tci Medicare Compliance & Reimbursement - 2008 Issue 33

Industry Notes: DOJ Nails PA & Medical Biller In HIV Infusion Scam

Plus: Soon physicians won't need accreditation to supply DME. If you think the government is only cracking down on doctors, a new Department of Justice (DOJ) report shows that physicians' assistants are just as vulnerable to abuse and fraud accusations. A Miami-based physician's assistant has pleaded guilty to defrauding Medicare out of $119 million in HIV infusion reimbursement, according to a Sept. 18 DOJ press release. The physician's assistant, along with several accomplices, set up fake HIV infusion clinics around South Florida. Also guilty in the scam were a medical biller, several physicians, and other personnel members. The medical...

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