DOJ announces 78 people charged over $2.5 billion in false health care billings

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A nationwide health care fraud crackdown announced by the DOJ resulted in charges against 78 defendants in schemes that totaled more than $2.5 billion in alleged false billings.

June 28, 2023, 1:33 PMA pedestrian walks past the Department of Justice headquarters in Washington, D.C., Aug. 15, 2019.on Wednesday announced a nationwide health care fraud crackdown that resulted in charges against 78 defendants in separate schemes that totaled more than $2.5 billion in alleged fraudulent billings, marking what Attorney General Merrick Garland called "one of the largest health care fraud schemes ever prosecuted by the Justice Department.

"These enforcement actions, including against one of the largest health care fraud schemes ever prosecuted by the Justice Department, represent our intensified efforts to combat fraud and prosecute the individuals who profit from it," Garland said in a statement announcing the charges. "The Justice Department will find and bring to justice criminals who seek to defraud Americans and steal from taxpayer-funded programs.

The three individuals are alleged to have used their platform DMERx as a means to connect pharmacies and medical equipment suppliers to telemedicine companies who would in turn accept kickbacks and bribes on orders for orthotic braces and prescription pain creams that were not eligible for reimbursement from Medicare.

 

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