$24.4 Million in Maine Medicare Fraud Clawed Back, Mostly from Martin’s Point Health Care: DOJ

U.S. Attorney for the District of Maine Darcie McElwee announced Wednesday that her office collected a total of $24.4 million from civil and criminal actions during fiscal year 2023.

Nearly all of the $23 million collected by the Maine U.S. Attorney’s Office from civil actions was the result of a $22.5 million settlement in July 2023 in United State of America v. Martin’s Point Health Care, Inc.

The settlement with Portland-Based Martin’s Point was the largest Medicare fraud settlement in state history, and resolved allegations that the medical clinic violated the False Claims Act by submitting inaccurate diagnosis codes for its Medicare Advantage Plan enrollees in order to inflate their Medicare reimbursements.

An additional $1.39 million was collected in FY 2023 by the U.S. Attorney’s Office as a result of criminal actions, which includes criminal debts, fines and asset forfeitures.

Forfeited assets are deposited into the Justice Department’s Assets Forfeiture Fund and are used to restore funds to the victims of crimes and for other law enforcement purposes.

Source: $24.4 Million in Maine Medicare Fraud Clawed Back, Mostly from Martin’s Point Health Care: DOJ / The Maine Wire

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