CA man gets 30 months in prison, hefty fine in clinic ‘fraud’ case
By
John Hall
Apr 09, 2015
A San Diego man will serve 2½ years in custody after being ordered to repay the government nearly $1 million for what prosecutors say were phony Medicare claims for medically unnecessary and unsupervised...
Speech therapist faces 10 years for $3.7M in bogus claims
Mar 25, 2015
A 44-year-old licensed speech therapist faces 10 years in prison and a $250,000 fine after admitting she and a colleague submitted $3.7 million in fraudulent insurance claims for services either unnecessary...
Embezzlement scheme nets nursing home bookkeeper 2½-year prison term
By
John Hall
Mar 24, 2015
A 31-year bookkeeper for a Wisconsin nursing home received a 2½-year prison sentence and was ordered to repay $296,000 for siphoning funds from residents’ insurance proceeds in a decade-long spree.
Also in the News for Thursday, February 26
Feb 26, 2015
AHCA members testify on Capitol Hill on health IT….DME vendor pleads guilty in $5M scheme … Doc who illegally prescribed Oxycodone sentenced … FBI moves closer to nailing Anthem hackers
Hospice pays $6.5 million fine to settle fraud case
By
John Hall
Feb 20, 2015
A New York hospice provider Wednesday agreed to pay approximately $6.5 million in fines to settle alleged false Medicare and Medicaid claims over a 16-month period.
New payment models clash with fraud laws; waivers might not be the answer, official says
By
Elizabeth Newman
Nov 21, 2014
Healthcare payments linked to the quality of care are causing challenges to existing fraud and abuse laws, a government official said Wednesday.
Nursing home psychiatrist in federal custody on 52 counts of fraud, including upcoding
Oct 17, 2014
Authorities have arrested a nursing home psychiatrist and charged him with 52 counts of healthcare fraud, the U.S. Attorney for the Northern District of Texas announced Thursday.
Senators blast Medicare audits, say RAC payments should be changed
By
Tim Mullaney
Jul 10, 2014
The Medicare claims review process is unfairly burdening healthcare providers and failing to improve program integrity, due in part to the payment system for certain auditors, Senate leaders said during...
Fraudsters admit they bought nursing home drugs as part of $60 million scheme, feds announce
By
Tim Mullaney
May 16, 2014
A husband and wife have pleaded guilty to masterminding a sprawling drug diversion scheme that involved reselling nursing home medications, according to federal and state authorities.
Brokers stole dying nursing home residents’ identities to carry out a lucrative fraud, SEC charges
By
Tim Mullaney
Mar 14, 2014
Two investment brokers and their associates are facing charges that they stole nursing home residents’ personal information to perpetrate annuities fraud, the U.S. Securities and Exchange Commission...