Archive for August, 2011

Health Care Fraud is Not a Viable Business Model

August 19, 2011 Leave a comment

Among the 20 or more separate investigations that led to arrests for Medicare or Medicaid health care fraud during the first 18 days of August are the following: 

  • New York Men Convicted of Health Care Fraud in Wheelchair Scam (DME)
  • Two Charged in Medicaid Fraud Schemes (Home Health)
  • Miami Mother Sentenced To Jail In $12.3 Million Health Care Fraud Scheme (DME)
  • Baptist Healthcare, Inc. And Hardin Memorial Hospital To Pay $8,900,000 To Settle Improper Billing Of Medicare (improper DRG codes)
  • Los Angeles Jury Convicts Two Church Pastors and Their Employee of $14.2 Million Medicare Fraud Scheme (DME)
  • Physician And Pharmacist Among Those Arrested In Drug Conspiracy And Health Care Fraud Case
  • Miami Woman Is Tenth Person Arrested For Her Role In Leading $27 Million Health Care Fraud Conspiracy (DME)
  • Miami Home Health Nurse Sentenced To Ten Years’ Imprisonment For Health Care Fraud (Home Health)
  • Recruiter in Multi-Million Dollar Health Care Fraud Scheme Pleads Guilty to Conspiracy to Violate the Anti-Kickback Statute (DME, Anti-Kickback)
  • Hogsett Announces Indianapolis Man Charged In Health Care Fraud Scheme (Ambulance Transportation Services; Medicaid)
  • Orange County Medical Center And Doctor Who Bilked Medicare Agree To Pay $7.5 Million To Settle Fraud Case (False Claims)
  • Nursing Home Administrator Arrested for Health Care Fraud and Taking Kickbacks (Ambulance Transportation Services)

 More of the carnage can be found at the OIG’s Civil and Criminal Enforcement website.

Categories: Fraud and Abuse
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