DOJ joins whistleblower suit against radiology clinic
Compliance Monitor, April 23, 2008
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
A Beverly Hills-based diagnostic clinic fraudulently billed Medicare for unnecessary tests, according to a Department of Justice (DOJ) press release.
The DOJ filed a complaint April 14 against The Oaks Diagnostics, Inc. (doing business as Advanced Radiology of Beverly Hills); its owner, Ronald Grusd, MD; and internal medicine practitioner Earl Fernando, MD. The allegations came to light when an Advanced Radiology employee filed a whistleblower lawsuit.
According to the suit, Medicare beneficiaries were recruited to undergo diagnostic tests they did not need at Advanced Radiology. Advanced Radiology allegedly submitted claims to Medicare for unnecessary diagnostic services rendered to 438 Medicare beneficiaries and Medicare paid Advanced Radiology more than $600,000 for these services.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Comments
0 comments on “DOJ joins whistleblower suit against radiology clinic ”
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
-
- 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
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- 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: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Searched