Largest Health Care Fraud Enforcement Action in Department of Justice History

Attorney General Jeff Sessions and Department of Health and Human Services (HHS) Secretary Tom Price, M.D., announced the largest ever health care fraud enforcement action by the Medicare Fraud Strike Force, involving 412 charged defendants across 41 federal districts, including 115 doctors, nurses and other licensed medical professionals, for their alleged participation in health care fraud schemes involving approximately $1.3 billion in false billings. Of those charged, over 120 defendants, including doctors, were charged for their roles in prescribing and distributing opioids and other dangerous narcotics. Thirty state Medicaid Fraud Control Units also participated in today’s arrests. In addition, HHS has initiated suspension actions against 295 providers, including doctors, nurses and pharmacists.

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Nationwide Sweep Targets Enablers of Opioid Epidemic

Federal officials have charged more than 400 individuals—including doctors, nurses, and licensed medical professionals—for their roles in fraud schemes involving about $1.3 billion in false Medicare billings.

The coordinated nationwide sweep by more than 1,000 law enforcement personnel—operating as part of the Medicare Fraud Strike Force—is the largest action to date. Of the 412 individuals charged, one in four cases involved opioid-related crimes, underscoring the scope of what federal officials are calling a drug-abuse epidemic that is killing approximately 91 Americans every day.

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SACRAMENTO, Calif. — Wal-Mart Stores Inc. has paid $1.65 million to resolve allegations that it violated the federal False Claims Act when it knowingly submitted claims for reimbursement to California’s Medi‑Cal program that were not supported by applicable diagnosis and documentation requirements.

Walmart, headquartered in Bentonville, Arkansas, operates over 290 retail stores in California; approximately 283 of these locations have pharmacies. The Medi-Cal program is administered by the California Department of Health Care Services (DHCS) and relies on both federal and state funding to provide health care to millions of Californians, including those with low incomes and disabilities.

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FRESNO, Calif. — Seth Adam Depiano, 36, of Clovis, was arrested yesterday in Las Vegas and is charged in a criminal complaint with mail fraud, wire fraud and money laundering.

According to court documents, Depiano operated a Ponzi scheme that lured real estate investors into giving to him and the businesses he controlled — including The Rental Group, U.S. Funding and Home Services LLC, and Draymond Homes — more than $20 million. Depiano fraudulently promised investors that he would use their money to purchase residential properties and either manage the properties for rental income or arrange for them to be renovated and resold.

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Submitting False Claims to Medicare for Providing Unnecessary Therapy to Nursing Home Residents

St. Louis, Missouri - The United States, Reliant Care Group, Reliant Care Management Company, Reliant Care Rehabilitative Services, and a number of Reliant affiliated skilled nursing facilities (Reliant) reached a civil settlement that will resolve the United States' claims against Reliant under the False Claims Act for knowingly submitting false claims to Medicare for providing unnecessary physical, speech, and occupational therapy to nursing home residents.

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SOUTHWEST ASIA - Overcoming heavy ISIS resistance the Syrian Democratic Forces breached the Old City of Raqqah, July 3.

Coalition forces supported the SDF advance into the most heavily fortified portion of Raqqah by opening two small gaps in the Rafiqah Wall that surrounds the Old City.

ISIS fighters were using the historic wall as a fighting position and planted mines and improvised explosive devices at several of the breaks in the wall. SDF fighters would have been channeled through these locations and were extremely vulnerable as they were targeted with vehicle-borne IEDs and indirect fire as well as direct fire from heavy machine guns, rocket-propelled grenades and snipers as they tried to breach the Old City.

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