Tuesday, March 17, 2015

18 charged with complicated $125 million healthcare fraud Clinics allegedly sought reimbursement for injection treatments, physical therapy treatments and other medical services not ordered by doctors.

Four company owners and 14 others have been indicted in Miami-Dade County for their alleged participation in private insurance healthcare fraud resulting in over $125 million in false and fraudulent claims to be submitted and $13 million to be paid, according to the U.S. Attorney Southern District of Florida.
Claims were submitted to Cigna, Blue Cross Blue Shield, United Health Care and Administrative Services Only plans managed by Cigna, BCBS, and UHC, on behalf of the medical clinics seeking approximately $125 million in reimbursement for injection treatments, physical therapy treatments and other medical items and services. The treatments were neither ordered by a physician nor provided to a beneficiary as claimed, according to the indictment. more

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