Justice Department expands Northeast health care fraud strike force to Philadelphia

Announcement with CMS Administrator Mehmet Oz included charges against 19 defendants over more than $4 million in alleged Medicare and Medicaid fraud and a plea deal in a previously charged $1.7 million case.

Summary

The Justice Department said it is expanding its Northeast Health Care Fraud Strike Force to Philadelphia, pairing its Health Care Fraud Section with the U.S. Attorney’s Office for the Eastern District of Pennsylvania as part of a broader push against Medicaid fraud. Announced at a Tuesday Philadelphia event with CMS Administrator Dr. Mehmet Oz and federal law enforcement officials, the move came with criminal charges against 19 defendants over alleged schemes involving more than $4 million in Medicare and Medicaid claims, plus a plea agreement involving the final defendant in a previously charged 21-defendant case tied to more than $1.7 million in claims. The announcement follows a large June national health care fraud sweep in which the Justice Department charged more than 450 defendants tied to more than $6.5 billion in alleged false claims.

Terms & Concepts
  • Health Care Fraud Strike Force: A Justice Department-led enforcement model that combines specialized prosecutors and law enforcement agencies to investigate and prosecute health care fraud.
  • CMS: The Centers for Medicare and Medicaid Services, the U.S. agency that administers the Medicare and Medicaid programs.
  • HHS Office of Inspector General: The watchdog office within the U.S. Department of Health and Human Services that investigates fraud, waste, and abuse involving federal health programs.