A Michigan healthcare CEOrecently pleaded guilty to taking part in a $300 million healthcare fraud scheme that, in the words of U.S. Attorney Jeff Sessions, “flooded the streets” with millions of doses of opioids and other controlled substances. Mashiyat Rashid was CEO of the Tri-County Wellness Group of medical providers which operated pain clinics and…

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The Health and Human Services Office of Inspector General has launched a new initiative designed to draw attention to those healthcare providers it considers to be high risk for committing healthcare fraud after having been charged under the False Claims Act. The OIG posted this Fraud Risk Indicator on its website after Gregory Demske, the…

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A New York-based medical device manufacturer has agreed to pay $12.5 million to settle allegations it caused healthcare providers to submit false claims to federal healthcare programs relating to the use of two of its medical devices. AngioDynamics Inc. was accused of causing false claims to be submitted to Medicare, Medicaid, TRICARE, and other federal…

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Last month’s indictment of more than 600 people nationwide in what the feds dubbed “the largest healthcare fraud takedown in history,” should serve as a warning that the government is serious about cracking down on those who abuse the system. As we wrote about in June, of the 601 defendants charged, 165 were medical professionals…

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Doctors, nurses, addiction treatment professionals, pharmacists and hundreds of others are among the 601 people across 58 federal districts charged this week in what the Justice Department is calling “the largest national healthcare fraud enforcement action” in its history. The fraud resulted in more than $2 billion in losses. Of those 601, more than 162…

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A report issued this month by the Office of Inspector General (OIG) finds that about half of Medicare payments made for chiropractic services between 2010 and 2015 were improper – that is they either were not medically necessary, not billed properly or not sufficiently documented. The report, titled “Medicare needs better controls to prevent fraud,…

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The days of “pay and chase” in the world of healthcare fraud are waning thanks to fraud prevention methods that the Centers for Medicare and Medicaid Services have put into place. A newly released report from the Government Accountability Office (GAO) finds that Fraud Prevention System (FPS), which analyzes fee-for-service claims to identify healthcare providers…

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