tci Medicare Compliance & Reimbursement - 2003 Issue 29

DME: Medicaid Probe Drives Supplier Out Of Business

Investigation centers on 3 compliance areas.Durable medical equipment suppliers can't afford to overlook their documentation responsibilities when it comes to Medicaid claims. Failure to do so can be catastrophic, as a Brighton, MA supplier recently learned. According to Massachusetts Attorney General Tom Reilly, Leonid Kopilevich, operator of Elaine Mishel Shoe Store - a DME supplier since 1985 - agreed to settle Medicaid fraud allegations by paying more than $336,000. On top of that, Kopilevich and his mother, Elaine Mishel co-owner Rosalaya Kopilevich were not only ousted from Medicaid in the Bay State, but also agreed never to...

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