Kentucky black lung advocate convicted on fraud charges
Compliance Monitor, August 31, 2005
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Ten years in prison and up to $250,000 in fines. That's the maximum punishment faced by the president of the Kentucky Black Lung Association and her husband who were convicted on Medicare fraud charges last Thursday.
The couple will be sentenced on Nov. 21, according to the Associated Press (AP).
A jury convicted Carolyn Sue "Susie" Davis and her husband Otis Davis on 13 counts of healthcare fraud and obstructing an investigation in connection with a scheme to funnel Medicare patients to a medical supply store headed by Otis Davis.
The state alleged that Susie Davis encouraged coal miners to visit Dr. Raghu Sandaram, of Montgomery, Al for testing. Dr. Sundaram would then refer patients to get oxygen from J&J Medical, Otis Davis' medical supply store. Assistant U.S. Attorney Patrick Molloy told the court Otis Davis was a figurehead at J&J Medical, and that the company was really run by Susie Davis.
Dr. Sundaram also faced charges in connection with the scheme but was acquitted, according to the AP.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
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
- 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
- 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
- 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?
- Cohesive History and Physical Requirements
- Searched