Tag Archives: oig

OIG Finds $1.7 Billion in 2010 Medicare Payments for Questionable Lab Billings

Medicare allowed $1.7 billion across all clinical labs for claims associated with questionable billing in 2010, a Department of Health and Human Services Office of Inspector General (OIG) report found. The report, Questionable Billing For Medicare Part B Clinical Laboratory Services (OEI-03-11-00730), … Continue reading

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Groups Hit With Record $4.8M HIPAA Fine

May 8, 2014 – To those shirking their HIPAA privacy and security duties: get ready to pay up. That’s the message the Department of Health and Human Services is sending after it set records Wednesday for imposing the largest HIPAA … Continue reading

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CVS Pharmacy Settles Allegations of Improper Medicare Billing Practices

CVS Pharmacy, Inc. (CVS) entered into a settlement agreement for $1,216,147.19 with the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services, effective May 28, 2014. The settlement resolves allegations that CVS improperly submitted, or … Continue reading

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Medicare Overpaid Nearly $19.5 Million for Improperly Coded Discharges

The Department of Health and Human Services Office of Inspector General (OIG) found in a recent report that Medicare continues to overpay hospitals that did not comply with Medicare’s post-acute care transfer policy. The area is one OIG has examined … Continue reading

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Mandatory Exclustion Database Checks – Are You Performing Them?

If you are not performing the mandatory exclusion database checks on your employees, see below for the cost associated with violating the Civil Monetary Penalties Law. 04-24-2014  – After it self-disclosed conduct to OIG, Immediate Homecare, Inc. d/b/a Immediate Homecare … Continue reading

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$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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Pharmacist Sentenced To Two Years in Prison For Health Care Fraud

A Salem, Ohio, pharmacist was sentenced to two years in prison and ordered to pay more than $300,000 in restitution after previously pleading guilty to health care fraud, said Steven M. Dettelbach, United States Attorney for the Northern District of … Continue reading

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Home Health Agency Owner and Director of Nursing Indicted

The operator and director of nursing of a home health agency based in Richmond, Texas, was arrested yesterday for her alleged role in a Medicare fraud scheme and a conspiracy to structure bank withdrawals. The owner and operator of the … Continue reading

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Speech Therapist and Office Manager Charged with Fraud

HOUSTON – Rebecca Lee Rabon, 44, and Tiffany Nicole Thompson, 31, both of Houston, have been charged in a 44-count indictment alleging conspiracy to commit health care fraud, health care fraud and aggravated identity theft, announced United States Attorney Kenneth … Continue reading

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