A New Jersey man is facing fraud charges after a federal grand jury agreed he took advantage of senior citizens. The man is accused of operating a nonprofit with the intention of defrauding people with unnecessary tests. According to Tapinto.net, Seth Rehfuss, 43, of Somerset NJ, used a nonprofit agency called Good Samaritans...
Continue reading…
Category: Medicare Fraud
MedMax Compounding Company Bilked Tricare Millions of Dollars, and Sold Unneeded Drugs
Steven M. Butcher, 39, owner of MedMax LLC, which provided marketing services for compounded medications, pleaded guilty before U.S. District Judge John Michael Vazquez in Newark federal Court for conspiracy to commit healthcare fraud and violate the Anti-Kickback Statute.
Butcher used his company, MedMax, to convince people to obtain unneeded compound medications and then bill...
Continue reading…
Brattleboro Memorial Hospital pays $1,655,000 to settle Medicare fraud allegations
The Brattleboro Memorial Hospital will $1,655,000 to the United States and the state of Vermont to settle claims that it "knowingly" presented "false claims for payment to Medicare and Medicaid." The U.S. Attorney's Office alleged that between January 2012 through September 2014, "BMH knowingly submitted or caused to be submitted a number of outpatient...
Continue reading…
OIG Report: chiropractor fraud costing Medicare of hundreds of millions of dollars per year
A report just issued by the U.S. Department of Health and Human Services Office of Inspector General reveals that the Government overpaid chiropractors for their services an average of $257 million to $304 million per year over a 6 year period. During this period Medicare paid a total of $2.9 BILLION for chiropractic services....
Continue reading…
Emergency Room billing upcoding schemes making a comeback
Upcoding In The ER Could Be Stealing U.S. Tax Dollars
It’s an old and shady practice that has been in the forefront of Medicare and Medicaid fraud for years. Upcoding can hit taxpayers hard and drive emergency room bills to the thousands.
What is Upcoding?
Continue reading…
Texas mayor-physician charged with $150 million Medicare fraud scheme in hospice and home health services
Ri Bravo Texas Mayor Francisco Pena, a licensed physicians has been indicted with federal charges of money laundering and conspiring with three others to defraud Medicare of $150 million in allegedly phony hospice and home health care services. The 11-count indictment unsealed Wednesday charges Dr. Pena with taking kickbacks to refer patients for services...
Continue reading…
$891 Million Medicare Fraud Lawsuit against Community Health Systems Revived
A Revived Lawsuit Against Community Health Systems Is Moving Forward
The court system is reviving an $891 million securities fraud lawsuit against Community Health Systems. According to Modern Healthcare, the shareholder’s allegations of securities fraud deserve another look. A federal appeals court agrees the company may have intentionally inflated...
Continue reading…
Hospice provider pays $75 million to settle Medicare Fraud charges in whistleblower case
Chemed has paid the U.S. government $75 million to settle lawsuits claiming the hospice care provider submitted false claims to Medicare. The settlement relates to allegations for the period 2002 and 2013 Chemed subsidiary Vitas knowingly submitted or caused to be submitted false claims to Medicare for services to hospice patients who were not...
Continue reading…
Epic electronic medical records company sued by whistleblower alleging Medicare fraud
A False Claims Act whistleblower suit filed against electronic health records company Epic is unsealed late last week and it alleges that its financial system enables a form of double billing that could have resulted in hundreds of millions of dollars of extra charges paid by the government. The two-year-old...
Continue reading…
Vitas Healthcare hospice provider pays $75 million to settle False Claims Act case of Medicare fraud
Vitas Healthcare, a major hospice provider has agreed to pay $75 million to settle a False Claims Act case charging the company inflated charges and overbilled taxpayers.
"Today's resolution represents the largest amount ever recovered under the False Claims Act from a provider of hospice services," said Acting Assistant Attorney General...
Continue reading…
