Medicare & Medicaid Fraud

Federal prosecutors and CMS have intensified crackdowns on Southern California hospice and health‑care fraud after investigations exposed schemes that allegedly lured healthy patients into a roughly $50 million hospice scam, paid cash kickbacks and submitted millions in improper Medicare and Medi‑Cal claims. Actions include the guilty plea of Paul Richard Randall for a scheme that billed Medi‑Cal more than $269 million (paid over $178 million) by exploiting a temporary drug pre‑approval waiver and laundering proceeds, and CMS’s revocation of Dr. Rajiv Bhuva’s Medicare billing privileges after his name was tied to $71.7 million in 2024 hospice claims across 126 hospices—part of a broader pattern of prosecutions and hospice suspensions in California.