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28 Feb 2022, 11:18 am
Penalties for AKS Violations The AKS was put in place because of the increased costs and overutilization of healthcare services, the redirecting patients away from valid services, and the corruption of medical decision making this type of incentivizing was creating. [read post]
5 Jun 2024, 1:29 pm
In a recent case of healthcare fraud, a pharmacy owner from Fort Worth, Texas, has been sentenced to four years and four months in prison and has been ordered to pay over $59 million in restitution for his role in an alleged illegal kickback and money laundering scheme. [read post]
1 Jan 2020, 9:00 am
Types of medically-related false claims acts in the healthcare sector include: False billing Billing for services never rendered Billing for services that weren’t necessary Improper coding for services Several cases show that the hospitals, doctors, and other health providers will be prosecuted if they provide medical services that are deemed medically unnecessary or if fraudulent claims are submitted. [read post]
14 Oct 2011, 9:47 am
The Healthcare industry is a heavily regulated and complex business. [read post]
18 Dec 2015, 2:33 pm
G&G is considered a large player in the system providing Spanish-language interpreting services for injured workers receiving healthcare services through the workers' compensation system. [read post]
10 Jan 2011, 1:01 pm
Also, smoke-and-mirrors tricks from past budgets eventually must be paid for (e.g., the $61 million owed to UTMB for prison healthcare services already provided). [read post]
16 May 2014, 8:28 pm
While the arrests were spread around the country, Miami was the epicenter of the law enforcement actions, with 50 people there charged with fraudulent billings — known as fake or phantom billing — for home healthcare, mental health services and pharmacy services valued at an estimated $65.5 million. [read post]
20 Mar 2018, 2:50 pm
The facilities billed Medicare for expensive healthcare services such as physical therapy and home health. [read post]
20 Mar 2018, 2:50 pm
The facilities billed Medicare for expensive healthcare services such as physical therapy and home health. [read post]
16 Apr 2021, 1:52 pm
Ivan Andre Scott, a 36-year-old Florida man, just landed a 10-year prison sentence for organizing a $3.3 million Medicare fraud scheme involving two of the hottest healthcare trends – telemedicine and genetic testing to assess the likelihood of future cancer. [read post]
15 Nov 2023, 1:28 pm
The Indian Health Service is an agency within the U.S. [read post]
3 Apr 2010, 6:48 am
Castro-Ramirez faces a maximum penalty of 10 years in prison and a $250,000 fine for the healthcare fraud conspiracy and fraud counts, as well as a maximum penalty of 20 years in prison and a $250,000 fine on the money laundering conspiracy count. [read post]
16 Apr 2012, 12:01 pm
The Anti-Kickback statute also prohibits offering inducements or remuneration to induce healthcare providers to refer patients for services that will be reimbursed by a federal healthcare program. [read post]
15 Jun 2009, 9:57 pm
DAVIS was sentences to spend 15 months in federal prison and a term of three years of supervised release following confinement. [read post]
3 Nov 2017, 5:13 am
At the end of October, Mirando was sentenced to eight years in prison and $3 million in restitution. [read post]
17 May 2011, 7:38 pm
Cabral, Prison Health Services (now called PHS Correctional Healthcare), jail superintendent Gerard Horgan, and jail physician Colleen Collins. [read post]
30 Mar 2018, 1:53 pm
Parkman to 32 months in prison. [read post]
12 Feb 2019, 10:04 am
Where it would help a LOT is in limiting rising healthcare costs, which stem disproportionately from older prisoners with long sentences. [read post]
19 Aug 2010, 7:30 am
Far and away the biggest cost to Texas taxpayers from illegal immigrants - nearly double the amount spent on health and human services - is $171 million per year spent to house people in Texas state prisons who are eligible for deportation, the House State Affairs Committee was told yesterday. [read post]
26 Oct 2023, 12:59 pm
“Healthcare fraud is not a victimless crime. [read post]
