Company Owner Goes to Jail for Medicaid Fraud
The owner of a transport company has pleaded guilty to fraudulently charging the good citizens of Massachusetts millions in false claims through the state’s Health Care Program known as MassHealth. [...]
Anesthesia Place in Traverse City Will Now Pay $600K For Falsifying Claims to Medicare
According to the United States DOJ, Traverse Anesthesia Associates, along with several anesthesiologists are paying over $600K to resolve allegations that they consciously incorrectly submitted certain anesthesia claims to Medicare. [...]
Virginia Beach Psychiatrist Grossly Over-booked Patients as Part of Fraud
A psychiatrist double, triple and even quadruple overbooked patients at his Virginia Beach practices so as to over bill insurance firms by over $460,000, per court documents. Udaya Shetty, of [...]
Doctor’s Practice to Pay Nearly $180K to Resolve False Claims Act Liability Regarding “P-Stim” Devices
First Assistant U.S. Lawyer Jennifer Arbittier Williams proclaimed that Richard P. Frey, D.O., and Physicians Alliance Ltd. (“PAL”) have agreed to pay nearly $180,000 to resolve liability underneath the False [...]
Announcements from the OIG (September 2019)
Alabama Ambulance Provider Settles Case Involving False Claims On June 28, 2019, Samaritan EMS, Inc. (Samaritan), Union Grove, Alabama, entered into a $942,373.67 settlement agreement with OIG. The settlement agreement resolves [...]
The OIG calls out a CA Medical Group for Inaccurate Charges
Santa Monica, California based Oceanside MedicalGroup did not comply with Medicare necessities when charging for psychotherapy services, in keeping with a report from Health and Human Service's OIG. The Office [...]
RUC & CMS: The Difference Between Them Could Mean Money To Doctors
Physicians ought to review the direct monetary impact as several of the managed care contracts can pay these auxiliary services at the CMS RVU rates. the great news is they [...]
Gate City Transportation Sentenced For Health Care Fraud For Over $5 Million
A Greensboro-based medical transport company was sentenced in court for health care fraud after pleading guilty to one count of health care fraud in October 2018, according to US Attorney [...]
Medicare Advantage Supplier and Doctor to Pay $5 Million to Settle False Claims Act Allegations
Beaver Medical Group L.P. (BMG) and a doctor who works for it, Dr. Sherif Khalil, have agreed to pay a little over the amount of $5 million to resolve accusations [...]
Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020
On July 29, 2019, the Centers for Medicare Services (CMS) issued a projected rule that has proposals to update payment policies, payment rates, and quality provisions for services equipped beneath [...]