Medicare Fraud 101
The Beat Goes On…Fraud Continues at the University of Medicine and Dentistry of New Jersey
A federal monitor’s report found that the University of Medicine and Dentistry of New Jersey made since 2002, $5.7 million in illegal payments to physicians in exchange for their heart patient referrals. As the result of these patient referrals, physicians were given “no-show” teaching jobs in excess of $150,000 per year. The monitoring system was put in place as the result of oversight put in place by the University to avoid prosecution on multi-million dollar fraud charges. This fraudulent scheme could cost the University as much as $84.5 million for these illegal referrals.
The fraudulent activity continues in spite of a $2.2 million settlement paid to a whistleblower in December 2005, who claimed he was fired for objecting to this scheme. The University signed a settlement agreement with the after it was charged with Medicaid fraud involving the double-billing of nearly $5 million worth of procedures.
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| Posted By Marcella Auerbach | |
| Category Medicare Fraud | Posted November 21st, 2006 |
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Regulatory Documents (PDFs)
- OIG Compliance Program Guidance for Hospitals
- OIG Supplemental Compliance Program Guidance for Hospitals
- OIG Compliance Program Guidance for the Durable Medical Equipment, Prosthetics, Orthotics & Supply Industry
- OIG Compliance Program Guidance for Hospices
- OIG Compliance Program Guidance for Clinical Laboratories
- OIG Compliance Program Guidance for Home Health Agencies
- OIG Final Compliance Program Guidance for Nursing Facilities
- OIG Final Compliance Program Guidance for Medicare+Choice Organizations
- OIG Compliance Program Guidance for Third Party medical Billing Companies
- OIG Pharma Compliance Program Guidance for Ambulance Suppliers
- OIG Guidance on Voluntary Disclosure of Healthcare Fraud
- HHS-OIG 2002 Work Plan
- HHS-OIG 2003 Work Plan
- HHS-OIG 2004 Work Plan
- HHS-OIG 2005 Work Plan
- HHS-OIG 2006 Work Plan
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