tci Medicare Compliance & Reimbursement - 2006 Issue 45

FRAUD & ABUSE: Beware--OIG Is Looking For Underdosing, Falsifying Records

OIG finds lots of improper billing and fraud with physical therapy services.Watch out: Your physical therapy billings could be under severe scrutiny next year, judging from the HHS Office of Inspector General's (OIG) semi-annual report on fraud and abuse. A Texas physician received an 11-year, three-month sentence for taking part in schemes to defraud Medicare and Medicare, the OIG notes. He accepted money from clinic owners in exchange for signing charts for physical therapy, helping the clinic owners to submit false claims. In another scheme, the doctor ordered motorized wheelchairs for patients whom a company transported to his...

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