Owners of a Detroit-area HIV infusion clinic convicted of Medicare fraud scheme
Compliance Monitor, May 11, 2011
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.
Related Products
Most Popular
- Articles
-
- Note from Hugh
- Note from the instructor: CMS clarifies payment amount to be applied to payment caps and manual review thresholds for outpatient therapy services provided by critical access hosptials
- Steps to comply with HIPAA 2.0: Revise your policies and procedures
- Recent Recovery Auditor activity
- Steps to comply with HIPAA 2.0: Revise your policies and procedures
- Citing HIPAA, CVS to end prescription reminders via mail
- The week in Medicare updates
- ACDIS/AHIMA brief provides guidance on query best practices
- Change your EMR to prepare for ICD-10
- 2014 Hospice Proposed Rule Released
- E-mailed
-
- Note from the instructor: CMS clarifies payment amount to be applied to payment caps and manual review thresholds for outpatient therapy services provided by critical access hosptials
- Q&A: Focused professional practice evaluation (FPPE)
- Change your EMR to prepare for ICD-10
- Solidify processes to avoid HAC penalties
- Citing HIPAA, CVS to end prescription reminders via mail
- 2014 IPPS Proposed Rule: CMS focuses on quality measures, inpatient status
- 2014 Hospice Proposed Rule Released
- HCA initiative boosts flu shots among hospital workers
- Managing the precertification process
- Physician orientation: An essential retention tool
- Searched
