tci Medicare Compliance & Reimbursement - 2023 Issue Q4

Fraud & Abuse: Feds Fixate On Physicians In October Enforcement

Medicare fraud schemes abound in latest round of settlements. As the year winds down, enforcement appears to be ramping up. The following cases highlight the feds’ heightened scrutiny of Medicare fraud committed by physicians and other clinicians — and their willingness to bring significant penalties. Take a look at these high-profile October 2023 charges and settlements aimed at healthcare providers. In South Carolina: Orangeburg- and Bamburg-based physician Moustafa Moustafa, MD, along with his medical practice, South Carolina Nephrology and Hypertension Center Inc., opted to settle alleged False Claims Act (FCA) and Anti-Kickback Statute (AKS) violations for significant lab testing...

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