2022/08/02 – Dismantling Durable Medical Equipment Fraud Scheme Session Set by National Health Care Anti-Fraud Association
Targeted News Service
WASHINGTON, June 27 (TNSeve) -- The National Health Care Anti-Fraud Association has scheduled a session as part of its Enhancing Your Skills: Managing and Navigating Complex Investigations conference on Aug. 2, 2022, entitled "Dismantling a Durable Medical Equipment Fraud Scheme":
According to the agency website:
This presentation will discuss the innerworkings of a lucrative fraud scheme that has been plaguing the nation for years. Attendees will be given an inside look at one of the largest and most egregious Durable Medical Equipment fraud schemes investigated by HHS-OIG and prosecuted in the Southern District of Florida.
This case involved 7 durable medical equipment providers operated by the same group of individuals, $80 million dollars billed to Medicare, Medicaid, and multiple insurance providers, the use of an extensive network of money launderers, with over 100 shell corporations and bank accounts.
This presentation will also cover how DME fraud has evolved and become more lucrative since the Covid-19 pandemic and what analysts and investigators should be mindful of when investigating these cases.
Speakers:
Carlos Baixauli, Jr., Special Agent, U.S. Department of Health and Human Services, OIG
Ricardo Carcas, Special Agent, U.S. Department of Health and Human Services, OIG
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