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John P. Benson, Verisys COO Featured in HCCA’s Compliance Today Magazine

John P. Benson, COO of Verisys Corporation featured in the next edition of Compliance Today magazine published by HCCA. Receive CCB CEU credits by reading John’s article: “Compliance 101: Telemedicine, Part 1: The origin and drivers of telehealth care.” Join the HCCA today! https://www.hcca-info.org/Membership/JoinHCCA.aspx

Linebacker Monty Grow defrauds the US Government of $2 Billion

Taking the concept of doping to a new level, Monty Grow defrauded the US Government in kickback scheme to push unnecessary compounded drugs on those who serve and have served in the military and subsequently collect from Tricare. As seen on Jacksonville.com, written by Garry Smits – http://jacksonville.com/sports/2016-12-13/former-gators-jags-linebacker-indicted-health-care-fraud-money-laundering “Former University of Florida and Jaguars linebacker…

Taxpayers Could See More than $27 Billion Saved As the Result of HHS OIG Work, New Report Says

Washington, DC-America’s taxpayers could see $27.76 billion in misspent Medicare, Medicaid and other health and human services dollars saved in fiscal 2016. This savings is as the result of work by the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS), according to a report released recently. This year’s…

Unlicensed Michigan Physician Pleads Guilty to Conspiracy to Commit Wire Fraud for Role in $6.3 Million Detroit-Based Medicare Fraud Scheme

A Michigan man pleaded guilty to fraud charges for his role in a scheme to defraud Medicare out of approximately $6.3 million while he acted as an unlicensed physician at a Detroit in-home physician services company. Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, U.S. Attorney Barbara L. McQuade of the…

South Miami Hospital Agrees to Pay the United States $12 Million to Settle False Claims Act Allegations

According to the United States Department of Justice, U.S. Attorney’s Office in the Southern District of Florida, South Miami Hospital, a not-for-profit regional hospital located in South Miami, Florida has agreed to pay the United States approximately $12 million to settle allegations that it violated the False Claims Act by submitting false claims to federal…

Virginia Personal Health Care Scam Denies Disabled Boy Needed Care

Three people are indicted for health care fraud when they were found having defrauded Medicaid for more than $350,000. The grand jury indicted Deborah Branch, 64, Melissa Harr, 49 and Bryan Harr, 40 of health care fraud, conspiracy to commit healthcare fraud and two counts of wire fraud. Prosecutors say that Branch was employed by a…

North Carolina to Reimburse the Federal Government $15+ Million for Improper Claims

According to the OIG Report, https://oig.hhs.gov/oas/reports/region4/41504037.asp, “The North Carolina Department of Health and Human Services (State agency) claimed Federal Medicaid reimbursement for some nonemergency medical transportation (NEMT) services that did not comply with Federal or State requirements. Of the 200 sample items, 82 complied with Federal and State requirements, but 118 did not. Of the 118…

Medicare/Medicaid Fraud Lands Chimaroke Echenwune a 30-Year Prison Sentence

In the worst style of committing Medicare/Medicaid fraud, Houston, TX-based Chimaroke Schenwune, who ran an ambulance company, Diamex EMS, with his wife scammed mentally handicapped patients by transporting them to daycare facilities instead of hospitals. Transport to daycare facilities is not covered by Medicare or Medicaid, but transport to hospitals is. The result is more…

Medicaid Fraud Losses Exceed Recovery by Millions in North Carolina

Medicaid fraud is at a crisis level of losses that exceed recovery in North Carolina. The Final Report to the Joint legislative Program Evaluation Oversight Committee, Report Number 2016-10 dated November 14, 2016, entitled: “Medicaid Program Integrity Section is Not Cost-Effectively Identifying and Preventing Fraud, Waste, and Abuse, reveals that costs to discover fraudulent claims…

HHS and OIG Release Fiscal Year 2017 Work Plan – Highlights

The U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG), fiscal year 2017 Work Plan gives an overview of new initiatives and activities as well as reports on ongoing programs. According to a HMENEWS, the recently released work plan includes the OIG’s plans to review, “the process CMS used to conduct…