Tag Archives: Medicare

$20 Million Health Care Fraud Scheme Involving Bogus Prescriptions for Expensive Anti-Psychotic Drugs

Three Found Guilty for Roles in $20 Million Health Care Fraud Scheme Involving Bogus Prescriptions for Expensive Anti-Psychotic Drugs Three people linked to a Glendale medical clinic – including a doctor who took money to let his name be used … Continue reading

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Drug Testing Company to Pay $5 Million Civil Money Penalty Settlement

Medicus Laboratories, LLC (Medicus) has agreed to pay $5 million and enter into a 5-year Corporate Integrity Agreement with the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS). The settlement reflects OIG’s ongoing efforts … Continue reading

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FORMER CHIROPRACTOR INDICTED ON HEALTH CARE FRAUD AND AGGRAVATED IDENTITY THEFT CHARGES

David Lee Killen, age 42, a resident of Covington, Louisiana, was charged today in a thirty-count health care fraud and four-count aggravated identity theft indictment by a Federal Grand Jury for his submission of fraudulent claims to Medicare, Medicaid and … Continue reading

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Rockford Physician Arrested on Charge of Healthcare Fraud

A Rockford physician whose license was suspended this month was arrested on a federal complaint alleging healthcare fraud.  Charles S. DeHaan, 59, of Belvidere, IlL, was charged with engaging in a scheme to defraud Medicare. The complaint alleges that DeHaan … Continue reading

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Harmon Memorial Hospital and Hollis Physician Pay $1.5 Million for Health Care Fraud

Oklahoma City, Oklahoma – Sanford C. Coats, United States Attorney for the Western District of Oklahoma, and Scott E. Pruitt, Oklahoma Attorney General, jointly announce that the Harmon County Healthcare Authority (Harmon Memorial Hospital) and Dr. Akram R. Abraham, of … Continue reading

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Medicare Improperly Paid Millions of Dollars for Prescription Drugs Provided to Incarcerated Beneficiaries

An individual is eligible for Medicare Part D benefits if he or she is entitled to Medicare benefits under Part A or enrolled in Part B and lives in the service area of a Part D plan. Federal regulations specify … Continue reading

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Christus Saint Vincent Regional Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor

Christus Saint Vincent Regional Medical Center, in Santa Fe, New Mexico, (the Hospital) did not comply with Medicare requirements for billing Kwashiorkor on any of the 115 claims that we reviewed. The Hospital used diagnosis code 260 for Kwashiorkor, but … Continue reading

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Medicare’s Reform Initiatives

Medicare’s delivery system reform initiatives achieve significant savings and quality improvements – off to a strong start Today, the Centers for Medicare & Medicaid Services (CMS) released findings on a number of its initiatives to reform the health care delivery … Continue reading

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Medicare Provider Charge Data

As part of the Obama administration’s work to make our health care system more affordable and accountable, data is being released that show significant variation across the country and within communities in what providers charge for common services. These data … Continue reading

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