Four Oregon surgeons settle Medicare fraud claims
Compliance Monitor, January 9, 2008
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Four heart surgeons in Eugene, OR, agreed to pay $2.5 million to settle allegations they fraudulently billed Medicare, according to an article in the Eugene, OR, Register Guard. In addition, their former medical practice pled guilty to five misdemeanor counts of theft.
Drs. David Duke, Stanley Baldwin, Richard Hicks, and Warren Glover allegedly over billed Medicare from 1993 to 2004 by submitting bills for assistant surgeons regardless of whether the assistant surgeon provided any help to the primary surgeon during an operation or was even present during the surgery.
In addition to the fine, Dr. Duke and Dr. Glover entered into five-year integrity agreements with the OIG. Dr. Baldwin and Dr. Hicks are now retired.
Click here to read more about the settlement.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Comments
0 comments on “Four Oregon surgeons settle Medicare fraud claims ”
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
Most Popular
- Articles
-
- HIPAA Q&A: Level of encryption needed for email
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Identify potential Medicaid RAC target areas
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Q&A: Acute respiratory failure diagnosis does not require intubation
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Oxygen Cylinder Storage Requirements
- Q&A: Acute respiratory failure diagnosis does not require intubation
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- Catch up on what's new with injections and infusions
- Hospitals are not bound by InterQual criteria for determining patient status
- Searched