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About Christian Roule

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So far has created 50 blog entries.

Medicare overbilled by $41.9M – Mount Sinai Hospital

By |May 15th, 2017|

New York City: According to a recent OIG report, Mount Sinai Hospital failed to comply with Medicare’s billing requirements for 110 outpatient and inpatient claims reviewed by the office of Inspector General for the audit period of January 1st, 2012, through December 31st, 2013.

Read the Full Story Here!

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Dermatologist in Encino to Pay $2.7 Million

By |April 26th, 2017|

Dr. Norman A. Brooks, M.D., the owner of The Skin Cancer Medical Center in Encino, has paid the United States nearly $2.7 million on April 10th to resolve allegations that he submitted bills to Medicare for Mohs micrographic surgeries for skin cancers that were medically unnecessary.

Read the Full Article here.

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1 in 4 health consumers have had their PHI stolen

By |February 21st, 2017|

26% of United States health consumers have had their PHI stolen from healthcare systems, according to the results of a study from Accenture, released in Orlando at HIMSS17. The study reveals that 50% of people who experienced such a breach were victims of medical identity theft, and thus had to pay an average of $2,500 […]

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Healthcare Provider will pay $60 Million Settlement for Medicare and Medicaid False Claims

By |February 13th, 2017|

TeamHealth Holdings, a major U.S. hospital service provider, has agreed to resolve allegations that it violated the False Claims Act by billing Medicare, Medicaid, the DHA, and the Federal EHB Program for higher and more expensive levels of medical service than what were actually performed (a practice also known as “up-coding”), the DOJ announced today. […]

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Federal government reclaims $3.3B+ in fraudulent healthcare claims

By |February 1st, 2017|

The Office of the Inspector General has reported that the federal government has recovered over $3 billion in fraudulent healthcare claims in the 2016 fiscal year.

Read More Here

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Texas Dental Management Firm Agree to Pay $8.45 Million to Resolve Allegations

By |January 13th, 2017|

Texas-based MB2 Dental Solutions (MB2), 21 pediatric dental practices affiliated with them, as well as their owners and marketing chief, all have agreed to pay the US and Texas Medicaid $8.45 million to settle allegations that they violated the False Claims Act. They are accused of knowingly submitting, or otherwise causing the submission of, claims […]

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Mother and Son Sentenced to Prison for Involvement in 95 Million Dollar Scam

By |November 21st, 2016|

A mother and son based in Miami were sentenced today to 120 months and 30 months in prison, respectively, for their roles in spearheading a $9.5 million health care fraud conspiracy that targeted Medicare Part D.

Read full story here: https://www.justice.gov/opa/pr/mother-sentenced-120-months-prison-son-sentenced-30-months-prison-involvement-95-million

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Springfield Psychiatrist Ordered to Pay $908,000

By |November 18th, 2016|

SPRINGFIELD, Ill. – U.S. District Judge Sue E. Myerscough has entered judgment in favor of the government and against a Springfield psychiatrist, Duttala Obul Reddy, for $908,000, to settle allegations of false billing, as announced by U.S. Attorney Jim Lewis.

Read full story here: https://www.justice.gov/usao-cdil/pr/springfield-psychiatrist-ordered-pay-908000-civil-settlement

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Detroit Area Home HealthCare Agency Co-owner Sentenced to 96 Months

By |November 16th, 2016|

The co-owner of a Detroit home health care company was sentenced today to 96 months in prison for his role in a Medicare fraud scheme that caused approximately $33 million in losses.

See the full story here: https://www.justice.gov/opa/pr/detroit-area-home-health-care-agency-co-owner-sentenced-96-months-prison-33-million-medicare

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Medical Device Maker Biocompatibles Pleads Guilty to Misbranding and Agrees to Pay 36 Million

By |November 14th, 2016|

Pennsylvania-based medical device manufacturer Biocompatibles Inc., a subsidiary of BTG plc, pleaded guilty today to misbranding its embolic device LC Bead and will pay more than $36 million to resolve criminal and civil liability arising out of its illegal conduct, the Justice Department announced today. LC Bead is used to treat liver cancer, among other […]

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