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Medicare Fraud Strike Force Charges 91 Individuals for Approximately $430 Million in False Billing

Office of Public Affairs (OIG), October 4, 2012 (excerpt)

“HHS also suspended or took other administrative action against 30 health care providers following a data-driven analysis and based upon credible allegations of fraud. Under the Affordable Care Act, HHS is able to suspend payments until the resolution of an investigation.

AND

The charges and allegations contained in the indictments are merely accusations and the defendants are presumed innocent and until proven guilty.”

The government appears to have done a good job in catching the 91 people engaged in Medicare fraud. How much harder would it have been to complete the investigation of the 30 health care providers? The suspension of payments pending the resolution of the investigation will most likely kill the businesses.

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