Archive for May 2023
Illinois Healthcare System Settles Whistleblower Lawsuit Alleging Overpayment for Services for $12.5M
A whistleblower lawsuit filed against St. Elizabeth’s Hospital of the Hospital Sisters Health System in Illinois has been settled for $12.5 million. The multi-institutional healthcare system that sponsors 15 hospitals in 14 communities across Illinois and Wisconsin, as well as an integrated physician network, is alleged to have committed billing errors that may have resulted…
Read MoreRule Temporarily Extends Flexibilities in Prescribing Controlled Substances Via Telemedicine Created During Public Health Emergency
Just days before the COVID-19 Public Health Emergency (PHE) was about to expire on May 12, The Drug Enforcement Administration (DEA) and Substance Abuse and Mental Health Services Administration (SAMHSA) issued a temporary rule that extends flexibilities for prescribing controlled substances via telemedicine. The rule was issued more than 38,000 public comments were made in response…
Read MoreTwo Miami Doctors Sentenced for $31 Million in False Medicare Claims as Part of a DME Fraud Scheme
A pair of Miami doctors recently were sentenced for their parts in a scheme to steal from Medicare by making more than $31 million in false DME claims. Dr. Dean Zusmer, a chiropractor, was sentenced to eight years and one month in prison and ordered to pay $1.4 million in restitution. Dr. Lawrence Alexander, an…
Read More