tci Medicare Compliance & Reimbursement - 2019 Issue 3

Fraud And Abuse: Physician Fraudsters Are On Feds’ Target List

Home health, opioid fraud are top DOJ targets. Federal enforcement agencies got right down to business once the government shutdown ended. Moreover, the first week of enforcement shows that the feds intend to hold physicians accountable for fraud schemes in 2019. In Texas: Two separate cases in Houston spotlight home health fraud. Physicians, John P. Ramirez, MD, and Anh Do, MD, were condemned to long prison terms and millions in restitution for their attempts to defraud Medicare. Judgment day: Between December 2011 and August 2015, Dr. Ramirez in coordination with Amex Medical Clinic owner, Ann Shepherd, and co-conspirator, Yvette...

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