Owners of a Detroit-area HIV infusion clinic convicted of Medicare fraud scheme
Compliance Monitor, May 11, 2011
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Martin and Joaquin Tasis, owners of a Detroit-area medical clinic, and co-conspirator Leoncio Alayon, were convicted for their roles in a $9.1 million Medicare fraud scheme, according to a Department of Justice (DOJ) press release.
The owners ran Dearborn Rehabilitation and Medical Center (DMRC), a fraudulent HIV-infusion therapy clinic located in Dearborn, MI. According to the DOJ, the Tasis brothers paid kickbacks to patients in exchange for Medicare information, which they used to fraudulently bill Medicare for treatments they never provided.
Between November 2005 and March 2007, DMRC billed approximately $9.1 million in claims to Medicare for injection therapy services that were never provided and were not medically necessary. Medicare paid approximately $6 million of those claims.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Related Products
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- 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
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- 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
