Corporate Compliance

Corporate Compliance Articles by Topic: Health Law

NC couple sentenced to 24 months for healthcare fraud and tax offenses

  • Compliance Monitor, Issue 28, July 13, 2011

    Ruben D. McLain, 40, and Michelle Judge McLain, 38, were each sentenced to 24 months in prison and...

Brooklyn neurologist pleads guilty to Medicare fraud scheme

  • Compliance Monitor, Issue 28, July 13, 2011

    Leonard Langman, MD, a neurologist who owned and operated a Brooklyn, NY, medical clinic, pleaded...

HITECH accounting of disclosures rule released

  • Compliance Monitor, Issue 22, June 1, 2011

    On May 27 the Department of Health & Human Services (HHS) published a HITECH-required proposed...

HHS plans to review existing rules

  • Compliance Monitor, Issue 22, June 1, 2011

    On Thursday, May 26, the Department of Health and Human Services (HHS) announced its plans to...

Tip: Regulate access to electronic medical records.

  • Compliance Monitor, Issue 22, June 1, 2011

    Employees should only access information when they have a legitimate need to do so.

Quest agrees to California's largest false claims settlement

  • Compliance Monitor, Issue 21, May 25, 2011

    Quest Diagnostics, California’s largest provider of medical laboratory testing, will pay $241...

Owner of Houston-are DME company sentenced to prison for fraud scheme

  • Compliance Monitor, Issue 21, May 25, 2011

    Doris Vinitski, a Houston-area resident and owner of Onward Medical Supply, was sentenced to serve...

Owners of a Detroit-area HIV infusion clinic convicted of Medicare fraud scheme

  • Compliance Monitor, Issue 19, May 11, 2011

    Martin and Joaquin Tasis, owners of a Detroit-area medical clinic, and co-conspirator Leoncio...

Pharmaceutical manufacturer pays $44.3 million to resolve kickback allegations

  • Compliance Monitor, Issue 19, May 11, 2011

    Pharmaceutical manufacturer Serono Laboratories Inc. will pay $44.3 million to resolve False Claims...

Two Miami-area corporations plead guilty to $200 million Medicare fraud scheme

  • Compliance Monitor, Issue 19, May 11, 2011

    American Therapeutic Corporation (ATC) and Medlink Professional Management Group Inc., pleaded...

Q&A: Rehiring an employee that was fired for a violating patient confidentiality

  • Compliance Monitor, Issue 19, May 11, 2011

    Q: An employee is terminated for violating patient confidentiality. The organization later...

Note from Peggy: Savings on account of ACOs

  • Medicare Update for Physician Services, Issue 5, May 5, 2011

    In the April 7 edition of the Federal Register, CMS released a proposed rule concerning Medicare...

Large patient information breach list reaches 265

  • Compliance Monitor, Issue 18, May 4, 2011

    The number of entities reporting breaches of unsecured PHI affecting at least 500 individuals to...

Tip: Incorporate your compliance program into your performance plan

  • Compliance Monitor, Issue 18, May 4, 2011

    When evaluating the performance of managers and supervisors, factor in adherence to the elements of...

CVS pays $17.5 million to resolve false claims allegations

  • Compliance Monitor, Issue 17, April 27, 2011

    CVS Pharmacy Inc. agreed to pay the United States and 10 states $17.5 million to resolve...

Three Miami-area residents headed to jail for $23 million Medicare fraud scheme

  • Compliance Monitor, Issue 17, April 27, 2011

    Two Miami-area medical assistants and a physician assistant will serve time in prison for their...

Ohio pharmaceutical company pays $8 million to resolve kickback allegations

  • Compliance Monitor, Issue 17, April 27, 2011

    Cardinal Health Inc. agreed to pay $8 million to resolve claims that it violated the False Claims...

Q&A: Whiteboards and HIPAA

  • Compliance Monitor, Issue 17, April 27, 2011

    Q: Is it permissible to list patients by name on whiteboards in the nursing units?

Dallas hospital files Medicare fraud suit against a hostile takeover bidder

  • Compliance Monitor, Issue 16, April 20, 2011

    Dallas-based Tenet Healthcare Corp. filed a Medicare fraud lawsuit that accuses Community Health...

Owners of a mental health corporation plead guilty to $200 million fraud scheme

  • Compliance Monitor, Issue 16, April 20, 2011

    Two Miami-area residents and owners of a mental healthcare corporation pleaded guilty to submitting...

Miami doctor convicted in $23 million Medicare fraud scheme

  • Compliance Monitor, Issue 16, April 20, 2011

    A jury convicted Miami physician Rene De Los Rios of five felony counts for his role in a $23...

Tip: Review your compliance program

  • Compliance Monitor, Issue 16, April 20, 2011

    An effective compliance program should incorporate periodic (at least annual) reviews to determine...

Q&A: Responding to subpoena requests

  • Compliance Monitor, Issue 15, April 13, 2011

    Q: Should we provide a complete copy of a patient’s record when a subpoena requests...

Regulations: Comment on the ACO/waiver rulemaking

  • Medicare Insider, Issue 15, April 12, 2011

    CMS and the OIG have published rulemaking on accountable care organizations (ACO) and applicable...

Regulations: HHS releases ACO rulemaking

  • Medicare Update for Physician Services, Issue 4, April 7, 2011

    CMS and the OIG have released display copies of a proposed rule and notice regarding accountable...

Miami physician sentenced for Medicare fraud

  • Compliance Monitor, Issue 14, April 6, 2011

    Fred Dweck, a Miami-area doctor, will serve 24 months in prison for his role in a Medicare fraud...

Los Angeles woman pleads guilty to participating in a $6.2 million Medicare fraud scheme

  • Compliance Monitor, Issue 14, April 6, 2011

    Carolyn Ann Vasquez of Los Angeles pleaded guilty to using fraudulent medical clinics and the...

CMS explains new provider enrollment provisions

  • Compliance Monitor, Issue 14, April 6, 2011

    CMS has issued MLN Matters Article MM7350 to explain how the new provider enrollment provisions...

Tip: When and how to use compound authorizations

  • Compliance Monitor, Issue 14, April 6, 2011

    An authorization to use or disclose protected health information (PHI) may be combined with another...

CMS published screening requirements final rule and FAQs

  • Compliance Monitor, Issue 13, March 30, 2011

    CMS has issued a final rule to implement provisions of the Patient Protection and Affordable Care...

Physician arrested for conspiring to distribute controlled substances

  • Compliance Monitor, Issue 13, March 30, 2011

    The Greater Palm Beach Health Care Fraud Task Force arrested Selwyn Carrington, MD, 57, of Miami...

Q&A: Accounting for tumor registry disclosures

  • Compliance Monitor, Issue 13, March 30, 2011

    Q: We are required to report information, including patient account numbers and diagnosis codes, to...

MA hospital settles billing violations using the self-disclosure protocol

  • Compliance Monitor, Issue 12, March 23, 2011

    Saints Medical Center in Lowell, MA, will pay $579,000 to settle alleged Medicare billing...

Medicare fraud efforts in Detroit have identified $120 million in fraudulent payments

  • Compliance Monitor, Issue 12, March 23, 2011

    Since May 2009, the Department of Justice (DOJ) and HHS have charged 120 Detroit-area defendants...

OCR needs $5 million more in FY 2012 for HIPAA enforcement

  • Compliance Monitor, Issue 12, March 23, 2011

    The OCR, the enforcer of the HIPAA privacy and security rules, is asking for an increase of $5.6...

Tip: Use the New York model to develop a compliance program

  • Compliance Monitor, Issue 12, March 23, 2011

    New York has a mandatory compliance program model already in place, and the federal government is...

Health Net, Inc., involved in potential HIPAA breach affecting 1.9 million patients

  • Compliance Monitor, Issue 11, March 16, 2011

    For the second time in less than a year, health insurance giant Health Net, Inc., is involved in a...

Miami physician sentenced to 41 months in prison for $2.3 million fraud scheme

  • Compliance Monitor, Issue 11, March 16, 2011

    Jerry A. Spiegel, MD, of Boynton Beach, FL, will serve 41 months in prison followed by three years...

Houston-area DME company owner convicted of healthcare fraud

  • Compliance Monitor, Issue 11, March 16, 2011

    A federal jury convicted Sunny Robinson, 42, owner of Houston-area durable medical equipment (DME...

Q&A: Discussing a family member's medical problems

  • Compliance Monitor, Issue 11, March 16, 2011

    Q: I work in patient financial services at a hospital. Like me, several of my coworkers have...

Sen. Grassley introduces new Medicare and Medicaid fraud legislation

  • Compliance Monitor, Issue 10, March 9, 2011

    Senator Chuck Grassley introduced legislation to build on key reforms to fight fraud in Medicare...

Las Vegas woman pleads guilty to acting as the straw owner of fraudulent DME company

  • Compliance Monitor, Issue 10, March 9, 2011

    Jummal Joy Ibrahim, 55, of Las Vegas pleaded guilty to falsely representing to Medicare that she...

Infusion clinic owner, physician sentenced to prison for $2.3 million fraud scheme

  • Compliance Monitor, Issue 10, March 9, 2011

    An owner and a physician associated with a Detroit-area infusion therapy clinic will serve 120...

Tip: Get support from the top

  • Compliance Monitor, Issue 10, March 9, 2011

    One crucial element of a good compliance program is having a supportive board and senior management.

Illinois Blue Cross agrees to pay $25M to settle false claims charges

  • Compliance Monitor, Issue 9, March 2, 2011

    Blue Cross Blue Shield of Illinois will pay the United States and the state of Illinois $25 million...

MGH pays $1M and enters into a CAP to settle potential HIPAA violations

  • Compliance Monitor, Issue 9, March 2, 2011

    The General Hospital Corporation and Massachusetts General Physicians Organization, Inc., (Mass...

HHS imposes first CMP for a HIPAA violation, Cignet will pay $4.3M

  • Compliance Monitor, Issue 9, March 2, 2011

    The HHS Office for Civil Rights (OCR) imposed a civil money penalty (CMP) of $4.3 million to Cignet...

Medicare Fraud Strike Force charges 111 in the country's largest healthcare fraud takedown

  • Compliance Monitor, Issue 8, February 23, 2011

    The Medicare Fraud Strike Force charged 111 defendants in nine cities for their alleged...

Twenty FL residents charged with participation in $200 million Medicare fraud scheme

  • Compliance Monitor, Issue 8, February 23, 2011

    Twenty southern Florida residents were indicted for various healthcare fraud, kickback, and money...

DME office manager pleads guilty to Medicare fraud

  • Compliance Monitor, Issue 8, February 23, 2011

    The office manager of a Los Angeles durable medical equipment (DME) company pleaded guilty today to...

New York City Health and Hospitals Corp. privacy breach affects 1.7 million

  • Compliance Monitor, Issue 7, February 16, 2011

    The New York City Health and Hospitals Corporation (HHC) must notify 1.7 million patients, hospital...

Medical assistant sentenced to 3 years in prison for Medicare fraud scheme

  • Compliance Monitor, Issue 7, February 16, 2011

    Guy Ross, 51, a Detroit-area medical assistant, will serve 36 months in prison and pay $472,000 in...

Q&A: Voice mail

  • Compliance Monitor, Issue 7, February 16, 2011

    Q: May a preadmission nurse leave messages (e.g., “This is a reminder that your surgery is...

Medicaid managed care plan pays $26 million to settle false claims charges

  • Compliance Monitor, Issue 6, February 9, 2011

    CareSource, CareSource Management Group Co., and CareSource USA Holding Co. have agreed to pay the...

OIG posts list of the most-wanted healthcare fugitives

  • Compliance Monitor, Issue 6, February 9, 2011

    The Office of Inspector General (OIG) of the Department of Health & Human Services launched the...

Tip: Train your entire staff on HIPAA issues

  • Compliance Monitor, Issue 6, February 9, 2011

    Your full workforce needs privacy and security training, says Kate Borten, CISSP, CISM. That...

Healthcare fraud prevention and enforcement efforts recover record $4 billion

  • Compliance Monitor, Issue 4, January 26, 2011

    The government’s healthcare fraud and abuse efforts netted more than $4 billion in fiscal...

Medical device company pays $16 million to resolve kickback charges

  • Compliance Monitor, Issue 4, January 26, 2011

    St. Jude Medical Inc. agreed to pay the United States $16 million to resolve allegations that the...

Health Net fined $55,000 for data breach

  • Compliance Monitor, Issue 4, January 26, 2011

    Health Net, Inc. agreed to pay the Vermont government $55,000 to resolve charges that the...

Tip: Safeguard against incidental disclosures

  • Compliance Monitor, Issue 4, January 26, 2011

    What the Department of Health and Human Services (HHS) considers a reasonable safeguard against...

Medical supply company owner sentenced to three years for Part D fraud

  • Compliance Monitor, Issue 3, January 19, 2011

    Renier Vicente Rodriguez Fleitas, 60, of Miami-Dade County, will serve 37 months after pleading...

Behavioral counseling company owner sentenced to prison for fraud scheme

  • Compliance Monitor, Issue 3, January 19, 2011

    Edward Birts, 51, will serve more than five years in federal prison without parole and pay more...

Staff members at UMC Tucson fired for inappropriately accessing medical records

  • Compliance Monitor, Issue 3, January 19, 2011

    University Medical Center in Tucson, AZ, fired three clinical support staff members and a...

DME company owner, physician sentenced for Baton Rouge-area fraud scheme

  • Compliance Monitor, Issue 2, January 12, 2011

    Dahlia V. Kirkpatrick, MD, and Emmanuel M. Komandu, the owner and operator of Alpha Medical...

Medical billing company pays $565,000 to settle healthcare fraud allegations

  • Compliance Monitor, Issue 2, January 12, 2011

    MSO Washington, Inc., a medical practice management and billing service company, and Charles...

Tip: Mitigate harmful effects following a patient privacy complaint

  • Compliance Monitor, Issue 2, January 12, 2011

    Investigating privacy complaints and applying sanctions are important aspects of compliance, but...

Detroit Medical Center pays $30 million to settle False Claims Act allegations

  • Compliance Monitor, Issue 1, January 5, 2011

    Detroit Medical Center agreed to pay the United States $30 million to settle allegations that it...

Seven hospitals to pay more than $6.3 million to resolve False Claims Act allegations related to kyphoplasty

  • Compliance Monitor, Issue 1, January 5, 2011

    Seven hospitals agreed to pay the United States a total of more than $6.3 million to settle...

Federal agencies seek input on anti-kickback statute and EMTALA rules

  • Compliance Monitor, Issue 1, January 5, 2011

    In two separate Federal Register issues, the Office of Inspector General (OIG) and CMS solicited...

Q&A: How should providers prepare for Medicaid RACs?

  • Compliance Monitor, Issue 1, January 5, 2011

    Q: How should providers prepare for Medicaid RACs?

Sebelius and Holder seek new tools to prevent and fight fraud

  • Compliance Monitor, Issue 48, December 22, 2010

    CMS is looking to acquire new state-of-the-art fraud fighting tools to prevent wasteful and...

Medical clinic owner and VP sentenced to prison for $23 million Medicare fraud scheme

  • Compliance Monitor, Issue 48, December 22, 2010

    Bernice Brown, 56, the owner of a Detroit-area physical therapy clinic, and Daniel Smorynski, 63...

Detroit-area doctor sentenced to 36 months in prison for Medicare fraud scheme

  • Compliance Monitor, Issue 48, December 22, 2010

    Alan Silber, MD, will serve 36 months in prison for participating in a scheme to defraud the...

Q&A: Taping intake and output sheets outside of patient rooms

  • Compliance Monitor, Issue 48, December 22, 2010

    Q: Our nursing staff continues to tape patient intake and output sheets outside of patient...

Pharmaceutical manufacturers to pay $421.2 million to settle False Claims Act cases

  • Compliance Monitor, Issue 47, December 15, 2010

    Abbott Laboratories Inc., B. Braun Medical Inc., Roxane Laboratories Inc., and affiliated entities...

Former hospital CEO convicted of six counts related to Medicaid fraud

  • Compliance Monitor, Issue 47, December 15, 2010

    Ken B. Beverly, former CEO of Thomasville, GA–based Archbold Memorial Hospital, was convicted...

Kos Pharmaceuticals to pay more than $41 million to resolve kickback and off-label promotion allegations

  • Compliance Monitor, Issue 47, December 15, 2010

    Kos Pharmaceuticals agreed to pay more than $41 million to resolve claims that it offered illegal...

Tip: Restrict PHI disclosures

  • Compliance Monitor, Issue 47, December 15, 2010

    The HIPAA Privacy Rule requires that access to and disclosure of protected health information (PHI...

DME company manager, driver sentenced for Medicare fraud scheme

  • Compliance Monitor, Issue 46, December 8, 2010

    Oliver Nkuku and Callistus Edozie were sentenced to 120 months in prison and 41 months in prison...

Speech therapists and three Idaho hospitals pay $2.425 million to settle healthcare fraud lawsuit

  • Compliance Monitor, Issue 46, December 8, 2010

    Two speech therapists, Matthew Stevens and Michelle Dahlberg, and three hospitals in Eastern Idaho...

St. John's hospitals pay $2.2 million to settle false claims allegations

  • Compliance Monitor, Issue 46, December 8, 2010

    St. John’s Mercy Health System and St. John’s Health System, Inc., agreed to pay $2.2...

Q&A: What is fraud?

  • Compliance Monitor, Issue 46, December 8, 2010

    Q: What is fraud?

DOJ recovers $2.5 billion in healthcare fraud via False Claims Act

  • Compliance Monitor, Issue 45, December 1, 2010

    The Department of Justice (DOJ) recovered $2.5 billion in healthcare fraud recoveries for fiscal...

Florida-based Medicare Advantage plan owners and provider agree to $22.6 million settlement

  • Compliance Monitor, Issue 45, December 1, 2010

    Walter Janke, MD, his wife, Lalita Janke, and Medical Resources LLC agreed to pay $22.6 million to...

Seven CA facilities fined for privacy breaches

  • Compliance Monitor, Issue 45, December 1, 2010

    Six California hospitals and a nursing home must pay a total of nearly $800,000 for failing to...

Tip: Support your compliance program with a compliance committee

  • Compliance Monitor, Issue 45, December 1, 2010

    Creating and facilitating a compliance program is no easy task, so the responsibilities should not...

HIV clinic operator sentenced to 57 months in prison for Medicare fraud

  • Compliance Monitor, Issue 44, November 24, 2010

    U.S. District Judge Adalberto Jordan sentenced Jose Garcia, 55, to 57 months in prison for...

Five charged for stealing patient information

  • Compliance Monitor, Issue 44, November 24, 2010

    Florida authorities issued a criminal complainant against Albert Anthony Andrulonis, 26; Raushanah...

Ameritox, Ltd. pays $16.3 million to resolve kickback claims

  • Compliance Monitor, Issue 44, November 24, 2010

    Ameritox, Ltd., a laboratory based in Midland, TX, agreed to pay the U.S. government $16.3 million...

Q&A: Releasing patient records to insurance companies

  • Compliance Monitor, Issue 44, November 24, 2010

     Q: An insurance company is requesting copies of medical records to review our CPT ®...

St. Joseph Medical Center to pay $22M to settle federal charges

  • Compliance Monitor, Issue 43, November 17, 2010

    St. Joseph Medical Center agreed to pay $22 million to settle allegations that the hospital paid...

Twelve CA hospitals fined for failing to ensure health and safety of patients

  • Compliance Monitor, Issue 43, November 17, 2010

    The California Department of Public Health announced that 12 California hospitals have been...

Health Net pays $375K to settle data breach

  • Compliance Monitor, Issue 43, November 17, 2010

    Health Net of Connecticut agreed to pay $375,000 to Connecticut Insurance Department for failures...

CA hospital settles Medicare fraud case for $5.1M

  • Compliance Monitor, Issue 42, November 10, 2010

    Simi Valley (CA) Hospital paid the United States $5.1 million to resolve allegations that its...

OIG report says suspected fraud causes most CMS payment suspensions

  • Compliance Monitor, Issue 42, November 10, 2010

    The majority of providers that CMS suspended in 2007 and 2008 exhibited characteristics that...

Hospitals still do not have resources to prevent data breaches

  • Compliance Monitor, Issue 42, November 10, 2010

    Nearly three out of four (71%) of hospitals in the 100- to 600-bed range say they have inadequate...

Q&A: Can RACs review a claim more than once?

  • Compliance Monitor, Issue 42, November 10, 2010

    Q: Can a recovery audit contractor (RAC) review a claim more than once?

Patient recruiter known as 'Red, White, & Blue Man' sentenced to 21 months in prison

  • Compliance Monitor, Issue 41, November 3, 2010

    James Roland Fuquay, 49, will serve 21 months in prison and pay $557,000 for his participation in a...

Patient recruiter pleads guilty to role in $5.2 million home healthcare scheme

  • Compliance Monitor, Issue 41, November 3, 2010

    A Houston-based patient recruiter pleaded guilty in connection with a $5.2 million Medicare fraud...

Tip: Consider the compliance department's role in your facility's RAC team

  • Compliance Monitor, Issue 41, November 3, 2010

    If your facility has a robust compliance department, the recovery audit contractor (RAC) team may...

House passes Medicare anti-fraud bill

  • Compliance Monitor, Issue 36, September 29, 2010

    The U.S. House of Representatives passed a bill that expands the authority of the HHS Office of...

Four sentenced in Miami Medicare fraud scheme

  • Compliance Monitor, Issue 36, September 29, 2010

    U.S. District Court Judge Alan S. Gold sentenced three Miami-area residents to prison for their...

Three defendants plead guilty to fraud scheme involving hurricane damaged wheelchairs

  • Compliance Monitor, Issue 36, September 29, 2010

    On September 23, three individuals pleaded guilty in connection with a Medicare fraud scheme...

Medicare Fraud Strike Force arrests 94 in largest Medicare fraud bust

  • Compliance Monitor, Issue 28, July 21, 2010

    The Medicare Fraud Strike Force charged 94 people for their alleged participation in various...

Detroit physical therapist and medical assistant plead guilty to Medicare fraud

  • Compliance Monitor, Issue 28, July 21, 2010

    Two Detroit citizens pleaded guilty in U.S. District Court for their roles in a Medicare home...

Regional healthcare fraud prevention summit series kicks off in Miami

  • Compliance Monitor, Issue 28, July 21, 2010

    Attorney General Eric Holder and U.S. Department of Health and Human Services Secretary Kathleen...

Q&A: Patient information on the internet

  • Compliance Monitor, Issue 28, July 21, 2010

    Q: One of my colleagues made a website accessible to invitees only. He plans to upload a...

Hospital group and former member to pay $108 million for Medicare and Medicaid fraud

  • Compliance Monitor, Issue 20, May 26, 2010

    The Health Alliance of Greater Cincinnati and one of its former member hospitals, The Christ...

Nine hospitals settle allegations of falsely billing kyphoplasty procedures

  • Compliance Monitor, Issue 19, May 19, 2010

    Nine hospitals in seven states will pay the United States more than $9.4 million combined to...

Injection and Infusion clinic consultant convicted for role in $5.8 million Medicare fraud scheme

  • Compliance Monitor, Issue 18, May 12, 2010

    U.S. District Court Judge Donald L. Graham convicted David Marrero, of Miami, of defrauding...

Injections and infusions clinic recruiter sentenced to prison for Medicare fraud

  • Compliance Monitor, Issue 15, April 21, 2010

    Detroit resident, Wayne Smith, will serve 27 months in prison and jointly pay $4.9 million in...

Detroit pain management clinic owner to pay more than $9M in Medicare fraud scheme

  • Compliance Monitor, Issue 14, April 14, 2010

    U.S. District Judge, Sean F. Cox sentenced Suresh Chand to 81 months in prison and to jointly pay...

Los Angeles DME owner pleads guilty to Medicare fraud scheme

  • Compliance Monitor, Issue 14, April 14, 2010

    A Los Angeles durable medical equipment (DME) owner and operator pleaded guilty to submitting...

Q&A: Releasing patient information to the media

  • Compliance Monitor, Issue 14, April 14, 2010

    Q: Can hospitals notify the media about a patient’s condition without patient authorization?

Device manufacturer pays FDA $296M for not reporting safety issues

  • Compliance Monitor, Issue 13, April 7, 2010

    Medical device manufacturer Guidant LLC pleaded guilty in a US District Court in St. Paul, MN, for...

NJ hospital to pay United States $6.35 million for alleged Medicare fraud

  • Compliance Monitor, Issue 12, March 24, 2010

    A New Jersey hospital will pay the United States $6.35 million for allegedly inflating charges to...

MI medical center owner defrauds Medicaid, goes on shopping spree

  • Compliance Monitor, Issue 12, March 24, 2010

    Deborah D’Anna, owner of Palmer Park Medical Center (Palmer) in Michigan, faces fines and...

DME owner pleads guilty to one count of Medicaid fraud

  • Compliance Monitor, Issue 12, March 24, 2010

    A Maryland man pleaded guilty, in the Circuit Court of Baltimore City, to fraudulently billing the...

Patient recruiter faces time, fines for Medicare fraud

  • Compliance Monitor, Issue 5, February 3, 2010

    A retired nurse faces a maximum prison sentence of 10 years and a fine of $250,000 for her role in...

Survey: Healthcare fraud budget plan

  • Compliance Monitor, Issue 5, February 3, 2010

    Do you feel President Obama’s FY 2011 budget plan effectively addresses healthcare fraud...

Note: CMS revises "incident to" rules relating to hospital diagnostic services

  • Medicare Insider, Issue 5, February 2, 2010

    During the past several years, CMS has been revising and refining the “incident to&rdquo...

MI home health services provider will pay $9.5 million to settle false claims suit

  • Compliance Monitor, Issue 1, January 6, 2010

    Visiting Physicians Association, a Michigan-based home health services provider, agreed to pay $9.5...

MN hospital to pay $846,000 for improper admissions

  • Compliance Monitor, Issue 1, January 6, 2010

    Wheaton Community Hospital and Stanley Gallagher, MD, (collectively WCH) agreed to pay $846,000 to...

Q&A: Notice of Privacy Practices

  • Compliance Monitor, Issue 1, January 5, 2010

    Q: If a facility updates its Notice of Privacy Practices (NPP), does it have to redistribute the...

Pharmaceutical company pays Florida $8.5 million in Medicaid fraud settlement

  • Compliance Monitor, Issue 50, December 16, 2009

    Roxane Laboratories, Inc.will pay $8.5 million to the state of Florida to settle claims that the...

North Carolina doctor submits false claims, defrauds Medicare and Medicaid

  • Compliance Monitor, Issue 50, December 16, 2009

    A licensed North Carolina doctor pleaded guilty to charges of defrauding Medicare and Medicaid of...

Massachusetts hospitals sue state over inadequate reimbursements

  • Compliance Monitor, Issue 48, December 2, 2009

    Six Massachusetts hospitals are suing the state over claims of unfair reimbursement by policies...

Two Florida women arrested for operating unlicensed assisted living facilities

  • Compliance Monitor, Issue 48, December 2, 2009

    Two Florida women face up to five years in prison and $5000 dollar fines on charges of operating...

U.S. intervenes in Medicare fraud case against a Louisiana cardiologist

  • Compliance Monitor, Issue 48, December 2, 2009

    The United States is intervening in a civil lawsuit against a Louisiana cardiologist accused of...

Detroit clinic owner faces 10 years in prison for Medicare fraud scheme

  • Compliance Monitor, Issue 44, November 4, 2009

    On October 30, Daisy Martinez pled guilty in Detroit’s U.S. District Court to one count of...

Medical equipment owner pleads guilty to fraudulently billing Medicare

  • Compliance Monitor, Issue 44, November 4, 2009

    Noel Wayne Jhagroo, owner and operator of Trucare Medical Equipment Services, a Houston-area...

Three arrested for $112,000 Medicaid fraud scheme

  • Compliance Monitor, Issue 38, September 23, 2009

    The Medicaid Fraud Control Unit arrested three Florida residents for allegedly conspiring to...

Pfizer fraud money funds Florida whistleblower plan

  • Compliance Monitor, Issue 38, September 23, 2009

    Florida’s state Legislature has created a program that will reward whistleblowers up to 25...

Tip: Build trust with the Notice of Privacy Practices

  • Compliance Monitor, Issue 38, September 23, 2009

    Noncompliance with HIPAA regulations can result in several steep penalties. Misuse of patient...

Assisted living home owner bills Medicaid from unlicensed facility

  • Compliance Monitor, Issue 38, September 23, 2009

    Authorities arrested an adult family care home owner for concealing an unregistered family...

Pfizer to pay $2.3 billion for largest healthcare fraud settlement in history

  • Compliance Monitor, Issue 36, September 9, 2009

    Pharmaceutical giant Pfizer Inc. and its subsidiary Pharmacia & Upjohn Company Inc. will pay...

IA medical center settles false claims case for $4.5 million

  • Compliance Monitor, Issue 35, September 2, 2009

    Covenant Medical Center in Waterloo, IA, agreed to pay $4.5 million to settle claims that it had...

Miami residents open clinic in Detroit, defraud Medicare of $15M

  • Compliance Monitor, Issue 34, August 26, 2009

    On August 18, Jose and Arnaldo Rosario pleaded guilty to participating in a conspiracy to defraud...

Two Detroit healthcare agency owners plead guilty to Medicare fraud

  • Compliance Monitor, Issue 34, August 26, 2009

    On August 19, Kevin Watson and Jaqueline Jackson pleaded guilty to soliciting and paying kickbacks...

Tip: Review EMTALA policies

  • Compliance Monitor, Issue 34, August 26, 2009

    The Office of Inspector General (OIG) Supplemental Compliance Program Guidance for Hospital advises...

Transmittals and MLN Matters articles: CMS updates drug pricing files, issues MLN Matters articles, and more

  • Medicare Insider, Issue 35, August 25, 2009

    On August 21, CMS issued transmittal R1799CP to inform contractors of new waived tests approved by...

Whistleblower files $90M fraud lawsuit against TN hospital corporation

  • Compliance Monitor, Issue 33, August 19, 2009

    Community Health Systems Inc., a Tennessee-based heathcare corporation, allegedly made illegal...

Miami man pleads guilty to $123M Medicare fraud scheme

  • Compliance Monitor, Issue 33, August 19, 2009

    Reinaldo Guerra, owner and operator of 11 durable medical equipment (DME) companies, pled guilty to...

Johnson & Johnson kickback case is back on

  • Compliance Monitor, Issue 33, August 19, 2009

    A federal appeals court revived the kickback portion of the case against Johnson & Johnson...

Q&A: Documenting HIPAA compliance

  • Compliance Monitor, Issue 33, August 19, 2009

    Q: What auditing and documentation is necessary to demonstrate HIPAA compliance?

State Medicaid Fraud Control Units recovered $1.3 billion in 2008

  • Compliance Monitor, Issue 32, August 12, 2009

    State Medicaid Fraud Control Units (MFCU) recovered $1.3 billion in court-ordered restitution...

Miami doctor and assistants sentenced for $10.9M fraud scheme

  • Compliance Monitor, Issue 32, August 12, 2009

    A federal judge sentenced Miami physician Keith Russell and physician’s assistant Jorge Luis...

Tip: Designate a compliance committee

  • Compliance Monitor, Issue 32, August 12, 2009

    One way to strengthen your compliance department is to designate a compliance committee. A...

Feds arrest dozens nationwide for Medicare fraud scheme

  • Compliance Monitor, Issue 31, August 5, 2009

    Continuing the trend of increased fraud enforcement, the Medicare Fraud Strike Force arrested 32...

Boston laboratory agrees to pay $629,000 in fraud settlement

  • Compliance Monitor, Issue 31, August 5, 2009

    Boston Clinical Laboratories reached a settlement with authorities and agreed to pay $615,000 to...

Q&A: Notifying patients after a faxing mistake

  • Compliance Monitor, Issue 31, August 5, 2009

    Q: A secretary in our pathology department faxed a report to a physician’s office. After...

HIPAA Security Rule enforcement now falls under Civil Rights office

  • Compliance Monitor, Issue 31, August 5, 2009

    By Dom Nicastro, for HealthLeaders Media   The secretary of HHS shifted enforcement of the...

New York state and New York City to pay record False Claims settlement

  • Compliance Monitor, Issue 30, July 29, 2009

    New York state and New York City will pay the federal government $540 million to settle allegations...

NY doctor charged with Medicare fraud scheme

  • Compliance Monitor, Issue 30, July 29, 2009

    Federal prosecutors allege Simon Levich MD billed Medicare for services he never provided, billed...

Health reform could mean more fraud enforcement--and more fraud

  • Compliance Monitor, Issue 30, July 29, 2009

    The Obama administration has made it clear that cracking down on healthcare fraud and abuse is a...

NJ surgeon, manager, and treatment center charged in $8.5M fraud case

  • Compliance Monitor, Issue 29, July 22, 2009

    On July 13, a New Jersey grand jury indicted Khashayar Salartash M.D., his office manager, Farah...

Endoscopic Technologies settles Medicare fraud case

  • Compliance Monitor, Issue 29, July 22, 2009

    Endoscopic Technologies Inc., a medical device manufacturer, agreed to pay the United States $1.4...

Q&A: Amendments to records generated prior to April 2003

  • Compliance Monitor, Issue 29, July 22, 2009

    Q: I’ve been receiving requests for amendments resulting from records generated prior to...

Massive insurance fraud scheme yields several indictments

  • Compliance Monitor, Issue 28, July 15, 2009

    On July 8, New York Attorney General Andrew Cuomo announced the takedown of an elaborate fraud...

CA authorities take down largest Medi-Cal fraud scheme in state history

  • Compliance Monitor, Issue 28, July 15, 2009

    On July 9, California authorities arrested 20 individiuals believed to be involved in a Medicaid...

CT Pharmacist pleads guilty to fraud charges

  • Compliance Monitor, Issue 28, July 15, 2009

    Joby George pleaded guilty to one count of healthcare fraud and entered into a civil agreement...

LSU healthcare center settles false claims charges

  • Compliance Monitor, Issue 27, July 8, 2009

    The Louisiana State University Health Sciences Center-Shreveport (LSUHSC) will pay $706,000 to...

Two Miami men indicted for $179M Medicare fraud scheme

  • Compliance Monitor, Issue 27, July 8, 2009

    Jose Luis Perez, of Golden Beach, FL, and Reinaldo Guerra, of Miami, FL, will face charges of...

Healthcare fraud effects public and private insurance alike

  • Compliance Monitor, Issue 27, July 8, 2009

    A report published by the George Washington University Medical Center, Health Insurance Fraud: An...

Former CA hospital executive pleads guilty to 'Skid Row' fraud scheme

  • Compliance Monitor, Issue 25, June 24, 2009

    Robert Bourseau, former board member and co-owner of City of Angels Medical Center in Los Angeles...

Former home health company owner sentenced to prison for healthcare fraud

  • Compliance Monitor, Issue 25, June 24, 2009

    Judge Robert G. James sentenced Janice Davis, former owner of Aging Care Home Health Care (ACHHC...

Double-billing settlement highlights whistleblower concerns

  • Compliance Monitor, Issue 24, June 17, 2009

    Earlier this week, the University of Medicine and Dentistry of New Jersey agreed to pay the...

TN healthcare company agrees to pay $1.3 million to settle false claims case

  • Compliance Monitor, Issue 24, June 17, 2009

    Kindred Healthcare, Inc. and its successor PharMerica Healthcare Pharmacy, LLC, agreed to pay $1.3...

Two TN women plead guilty to $1.1M healthcare fraud scheme

  • Compliance Monitor, Issue 24, June 17, 2009

    Glenesha Moye and Tabitha Jones, owners and operators of EBC Healthcare, pleaded guilty to charges...

Business illegally obtains OxyContin perscriptions, bills Medicare

  • Compliance Monitor, Issue 23, June 10, 2009

    On June 4, the U.S. Deaprtment of Justice (DOJ) unsealed the grand jury indictment that charges a...

Houston man received $680,000 from Medicaid in diaper fraud scheme

  • Compliance Monitor, Issue 23, June 10, 2009

    Ene Etim Hogan pleaded guilty June 5 to three counts of healthcare fraud, according to a Department...

Man admits to billing Medicaid for bail money

  • Compliance Monitor, Issue 23, June 10, 2009

    Christopher Long, of Jefferson City, MO, pleaded guilty June 3 to billing Medicaid for home-health...

Q&A: HIPAA and cell phones

  • Compliance Monitor, Issue 23, June 10, 2009

    Q: I keep hearing rumors that the Department of Health and Human Services (HHS) will modify HIPAA...

Three TN imaging centers charged with Medicare fraud

  • Compliance Monitor, Issue 22, June 3, 2009

    MedQuest Associates Inc. and three of its companies allegedly submitted false claims to Medicare...

WV physician seeks new fraud trial

  • Compliance Monitor, Issue 22, June 3, 2009

    John Sharp M.D., of Marlington, WV, will appear before U.S. District Judge Irene Keeley to request...

Obama signs fraud bill into law

  • Compliance Monitor, Issue 21, May 27, 2009

    On May 20, President Barack Obama signed the Fraud Enforcement and Recovery Act of 2009 (FERA...

NY hospital contractor accused of bribing a DSS employee

  • Compliance Monitor, Issue 20, May 20, 2009

    New York Attorney General Andrew M. Cuomo recently announced an indictment that alleges Deborah...

DOJ and 16 states join whistleblower lawsuit against Wyeth

  • Compliance Monitor, Issue 20, May 20, 2009

    The United States, along with 16 states, is joining two whistleblower cases filed against...

NJ hospital fails in attempt to have whistleblower case dismissed

  • Compliance Monitor, Issue 19, May 13, 2009

    On May 11, the United States District Court in New Jersey denied Robert Wood Johnson University...

Florida health plan company enters $80M agreement to avoid fraud charges

  • Compliance Monitor, Issue 19, May 13, 2009

    On May 5, Tampa-based WellCare Health Plans, Inc. agreed to enter a deferred prosecution agreement...

NY Medicaid fraud unit is nation's best

  • Compliance Monitor, Issue 19, May 13, 2009

    The U.S. Department of Health and Human Services (HHS) has selected New York’s Medicaid Fraud...

Former HealthEssentials Solutions manager indicted for healthcare fraud

  • Compliance Monitor, Issue 18, May 6, 2009

    A federal grand jury indicted Karen Stone, former business manager of Kentucky-based...

Wheelchair dealer and physician indicted for healthcare fraud

  • Compliance Monitor, Issue 18, May 6, 2009

    On April 30, a federal grand jury indicted Jeffrey McElveen and Robert Cleveland M.D. on charges of...

Florida House passes bill to fight Medicaid fraud

  • Compliance Monitor, Issue 17, April 29, 2009

    Florida legislators took a big step towards curbing healthcare abuse this week when the state House...

Three convicted in $36M healthcare fraud scheme

  • Compliance Monitor, Issue 17, April 29, 2009

    A Huston jury convicted Houston area residents, Rhonda Fleming, Bose Ebhamen, and King Arthur, of...

Senate approves Fraud Enforcement and Recovery Act

  • Compliance Monitor, Issue 17, April 29, 2009

    On April 28 the Senate approved the Fraud Enforcement and Recovery Act of 2009, a bill designed to...

OIG Official: Fighting Fraud is Critical to Healthcare Reform

  • Healthcare Auditing Weekly, Issue 16, April 28, 2009

    Office of Inspector General Chief Counsel Lewis Morris stressed to the Senate Finance Committee...

Nine LA residents arrested for Medicaid fraud

  • Compliance Monitor, Issue 16, April 22, 2009

    Former and current personal care attendants at First Thessalonians Community Programs were arrested...

IA senator wants CMS to respond to DMEPOS problem

  • Compliance Monitor, Issue 16, April 22, 2009

    On April 17, Senator Chuck Grassley issued a public letter to CMS calling for the agency to respond...

Medical testing company will pay $302M to settle false marketing case

  • Compliance Monitor, Issue 16, April 22, 2009

    Quest Diagnostics will pay $302 million to settle civil charges of misleading marketing and...

Clinic owner received over $1M for fraudulent hyperbaric chamber services

  • Compliance Monitor, Issue 15, April 15, 2009

    On April 7, Chaunsay Beckwith, owner and operator of International Alternative Medicine Inc...

California therapy company settles whistleblower case

  • Compliance Monitor, Issue 15, April 15, 2009

    The owners of Interstate Rehabilitation LLC, a physical therapy company located in Glendale, CA...

DME company owner sentenced to over 5 years in prison

  • Compliance Monitor, Issue 15, April 15, 2009

    On April 8, U.S. District Judge Ursula Ungaro sentenced Eduardo Batista Barquin, of Miami, to...

Missouri podiatrist pleads guilty to creating fake medical records

  • Compliance Monitor, Issue 14, April 8, 2009

    Bic Chau Stafford MD, of St. Louis, pleaded guilty to federal charges of obstructing a federal...

Florida senators propose Medicaid reform bill

  • Compliance Monitor, Issue 14, April 8, 2009

    The Florida Senate’s Health Regulation Committee approved a plan that would put stricter...

Virginia oncologist accused of healthcare fraud

  • Compliance Monitor, Issue 14, April 8, 2009

    A Norfolk, VA, grand jury charged Ronald Poulin MD with a 45-count indictment that includes...

Houston hospital to pay $9.9M to settle inflated outlier charges

  • Compliance Monitor, Issue 13, April 1, 2009

    Houston’s Methodist Hospital agreed to pay $9.9 million to settle allegations that it...

Miami doctor and chemist altered blood samples to justify billing for HIV infusions

  • Compliance Monitor, Issue 13, April 1, 2009

    Carmen Del Cueto, MD, andAlexis Dagnesses each pleaded guilty to one count of conspiracy to commit...

Seven California companies indicted in 'massive' Medicaid fraud scheme

  • Compliance Monitor, Issue 12, March 25, 2009

    On March 20, California Attorney General Jerry Brown joined a whistleblower suit that alleges seven...

U.S. files case against Las Vegas medical practice; alleges unnecessary testing

  • Compliance Monitor, Issue 12, March 25, 2009

    The U.S. attorney's office filed a lawsuit which alleges Miller Medical Group Chtd., a Las Vegas...

San Mateo County agrees to pay $6.8 million to settle false claims allegations

  • Compliance Monitor, Issue 11, March 18, 2009

    San Mateo county reached a settlement March 12 with the federal government in a whistleblower case...

Victory Memorial hospital settles whistleblower case for at least $2.3 million

  • Compliance Monitor, Issue 11, March 18, 2009

    The United States has reached a $2.3 million settlement with Victory Memorial, a not-for-profit...

Cornerstone hospital pays $690,000 to settle false claims case

  • Compliance Monitor, Issue 11, March 18, 2009

    Cornerstone Hospital, of Huntington, WV, has agreed to pay the United States $690,000 to end an...

Q&A: Physician-owned lithotripsy partnership contracts

  • Compliance Monitor, Issue 11, March 18, 2009

    Q: When a physician-owned lithotripsy partnership contracts with a hospital to provide a...

US joins whistleblower case against Community Health Systems Inc.

  • Compliance Monitor, Issue 10, March 11, 2009

    The United States has gotten involved in a whistleblower case that alleges Community Health Systems...

DME provider sentenced to 63 months for creating and submitting false claims

  • Compliance Monitor, Issue 10, March 11, 2009

    U.S. District Judge Steven D. Merryday sentenced Yosdan Castellanos to 63 months in prison for...

Four Puerto Rico residents indicted for Medicaid fraud

  • Compliance Monitor, Issue 10, March 11, 2009

    A federal grand jury in Puerto Rico indicted four individuals with charges of conspiracy to commit...

Tip: Develop an identity theft prevention program

  • Compliance Monitor, Issue 10, March 11, 2009

    Medical identity theft is an ugly reality for healthcare organizations, patients, and payers...

Kansas M.D. pays over a million in False Claims settlement

  • Healthcare Auditing Weekly, Issue 9, March 10, 2009

    A Kansas cardiologist and his practice group will pay $1.3 million to the United States to settle...

Man receives 20 years in prison for Medicaid fraud

  • Compliance Monitor, Issue 9, March 4, 2009

    Lowndes (MS) County Circuit Court Judge Lee Howard sentenced Aaron Pulsifer, 39, of Columbus, MS...

DME salesman sentenced for healthcare fraud

  • Compliance Monitor, Issue 9, March 4, 2009

    United States District Judge Inge Johnson sentenced Joel Sloan, 44, of McCalla, AL, to 18 months in...

Florida man sentenced in DME Medicare fraud case

  • Compliance Monitor, Issue 9, March 4, 2009

    U.S. District Judge Cecilia Altonaga sentenced Jimmy A. Soto, of Miami Lakes, FL, to 140 months in...

Anesthesiologist convicted of violating federal False Claims Act

  • Compliance Monitor, Issue 8, February 25, 2009

    On February 19, a federal jury found Eugene Chen, M.D., a Las Vegas anesthesiologist, guilty of...

Medical equipment company owner sentenced in kickback case

  • Compliance Monitor, Issue 8, February 25, 2009

    Walter Sanders, owner of Waltco Medical Equipment and Supplies, will serve 60 months in prison and...

Miami physicians, medical workers charged with Medicare fraud

  • Compliance Monitor, Issue 7, February 18, 2009

    The Department of Justice (DOJ) has charged six Miami-area healthcare workers with defrauding...

Couple charged as fugitives in Medicare fraud scheme

  • Compliance Monitor, Issue 7, February 18, 2009

    Police arrested Sanjay Patel and his wife, Leena Bharat Kumar Patel, in Connecticut on Feburary 13...

DME company owner charged with diaper fraud scheme

  • Compliance Monitor, Issue 7, February 18, 2009

    Ernest Hogan, owner of a Houston-area durable medical equipment (DME) company, Shanet Medical...

Mental health counselor convicted of Medicaid fraud

  • Compliance Monitor, Issue 6, February 11, 2009

    A mental health counselor allegedly continued to bill Medicaid for therapy services provided to...

Consultant sentenced in healthcare fraud case

  • Compliance Monitor, Issue 6, February 11, 2009

    On February 4, a federal judge sentenced William King, a consultant for skilled nursing facilities...

Q&A: Gifts between physicians and providers

  • Compliance Monitor, Issue 5, February 4, 2009

     Q: Can a gift exchange between physicians and providers lead to a Stark violation?

Two more hospital executives arrested in LA Skid Row scheme

  • Compliance Monitor, Issue 5, February 4, 2009

    A federal indictment named two more individuals in an alleged Medicare fraud scheme that recruited...

Two Chicago physicians accused of Medicare fraud

  • Compliance Monitor, Issue 5, February 4, 2009

    Federal authorities recently charged four Chicago-area individuals, including two physicians, in...

Economic stimulus bill includes whistleblower protection

  • Compliance Monitor, Issue 5, February 4, 2009

    The latest draft of the government’s economic stimulus package protects federal employees who...

Tip: Examine financial arrangement to ensure Stark Law compliance

  • Compliance Monitor, Issue 4, January 28, 2009

    Upcoming changes to Stark Law should put financial arrangement audits at the top of compliance...

Infusion clinic owners and employee plead guilty to healthcare fraud

  • Compliance Monitor, Issue 4, January 28, 2009

    The owners and operators of two Miami-area HIV infusion clinics along with a phlebotomist employed...

Pharma executives banned from federal healthcare programs

  • Compliance Monitor, Issue 4, January 28, 2009

    An administrative law judge stripped three former Purdue Frederick executives of their...

Q&A: Releasing a former inmate's medical record

  • Compliance Monitor, Issue 3, January 21, 2009

    Q: We treat many patients who come from a state prison. When these patients come to our facility...

Hospice organization settles healthcare fraud claims

  • Compliance Monitor, Issue 3, January 21, 2009

    The Alabama-based hospice organization, SouthernCare Inc., agreed to pay $24.7 million to settle...

Tip: How to obtain on-call physicians

  • Compliance Monitor, Issue 2, January 14, 2009

    The most common solution to obtain physicians for on-call coverage is to provide a stipend or...

Seven NY hospitals charged with Medicaid fraud

  • Compliance Monitor, Issue 2, January 14, 2009

    Seven hospitals in New York have been accused of fraudulently billing the Medicaid program for...

Pharmed co-owners get nine years for fraud scheme

  • Compliance Monitor, Issue 2, January 14, 2009

    A U.S. District Court judge sentenced Carlos De Cespedesand Jorge De Cespedes, brothers and...

Boston facilities settle false claims charges

  • Compliance Monitor, Issue 2, January 14, 2009

    Boston Medical Center (BMC) and East Boston Neighborhood Health Center (EBNHC) agreed to pay...

Texas sleep clinic settles false claims suit

  • Compliance Monitor, Issue 92, December 31, 2008

    HMS Diagnostics Inc., an independent diagnostic testing facility specializing in the treatment of...

Clinic and three employees indicted for healthcare fraud

  • Compliance Monitor, Issue 89, December 10, 2008

    Ashley Collin Walkes, owner of Medic Management, a clinic in Port Arthur, TX, Medic Management...

Two TN hospitals settle false claims allegations

  • Compliance Monitor, Issue 89, December 10, 2008

    Jackson Madison General Hospital, in Jackson TN, and Milan General Hospital, in Milan, TN, agreed...

TX cardiologist arrested for healthcare fraud

  • Compliance Monitor, Issue 88, December 3, 2008

    On December 1, Fabian Aurignac, a cardiologist in McAllen, TX, was arrested in Austin for allegedly...

Manchester Memorial settles false claims allegations

  • Compliance Monitor, Issue 88, December 3, 2008

    Manchester Memorial Hospital in Manchester, CT agreed to pay the federal government $712,000 to...

Condell Medical Center pays $36M after self-disclosing false claims violations

  • Compliance Monitor, Issue 88, December 3, 2008

    Condell Medical Center, in Libertyville, IL, will pay the federal government and the state of...

PA hospital will pay $1.9 million in Medicare fraud settlement

  • Compliance Monitor, Issue 87, November 26, 2008

    St. Vincent Health System Inc. will pay $1.9 million to settle allegations the company submitted...

Five more Miami area residents sentenced to prison for Medicare fraud

  • Compliance Monitor, Issue 87, November 26, 2008

    On November 24, Carlos Contreras and Ramon Pichardo were sentenced to 37 months and 48 months in...

Another Miami HIV infusion clinic owner sentenced for Medicare fraud

  • Compliance Monitor, Issue 86, November 19, 2008

    Another Miami HIV infusion clinic owner sentenced for Medicare fraud

DOJ recovered $1 billion in FY 2008

  • Compliance Monitor, Issue 85, November 12, 2008

    DOJ recovered $1 billion in FY 2008

Miami physician and clinic administrator sentenced for roles in Medicare fraud scheme

  • Compliance Monitor, Issue 85, November 12, 2008

    Miami physician and clinic administrator sentenced for roles in Medicare fraud scheme

Louisiana trio indicted for Medicare fraud

  • Compliance Monitor, Issue 84, November 5, 2008

    Louisiana trio indicted for Medicare fraud

Q&A: Transfer agreements

  • Compliance Monitor, Issue 83, October 29, 2008

    Q: The hospital to the south of us has a transfer agreement with a hospital seven miles to our...

NJ hospital pays $1.75 million to settle whistleblower claims

  • Compliance Monitor, Issue 83, October 29, 2008

    NJ hospital pays $1.75 million to settle whistleblower claims

Louisiana Hospital pays $3.3 million to resolve Medicare fraud charges

  • Compliance Monitor, Issue 82, October 22, 2008

    Louisiana Hospital pays $3.3 million to resolve Medicare fraud charges

Peoria podiatrist sentenced to year in prison for Medicare fraud

  • Compliance Monitor, Issue 80, October 15, 2008

    Peoria podiatrist sentenced to year in prison for Medicare fraud

Eight indicted in South Florida AIDS/HIV infusion scheme

  • Compliance Monitor, Issue 80, October 15, 2008

    Eight indicted in South Florida AIDS/HIV infusion scheme

McKesson charged with Medicare fraud scheme

  • Compliance Monitor, Issue 78, October 8, 2008

    McKesson charged with Medicare fraud scheme

NJ Hospital pays $3.85M to settle Medicare fraud charges

  • Compliance Monitor, Issue 76, October 1, 2008

    NJ Hospital pays $3.85M to settle Medicare fraud charges