More than a dozen health care professionals in North Texas are accused of submitting hundreds of millions of dollars in false and fraudulent health care claims.
More than a dozen health care professionals in North Texas are accused of submitting hundreds of millions of dollars in false and fraudulent health care claims.
Physicians, nurses and other health care workers face an array of federal charges, from conspiracy to commit fraud to offering and accepting bribes. The charges are part of a sweeping federal investigation announced Tuesday that has led to charges against about 450 people, including 90 physicians, nationwide. Authorities say the fraudulent claims totaled $6.5 billion nationwide.
In North Texas, authorities say they have identified $365 million in fraudulent and false claims and have seized more than $35 million in cash, luxury vehicles and other assets.
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This type of fraud targets the supply chain and accounts payable departments of businesses.
- Invoice Manipulation: Criminals intercept a legitimate invoice between a supplier and a client and change the banking details to their own. The client pays the bill thinking they are paying their trusted vendor.
- Kickbacks and Bribery: A vendor secretly pays an employee of the purchasing company to ensure their bid is successful or to overlook inflated pricing.