Healthcare Corporate Compliance - Health Law, HIPAA, and Medicare Fraud

Corporate Compliance

Home
- » Corporate Compliance Main Page
  - » Corporate Compliance Articles By Topic
    - » Medicare Fraud

Corporate Compliance Articles by Topic: Medicare Fraud

Other Issuances: OIG reviews CERT, Region D RAC updates issues, and more

Medicare Weekly Update, Issue 42, October 13, 2009
On September 29, the OIG issued an audit report on the Comprehensive Error Rate Testing (CERT...

Note: Recent OIG Reports and Medical Review Implications

Medicare Weekly Update, Issue 42, October 13, 2009
In last week’s note, we looked at the OIG Work Plan for Fiscal Year 2010. There were many...

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...

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...

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...

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...

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...

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...

Tampa Bay doctor to pay $1.7M to resolve fraud allegations

Compliance Monitor, Issue 29, July 22, 2009
Gabriel DeCandido MD agreed to pay the United States $1.7 million to settle charges that the...

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...

Strike Force arrests 53 individuals in Medicare fraud scheme

Compliance Monitor, Issue 26, July 1, 2009
On June 24, the Medicare Fraud Strike Force in Detroit arrested 53 people on Medicare fraud...

$20 million Florida fraud scheme ends in eight arrests

Compliance Monitor, Issue 26, July 1, 2009
The Medicare Fraud Strike Force in Florida arrested eight Miami-Dade County, FL residents June 26...

CMS warns industry about fax scam

Compliance Monitor, Issue 25, June 24, 2009
On June 18, many providers received an alert message from CMS informing them that scammers are...

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...

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...

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...

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...

Florida men indicted for Medicare fraud in HIV infusion clinics

Healthcare Auditing Weekly, Issue 14, April 14, 2009
On April 7, U.S. Attorney for the Southern District of Florida R. Alexander Acosta unsealed an...

Government agency urges citizens to report fraud and abuse

Healthcare Auditing Weekly, Issue 13, April 7, 2009
In a March 30 press release, the U.S. Government Accountability Office (GAO) urged private citizens...

HIV clinics set up solely for Medicare fraud

Healthcare Auditing Weekly, Issue 11, March 24, 2009
On March 17, a federal jury convicted two physicians and two medical assistants in Miami in...

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...

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...

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...

Medicare and Medicaid identified as high-risk for fraud and abuse

Compliance Monitor, Issue 4, January 28, 2009
On January 22, the U.S. Government Accountability Office (GAO) released its biennial list of...

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...

Another Miami DME owner sentenced for Medicare fraud

Compliance Monitor, Issue 3, January 21, 2009
Alfredo F. Lopez was sentenced to 10 years in prison for healthcare fraud, according to a...

OIG highlights biggest compliance challenges for 2009

Healthcare Auditing Weekly, Issue 2, January 13, 2009
Quality of care, Medicaid and the State Children’s Health Insurance Program (SCHIP), as well...

HCCA survey shows compliance concerns in poor economy

Healthcare Auditing Weekly, Issue 2, January 13, 2009
The sagging economy is causing concern for healthcare compliance and ethics professionals...

Midwife accused of Medicaid fraud

Compliance Monitor, Issue 1, January 7, 2009
Wylene Simmons, a midwife from Lauderhill, FL, allegedly defrauded the state Medicaid program for...

Cardiologist convicted on 51 counts of fraud

Compliance Monitor, Issue 1, January 7, 2009
On December 30, 2008, a federal jury convicted Dr. Mehmood Patel, of Lafayette, LA, on 51 counts of...

NJ physician pleads guilty to Medicare fraud charges

Compliance Monitor, Issue 92, December 31, 2008
Frederic Feit, owner Modern Pain Therapy in Freehold, NJ, pleaded guilty to charges of third-degree...

Eight indicted in $1.1 million home healthcare scheme

Compliance Monitor, Issue 92, December 31, 2008
A federal grand jury in Detroit indicted eight owners and employees of several Michigan home...

Three more sentenced in Miami for Medicare fraud

Compliance Monitor, Issue 91, December 24, 2008
Ana Alvarez-Jacinto and Sandra Mateos were sentenced to 30 years in prison for their involvement in...

Former CA physician settles fraud case for $2.2M

Compliance Monitor, Issue 91, December 24, 2008
Paul Lessler, a former physician in Newport Beach, CA, agreed to pay $2.2 million to settle civil...

Nurse sentenced for Medicare fraud

Compliance Monitor, Issue 90, December 17, 2008
Marie Weller King, registered nurse and owner of King and Associates, will serve 18 months in...

Step up HIPAA compliance through auditing measures

Health Care Auditing Strategies, Issue 1, December 12, 2008
With the focus on enforcement increasing in many areas of healthcare compliance, auditors need to...