Jun 23, 2016

The US Justice Department Announces Largest Takedown of Fraudulent Medical Billing

Updated June 28, 2023  |  Published June 23, 2016 by Alanna Diffendal

RXNT Logo and name displayed on a building outside
By: Elizabeth Smith.
June 23, 2016

Story Highlight: 301 individuals are charged with approximately $900 million worth of false billing involving Medicare and Medicaid.

Wednesday, June 22nd 2016, The Justice Department announced the charging of medical personnel across the country for fraudulent medical billing. Hundreds of individuals are charged with committing medical fraud totaling more than $900 million–the largest takedown in history in terms of number of persons charged and the loss amount. One clinic received $38 million from Medicare and Medicaid for unnecessary treatments. Another clinic in Detroit, Michigan billed Medicare $36 million; it turned out the clinic was a front for a narcotics diversion scheme.

While this announcement represents an infinitesimal percentage of the healthcare community, it also serves as awareness and opportunity. Many times, medical fraudulent cases can arise from unintentional coding and billing errors. Healthcare providers should spend time assessing their revenue cycle management, ensuring their procedures are up to standard. Healthcare solutions, such as RXNT|PM, can help physicians and clinics avoid these situations. To learn more, contact us at 800-943-7968 option 3 or email us at [email protected].

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