tci Medicare Compliance & Reimbursement - 2005 Issue 33

ENFORCEMENT WATCH: Bad Consultants Are The Clinic's Problem, Too

Physical therapy clinics come under fire for Medicare and Medicaid fraud.Physical therapy providers should only contract with reputable consultants when submitting enrollment applications and claims to Medicare and Medicaid - or they could end up at the center of a fraud investigation.Jonathan Jackson, the former owner of Houston-area physical therapy clinic Park Plaza Physical Medicine, Inc., will serve 70 months in federal prison for allegedly defrauding Medicare and Medicaid of millions of dollars, Texas U.S. Attorney Chuck Rosenberg announced on July 26. Result: A judge also ordered Jackson to pay restitution to Medicare and Medicaid...

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