Kusserow on Compliance: DOJ establishes new Medicare Strike Force for the Newark/Philadelphia area

The DOJ announced the formation of the Newark/Philadelphia Regional Medicare Fraud Strike Force (Regional Strike Force). The Strike Force operations are part of a joint initiative between the DOJ and HHS to focus their efforts to prevent and deter fraud and enforce current anti-fraud laws around the country. Since its inception in March 2007, the prosecutors in the 10 Medicare Fraud Strike Force locations have charged over 3,700 defendants who collectively have falsely billed the Medicare program for over $14 billion. The new Strike Force will focus its efforts on aggressively investigating and prosecuting cases involving fraud, waste, and abuse within the federal health care programs, and cases involving illegal prescribing and distribution of opioids and other dangerous narcotics. Prior to the announcement, there were only 10 cities that had such tasks forces.

Richard P. Kusserow served as DHHS Inspector General for 11 years. He currently is CEO of Strategic Management Services, LLC (SM), a firm that has assisted more than 3,000 organizations and entities with compliance related matters. The SM sister company, CRC, provides a wide range of compliance tools including sanction-screening.

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