Mississippi rehab providers charged with Medicare fraud
Compliance Monitor, May 11, 2005
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
The federal government this week charged two unaffiliated rehab clinics in Mississippi with healthcare fraud, citing more than $8 million in unlawful Medicare claims between them, the Associated Press (AP) reported May 9.
The FBI on Monday arrested seven people at the two establishments--Central Mississippi Physical Medicine, Inc., (CMPM) and The Rehab Center, Inc.--the AP reported. According to federal agents, the charges stem from billed treatments that were either never performed or performed by unlicensed employees.
Not only were the treatments improper, but the bills sent up red flags for investigators, Acting FBI special agent William V. Jenkins told the AP. "Said claims were also billed in excessive units for each therapy session spent with a patient," he said.
Jenkins said CMPM submitted $6.2 million in fraudulent claims between September 2002 and September 2004, the AP reported. The Rehab Center allegedly filed $1.9 million in bad bills from December 2001 to January 2005.
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
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- HIPAA Q&A: Level of encryption needed for email
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- QA:Coding multiple initial infusions
- 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
- CMS has reformulated payments for some bilateral procedures
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Follow CMS' coding guidelines when using modifier -25
- 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?
- Do not code 57288 with 52000
- Searched
