Story highlights

301 individuals are charged with about $900 million worth of false billing

Cases involve Medicare and Medicaid fraud

CNN —  

The Justice Department announced Wednesday it’s charging hundreds of individuals across the country with committing Medicare fraud worth hundreds of millions of dollars.

It’s the largest takedown in history – both in terms of the number of people charged and the loss amount, according to the Justice Department.

The majority of the cases being prosecuted involve separate fraudulent billings to Medicare, Medicaid or both for treatments that were never provided.

In one case, a Detroit clinic that was actually a front for a narcotics diversion scheme billed Medicare for more than $36 million, the Justice Department said.

The takedown: By the numbers

$900 million in false billing

$38 million sent from Medicare and Medicaid to one clinic to carry out medically unnecessary treatments

$36 million billed to Medicare by a Detroit clinic that was actually a front for a narcotics diversion scheme

1,000 law enforcement personnel involved

301 defendants charged across the United States

61 of those charged are medical professionals

36 federal judicial districts involved

28 of those charged are doctors

  • Source: U.S. Departments of Justice and Health and Human Services
  • A doctor in Texas has been charged with participating in schemes to bill Medicare for “medically unnecessary home health services that were often not provided.”

    And in Florida, the owner of several infusion clinics is accused by the federal government of defrauding medicare out of over $8 million for a scheme involving the reimbursement for expensive intravenous drugs that were never actually purchased and never given to patients.

    “Health care fraud is not an abstract violation or benign offense. It is a serious crime,” Attorney General Loretta Lynch said. “They target real people – many of them in need of significant medical care. They promise effective cures and therapies, but they provide none. Above all, they abuse basic bonds of trust – between doctor and patient; between pharmacist and doctor; between taxpayer and government – and pervert them to their own ends.”