tci Medicare Compliance & Reimbursement - 2014 Issue 5

Industry Notes: False Billings Lead to Mail Fraud Charge for Texas Physician

You’re aware of the fact that the government could charge you with Medicare fraud if you submit false claims to CMS — but did you know that those charges could lead to a full web of accusations? A Texas physician learned that the hard way last week when he pleaded guilty to mail fraud in connection with fraudulent billings that he submitted, since he collected his Medicare checks via the U.S. Postal Service. The doctor billed for medical services he claimed to have administered to patients who were actually deceased at the time of service. In addition...

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