tci Medicare Compliance & Reimbursement - 2023 Issue Q1

Fraud & Abuse: Feds Kick Off 2023 With Enforcement Shockers

January actions include charges for embezzlement, racketeering, and more. Even though we’re just one month into 2023, healthcare fraud cases are already stacking up. And enforcement activity shows that fraudsters continue to push the envelope with their creative ways to defraud the government. Embezzlement: A Hyannis, Massachusetts-based provider could face prison time for a variety of issues from mail and wire fraud to hiding insurance checks in a secret account to embezzlement. Dentist Jack Massarsky, who also worked as a bookkeeper at his practice, kept a secret bank account and “intercepted insurance reimbursement checks sent to the...

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