tci Medicare Compliance & Reimbursement - 2020 Issue Q3

Take a Look at 2 Recent Fraud Cases

Even friends and family can get pulled in by enforcement. As the feds delve more deeply into fraudulent behavior in healthcare, their reach goes beyond the usual suspects. Though owners and physicians continue to receive the toughest settlements, practice managers and support staff are being penalized for their parts as well. Here are two recent enforcement actions that highlight that trend: 1. Medicare/Medicaid fraud and drug scheme: On Sept. 14, the Department of Justice (DOJ) sentenced a Pittsburgh, Pennsylvania-based physician’s girlfriend with 63 months in prison for Medicare fraud, money laundering, stealing public funds, and illegally distributing oxycodone...

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