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Authorities Bust Largest Medi-Cal Fraud Ring in California History

By Neil Shous, Esq.

In 2009, a multi-agency unit, including the FBI and the California Attorney General, arrested 42 people suspected of Medi-Cal fraud. These defendants were accused of defrauding Medi-Cal out of $4.6 million, making it the largest single case of Medi-Cal fraud in California?s history. The defendants allegedly billed Medi-Cal for in-home nursing services that were provided by unlicensed individuals. Some of these individuals had no medical training whatsoever, but performed nursing services that included administering medications, adjusting ventilators, and feeding through gastronomy tubes. Medi-Cal fraud includes billing for unnecessary services, for drugs or other supplies that were never ordered, and for paying unauthorized individuals to perform medical services...continue to full post

Full post as published by California Criminal Defense Blog on January 29, 2010 (boomark / email).