tci Medicare Compliance & Reimbursement - 2003 Issue 31

Rehab: HOW RELATED PARTY ISSUES CAN LAND PROVIDERS IN PRISON

When a compensation package is too good to be true. A Missouri rehab operator capped off a long, hard lesson in Medicare compliance July 28, paying $580,000 to resolve False Claims Act charges. According to U.S. Attorney Raymond Gruender, Edward Fann, his company Bistate Rehab Inc., and Long Term Care Providers Inc. will pay the sum to cap off a whistleblower suit. But the settlement is only the latest chapter in a long enforcement saga. Fann had earlier pleaded guilty to improperly billing Medicare for occupational therapy and physical therapy, billing for excessive compensation, and failing to...

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