tci Medicare Compliance & Reimbursement - 2005 Issue 11

Enforcement: Don't Let Networking Weave A Tangled Web

Watch for tactics that build provider alliances-but sabotage complianceThe owner of several Miami, FL durable medical equipment companies reportedly had an extensive set of connections - but he may have overstepped the law to get them.Prosecutors charged Alberto Bengochea Feb. 15 for involvement in a kickback network involving local assisted living facilities, medical equipment companies, pharmacies and physicians. Marcos Daniel Jimnez, U.S. Attorney for the Southern District of Florida, says for six years Bengochea paid 230 Medicare beneficiaries between $100 and $150 per month. In return, the beneficiaries agreed to let him use their Medicare numbers to...

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