Home > Fraud and Abuse > Owner of Orlando Diagnostic Imaging Services Company Has Duty to “Understand Medicare and Medicaid Billing Requirements”

Owner of Orlando Diagnostic Imaging Services Company Has Duty to “Understand Medicare and Medicaid Billing Requirements”

The HHS Office of Inspector General (OIG) announced yesterday that Administrative Law Judge Steven T. Kessel has upheld the OIG’s exclusion of Michael D. Dinkel from participation in all Federal health care programs for a period of 8 years.

According to the press release, the ALJ found that Dinkel was personally responsible for ensuring that his company, Drew Medical, billed and collected reimbursement appropriately and that he demonstrated reckless indifference to the propriety of the claims that his company presented.  The ALJ also held that Dinkel had a duty to understand Medicare and Medicaid billing requirements and to apply them scrupulously to the claims that he caused to be presented.

This case revolved around false claims filed by Drew Medical to the Medicare and Medicaid programs for a radiological procedure known as venography.   Drew Medical had not actually performed any such services.

The OIG did not consider that the payment of fines alone was sufficient and that exclusion from participating in government healthcare programs was appropriate.

Categories: Fraud and Abuse
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