{"id":368346,"date":"2026-10-22T23:08:17","date_gmt":"2026-10-23T04:08:17","guid":{"rendered":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/feds-charge-15-suspects-in-multiple-alleged-insurance-medicare-fraud-schemes"},"modified":"2026-10-22T23:08:20","modified_gmt":"2026-10-23T04:08:20","slug":"feds-charge-15-suspects-in-multiple-alleged-insurance-medicare-fraud-schemes","status":"publish","type":"post","link":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/feds-charge-15-suspects-in-multiple-alleged-insurance-medicare-fraud-schemes","title":{"rendered":"Feds cost 15 suspects in a number of alleged insurance coverage, Medicare fraud schemes"},"content":{"rendered":"<p><br \/>\n<\/p>\n<div data-testid=\"prism-article-body\">\n<p class=\"EkqkG IGXmU nlgHS yuUao MvWXB TjIXL aGjvy ebVHC \">Federal prosecutors charged 15 people across multiple states in connection with an alleged Medicare and insurance fraud schemes they allege collectively<!-- -->\u00a0<!-- -->took in $2 billion, the Justice Department said on Thursday.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Eight of the defendants, some of whom were physicians, were arrested by federal agents on Thursday,<!-- -->\u00a0<!-- -->with most of the arrests taking place in California, according to officials.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">The alleged schemes included billing private insurers for phony substance abuse treatment, billing Medicare for unnecessary atherectomy procedures (which are for removing plaque from blood vessels) and another charging Medicare for hospice services for patients who weren&#8217;t terminally ill, the Justice Department said.<\/p>\n<div class=\"oLzSq QrHMO fnRUo pvsTF EhJPu vPlOC zNYgW OsTsW RMeqy daRVX ISNQ sKyCY eRftA acPPc MENS nFwaT MCnQE mEeeY SmBjI xegrY rPLsU iulOd NIuqO zzscu lzDCc aHUBM IEgzD OjMNy eQqcx SVqKB GQmdz jaoD VWDdR ONJdw vrZxD OnRTz gbbfF roDbV GPGwb oMlSS gfNzt oJhud eXZcf zhVlX \">\n<div>\n<div class=\"InlineImage GpQCA lZur asrEW \" data-testid=\"prism-inline-image\">\n<figure class=\"kzIjN GNmeK pYrtp dSqFO \" data-testid=\"prism-figure\">\n<div class=\"GpQCA lZur \" style=\"padding-bottom:66.31944444444444%\" data-testid=\"prism-ratio-frame\">\n<div class=\"FvQLF iLTd NqeUA UzzHi iWsMV \"><picture data-testid=\"prism-picture\"><source media=\"(max-width: 414px)\" srcset=\"https:\/\/i.abcnewsfe.com\/a\/f09b5823-012a-4a70-bcf9-694156332d4f\/health-care-fraud-arrest-ap-jt-261022_1792690629870_hpMain.jpg?w=375, https:\/\/i.abcnewsfe.com\/a\/f09b5823-012a-4a70-bcf9-694156332d4f\/health-care-fraud-arrest-ap-jt-261022_1792690629870_hpMain.jpg?w=750 2x\"\/><source media=\"(min-width: 415px)\" srcset=\"https:\/\/i.abcnewsfe.com\/a\/f09b5823-012a-4a70-bcf9-694156332d4f\/health-care-fraud-arrest-ap-jt-261022_1792690629870_hpMain.jpg?w=750, https:\/\/i.abcnewsfe.com\/a\/f09b5823-012a-4a70-bcf9-694156332d4f\/health-care-fraud-arrest-ap-jt-261022_1792690629870_hpMain.jpg?w=1500 2x\"\/><img decoding=\"async\" title=\"alleged insurance coverage\" alt=\"alleged insurance coverage\" class=\"hsDdd NDJZt sJeUN IJwXl vBqtr KrDt itslR SjwtZ hakZw HlUVI \" data-testid=\"prism-image\" draggable=\"false\" loading=\"lazy\" src=\"https:\/\/i.abcnewsfe.com\/a\/f09b5823-012a-4a70-bcf9-694156332d4f\/health-care-fraud-arrest-ap-jt-261022_1792690629870_hpMain.jpg\"\/><\/picture><\/div>\n<\/div><figcaption>\n<div class=\"nMMea bNYiy Mjgpa dGwha DDmxa jgKNG RGHCC aBIU PriDW aiQHS lZur \" data-testid=\"prism-caption\">\n<p><span class=\"hsDdd OOSI GpQCA lZur VlFaz \" data-testid=\"prism-truncate\"><span><span class=\"gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ \">Federal agents climb a fence to enter a suspect&#8217;s house during a raid related to health care fraud in the early morning on Oct. 22, 2026, in Los Angeles.<\/span><\/span><\/span><\/p>\n<p><span class=\"gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ YNujN JGtjI aZFDu rkKLh \">Wally Skalij\/AP Photo<\/span><\/p>\n<\/div>\n<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Five of the suspects were expected to appear in federal court in L.A., two were expected to appear in federal court in Texas and another was expected to appear in federal court in Illinois Thursday afternoon, according to the Justice Department.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">Attorney information for the suspects wasn&#8217;t immediately available.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">The biggest case focused on two people in Los Angeles and another in Texas who allegedly spent years moving substance abuse patients from around the country to California, the Justice Department said.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">The suspects allegedly enrolled the patients in insurance policies that they were not eligible for and obtained the highest reimbursement for substance abuse treatments. They received over $1.6 billion, the Justice Department alleged.<\/p>\n<div class=\"oLzSq QrHMO fnRUo pvsTF EhJPu vPlOC zNYgW OsTsW RMeqy daRVX ISNQ sKyCY eRftA acPPc MENS nFwaT MCnQE mEeeY SmBjI xegrY rPLsU iulOd NIuqO zzscu lzDCc aHUBM IEgzD OjMNy eQqcx SVqKB GQmdz jaoD VWDdR ONJdw vrZxD OnRTz gbbfF roDbV GPGwb oMlSS gfNzt oJhud eXZcf zhVlX \">\n<div>\n<div class=\"InlineImage GpQCA lZur asrEW \" data-testid=\"prism-inline-image\">\n<figure class=\"kzIjN GNmeK pYrtp dSqFO \" data-testid=\"prism-figure\">\n<div class=\"GpQCA lZur \" style=\"padding-bottom:66.31944444444444%\" data-testid=\"prism-ratio-frame\">\n<div class=\"FvQLF iLTd NqeUA UzzHi iWsMV \"><picture data-testid=\"prism-picture\"><source media=\"(max-width: 414px)\" srcset=\"https:\/\/i.abcnewsfe.com\/a\/0b6b714d-25da-4df6-8cc0-1ebc5514b5eb\/health-care-fraud-arrest-01-ap-jt-261022_1792690727655_hpMain.jpg?w=375, https:\/\/i.abcnewsfe.com\/a\/0b6b714d-25da-4df6-8cc0-1ebc5514b5eb\/health-care-fraud-arrest-01-ap-jt-261022_1792690727655_hpMain.jpg?w=750 2x\"\/><source media=\"(min-width: 415px)\" srcset=\"https:\/\/i.abcnewsfe.com\/a\/0b6b714d-25da-4df6-8cc0-1ebc5514b5eb\/health-care-fraud-arrest-01-ap-jt-261022_1792690727655_hpMain.jpg?w=750, https:\/\/i.abcnewsfe.com\/a\/0b6b714d-25da-4df6-8cc0-1ebc5514b5eb\/health-care-fraud-arrest-01-ap-jt-261022_1792690727655_hpMain.jpg?w=1500 2x\"\/><img decoding=\"async\" title=\"California\" alt=\"California\" class=\"hsDdd NDJZt sJeUN IJwXl vBqtr KrDt itslR SjwtZ hakZw HlUVI \" data-testid=\"prism-image\" draggable=\"false\" loading=\"lazy\" src=\"https:\/\/i.abcnewsfe.com\/a\/0b6b714d-25da-4df6-8cc0-1ebc5514b5eb\/health-care-fraud-arrest-01-ap-jt-261022_1792690727655_hpMain.jpg\"\/><\/picture><\/div>\n<\/div><figcaption>\n<div class=\"nMMea bNYiy Mjgpa dGwha DDmxa jgKNG RGHCC aBIU PriDW aiQHS lZur \" data-testid=\"prism-caption\">\n<p><span class=\"hsDdd OOSI GpQCA lZur VlFaz \" data-testid=\"prism-truncate\"><span><span class=\"gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ \">Federal agents arrive to a suspect&#8217;s house during a raid related to health care fraud in the early morning on Oct. 22, 2026, in Los Angeles.<\/span><\/span><\/span><\/p>\n<p><span class=\"gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ YNujN JGtjI aZFDu rkKLh \">Wally Skalij\/AP Photo<\/span><\/p>\n<\/div>\n<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy \">In a separate case, a Los Angeles cardiothoracic surgeon and a chiropractor are accused of falsely diagnosing patients with arterial disease and recommending they receive atherectomies, the Justice Department said. The suspects in this case billed Medicare for over $135 million for the procedures, the Justice Department alleged.<\/p>\n<p class=\"EkqkG IGXmU nlgHS yuUao lqtkC eTIW sUzSN \">Three cases dealt with suspects allegedly billing Medicare a combined $138 million for fraudulent hospice schemes, the Justice Department said. The suspects allegedly billed patients who were not terminally ill, according to the Justice Department.<\/p>\n<\/div>\n<p><br \/>\n<br \/><a href=\"https:\/\/abcnews.com\/US\/feds-charge-15-suspects-multiple-alleged-insurance-medicare\/story?id=137483638\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Federal prosecutors charged 15 people across multiple states in connection with an alleged Medicare and insurance fraud schemes they allege collectively\u00a0took in $2 billion, the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":368349,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[42630,101,35883,42628,31871,1426,353,601,42629,3896,102],"class_list":["post-368346","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-alleged-insurance-coverage","tag-california","tag-economy","tag-insurance-coverage-fraud-schemes","tag-insurance-coverage-insurance-policies","tag-justice-division","tag-l-a","tag-los-angeles","tag-los-angeles-cardiothoracic-surgeon-and-a-chiropractor","tag-medicare","tag-texas"],"_links":{"self":[{"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/posts\/368346","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/comments?post=368346"}],"version-history":[{"count":2,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/posts\/368346\/revisions"}],"predecessor-version":[{"id":368348,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/posts\/368346\/revisions\/368348"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/media\/368349"}],"wp:attachment":[{"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/media?parent=368346"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/categories?post=368346"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.etrafficlane.com\/60dollarmiracle\/wp-json\/wp\/v2\/tags?post=368346"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}