charged in an alleged scheme involving false hospice claims.

In the Northern, Southern, and Western Districts of New York, five defendants, including two physicians and two pharmacists, were charged in alleged schemes involving drug diversion and pharmacy fraud.

In the Southern District of Ohio, five defendants, including four physicians, were charged in connection with alleged schemes involving $12 million in claims to the Medicaid program.

In the District of Puerto Rico, 13 defendants, including three physicians and two pharmacists, were charged in four alleged schemes involving drug diversion, Medicaid fraud, and the theft of funds from a health care program.

In the Eastern District of Tennessee, three defendants were charged in an alleged scheme involving fraudulent billings and the distribution of opioids.

In the Eastern, Northern, and Western Districts of Texas, nine defendants were charged in alleged schemes involving over $42 million in fraudulent billing, including a scheme involving false claims for compounded medications.

In the District of Utah, a nurse practitioner was charged in connection with fraudulently obtaining a controlled substance, tampering with a consumer product, and infecting over seven individuals with Hepatitis C.

In the Eastern District of Virginia, a defendant was charged in connection with an alleged scheme involving identify theft and fraudulent billings to the Medicaid program.

In addition, in the states of Arizona, Arkansas, California, Delaware, Illinois, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, Mississippi, New York, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Texas, Utah, Vermont, Washington, and Wisconsin, 96 defendants were charged in criminal and civil actions with allegedly defrauding the Medicaid program out of over $31 million.

Steven A. Meyerowitz

Steven A. Meyerowitz

Steven A. Meyerowitz, a Harvard Law School graduate, is the founder and president of Meyerowitz Communications Inc., a law firm marketing communications consulting company. He may be contacted at [email protected].

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