Archive for May 2021
Miami Pair Charged With Paying Kickbacks for Mental Health Services
A Miami federal grand jury recently indicted two people on charges they were paying kickbacks to Medicaid beneficiaries to generate business for their mental health counseling clinic in Doral. According to the indictment, Lorena Osella, 43 owned Lighthouse Community Center, LLC, which purported to offer psychosocial rehabilitation (PSR) services, a type of mental health counseling…
Read MoreUM to Pay $22M to Settle Whistleblower Lawsuits
The University of Miami recently agreed to pay $22 million to settle three whistleblower lawsuits alleging violations of the False Claims Act. The cases were first filed between 2013 and 2014. The government alleged that UM knowingly engaged in improper billing relating to its hospital facilities. Medicare regulations allow medical systems to convert physician offices…
Read MorePharma Company Pays $12.6M to Settle Charity Kickback Allegations
Another pharmaceutical company has agreed to a multimillion-dollar settlement to resolve allegations that it used a charity as a conduit to pay the copays of patients taking one of its drugs. Federal prosecutors alleged that Incyte Corporation of Delaware was the sole donor to an independent foundation set up in November 2011 to assist patients…
Read MoreOIG Outlines Top Ten Oversight and Compliance Priorities
COVID-19 fraud, telehealth oversight, modernizing program integrity and compliance and implementing value-based care are among the top ten priorities for the U.S. Department of Health and Human Services Office of the Inspector General. Principal Deputy Inspector General Christi Grimm outlined the top ten list during the HCCA 25th Annual Compliance Institute last month. She noted…
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