tci Medicare Compliance & Reimbursement - 2003 Issue 22

Fraud & Abuse: SENTENCING APPEAL CAN'T SAVE SUPPLIER

The turning point in the campaign against health care fraud and abuse - the August 1996 effective date of the anti-fraud provisions of the Health Insurance Portability and Accountability Act - has taken on a uniquely personal significance for a durable medical equipment supplier convicted of health care fraud.Joyce Lee Hickman was sentenced to more than 17 years in prison for billing Medicare and other insurers for DME that was never prescribed and inpatient doctor visits and other services that never actually happened. She was also ordered to pay more than $9 million in restitution on the bogus...

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