JOURNAL OF LEADERSHIP, ACCOUNTABILITY AND ETHICS
Prosecuting Medicare Fraudsters: Lessons Learned from Recent Litigation
Author(s): Stephen Blythe, James Goodpasture
Citation: Stephen Blythe, James Goodpasture, (2014) "Prosecuting Medicare Fraudsters: Lessons Learned from Recent Litigation ," Journal of Leadership, Accountability and Ethics, Vol. 14, Iss.4, pp.139-144
Article Type: Research paper
Publisher: North American Business Press
Abstract:
The researchers investigated the 41 appellate cases of Medicare fraud that were decided by the 11 circuits of the United States Court of Appeals during the past three years (January 2014 through December 2016). A study of those cases led to these conclusions: (1) the crimes for which Medicare fraudsters are most often prosecuted are healthcare fraud, conspiracy to commit healthcare fraud, payment of kickbacks, and identity theft; (2) Medicare fraudsters were personnel in all aspects of healthcare; (3) types of Medicare fraud included overbilling for services and billing for services to fake patients; and (4) Medicare fraud convicts received variable prison sentences.