Patient recruiter pleads guilty to role in $5.2 million home healthcare scheme
Compliance Monitor, November 3, 2010
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
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.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Related Products
-
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...
-
HIPAA Handbook for Behavioral Health Staff
Train all of your staff members with this handbook and others in the 2009 HIPAA Handbook Series. Ensure they understand...
-
HIPAA Handbook for Home Health Staff
Train staff with this convenient handbook that educates about their role in protecting patient health information. Just one...
-
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
-
- 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?
- OB services: Coding inside and outside of the package
- Q/A: Coding infusions to correct low potassium levels
- 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
- 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
- Q/A. One injection code or two?
- Searched