National Law Review September 23, 2021
Eva Gunasekera, Renée Brooker

The unscrupulous actors racing to the bottom of despicable healthcare fraud have set a new floor. A recent nationwide federal law enforcement action resulted in criminal charges against almost 140 medical professionals in 31 districts across the United States for telemedicine fraud, COVID-19 health care fraud, substance abuse treatment facilities fraud, and illegal opioid distribution schemes. Of these, the telemedicine fraud outpaced the amount of the other fraud schemes by more than three times the amount of fraud loss.

According to the allegations, 50 criminal defendants in 11 judicial districts billed over $1.1 billion in false and fraudulent telemedicine-related claims to Medicare. At the onset of the pandemic, Medicare expanded telehealth rules, allowing providers to better connect with homebound elderly...

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Topics: Digital Health, Govt Agencies, Health IT, Insurance, OIG, Patient / Consumer, Provider, Technology, Telehealth
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