Archive for April 2022
Government Nabs More Covid Fraud Suspects
The Covid-19 pandemic has resulted in yet another avenue to perpetuate fraud within the healthcare arena. Most recently, the U.S. Department of Justice announced criminal charges had been filed against 21 people in nine federal districts for their alleged participation in various schemes that exploited the pandemic to the tune of $149 million. Cities involved…
Read MoreGroup Home Owners Convicted in $1M Fraud Scheme
A Texas couple who owned and operated group homes recently was found guilty of perpetrating a $1 million dollar scheme to defraud Medicare. Lindell King, 52, and his wife Ynedra Diggs, 44 were charged with sending their group home residents to Behavioral Medicine of Houston (BMH), in exchange for kickbacks. BMH was a community mental…
Read MoreHRSA Reopens Provider Relief Reporting
Physicians who accepted federal COVID-19 relief funds but failed to meet the Period 1 Provider Relief Fund reporting requirements now have more time to comply. The Health Resources & Services Administration (HRSA) recently announced that healthcare providers can now submit a Request to Report Late Due to Extenuating Circumstances Form for Reporting Period 1 (RP1).…
Read MoreStates Benefit from Multimillion-Dollar FCA Urine Test Lab Settlement
Several states are now benefiting from a multimillion-dollar settlement agreement signed late last year by a Nevada clinical lab and two of its owners who were charged with submitting false claims for payment to federal healthcare programs. Nevada Attorney General Aaron D. Ford recently announced that his state would receive $335,000 of the settlement money…
Read MoreOIG Gives Okay to Cost-Sharing Subsidy in Clinical Trial
A company that makes a medical device that uses a patient’s cells to treat ischemic systolic heart failure – a life-threatening cardiac condition – would not face sanctions if it paid Medicare participants’ cost-sharing obligations they would otherwise owe for reimbursable items and services provided during the 2-year study. That was the finding of a…
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