Patient recruiter pleads guilty to role in $5.2 million home healthcare scheme
Compliance Monitor, November 3, 2010
A Houston-based patient recruiter pleaded guilty in connection with a $5.2 million Medicare fraud scheme, according to a Department of Justice press release.
Sammie Wilson, 69, admitted to receiving kickbacks for referring beneficiaries for services that she knew were not medically necessary and/or not rendered by Family Healthcare Group, a home healthcare company. The company owner hired Wilson and other co-conspirators to recruit Medicare beneficiaries for the purposes of filing false claims with Medicare.
The case was a product of the Medicare Fraud Strike Force, which since its inception in March 2007 has obtained indictments of more than 825 individuals who collectively have falsely billed the Medicare program for more than $2 billion.
Related Products
-
Briefings on Accreditation and Quality
Briefings on Accreditation and Quality will help you with all of your accreditation and survey preparation needs. Every...
-
Emergency Management Coordinator's Handbook for Hospitals
This book and CD-ROM is an affordable, easy-to-read reference that outlines the fundamental processes of emergency...
-
Emergency Management Compliance Manual
This binder and CD-ROM set helps you cut through the confusion related to the new emergency management chapter of the...
-
Medicare Audits in Long-Term Care: A Guide to MACs, RACs, and ZPICs
This book describes the different types of Medicare audits that nursing homes face and helps you take a proactive approach...
-
Stark Law, 2nd edition: A user's guide to achieving compliance
This updated version of HCPro's Stark Law best seller, first published in 2005—and now co-authored by former CMS Stark...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Five ways to safeguard your patients' valuables
- Note similarities and differences between HCPCS, CPT® codes
- The consequences of an incomplete medical record
- Q&A: Primary, principal, and secondary diagnoses
- Skills of effective case managers
- OB services: Coding inside and outside of the package
- Reimbursement for Facility and Professional Services in a Provider-Based Department by Gina M. Reese, Esq., RN
- Nursing responsibilities for managing pain
- Practice the six rights of medication administration
- E-mailed
-
- Plan of Care Supports Documentation of Homebound Status
- Q/A: Coding infusions to correct low potassium levels
- Note from the instructor: CMS clarifies billing guidelines on proper billing for drugs in a single-dose or single-use vial, including billing for discarded drugs
- Neurological checks for head injuries
- Modifiers and medical necessity
- HIPAA Q&A: Cameras in patient rooms
- Follow these tips to properly report bladder catheter codes
- Examine cardboard boxes stored on floor to avoid infection control, life safety citations
- Differentiate between types of wound debridement
- Consider two options for coding Rho(D) immune globulin given in pregnancy
- Searched