Jacobi Journal of Insurance Investigation

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Protecting integrity in every investigation.

August 22, 2025 | JacobiJournal.com — Federal prosecutors are moving to seize nearly $11 million in assets tied to an alleged Miami DME fraud scheme that billed Medicare for over $33 million in medically unnecessary equipment. The U.S. Department of Justice (DOJ) says the case highlights a growing enforcement focus on healthcare fraud in the durable medical equipment sector.

Miami DME Fraud Involving Unnecessary Billing

The DOJ’s civil forfeiture complaint alleges that two Miami-based suppliers submitted false claims for orthotic braces and other devices that patients did not need or never received. Prosecutors say these actions violated federal healthcare fraud statutes and exploited taxpayer-funded programs.

DOJ Traces Fraud Proceeds to $11 Million in Assets

Investigators allege the targeted funds in this Miami DME fraud case were routed through multiple accounts and shell companies to obscure their origin. The DOJ is seeking to seize the money as proceeds of the fraudulent billing scheme.

Federal Crackdown on Miami DME Fraud Schemes

The DOJ has intensified enforcement actions against Miami DME fraud operations, citing the sector’s high risk for abuse. Officials say these cases protect Medicare’s financial integrity and deter future fraudulent billing practices.

Source: U.S. Department of Justice.


FAQs: About Miami DME Fraud

What is Miami DME fraud?

It refers to schemes in Miami involving durable medical equipment suppliers who bill Medicare for unnecessary or unprovided devices.

How does civil forfeiture apply to Miami DME fraud cases?

Civil forfeiture allows the government to seize assets tied to the fraud, even without a criminal conviction, if it can prove the connection in court.

Why is Miami a focus for DME fraud enforcement?

Miami is a high-priority area for fraud investigations due to the concentration of DME suppliers and history of large-scale Medicare fraud cases.


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