Medicare Fraud 101
Archive for May, 2007
Scooter Store Gets Caught Scooting Medicare
In order to settle allegations that the Scooter Store submitted false claims to Medicare, the New Braunfels, Texas company agreed to pay the federal government $4 million and forego another $13 million in Medicare payments. The payments resolve several lawsuits including a whistleblower complaint from a former Scooter Store employee. The whistleblower will receive $3.2 million from the government. According to the Department of Justice, “The Scooter Store engaged in a multimedia advertising campaign to entice beneficiaries to obtain power scooters paid for by Medicare, Medicaid, and other insurers…Instead of the ‘zippy’ power scooters that were advertised, the Scooter Store sold the beneficiaries expensive power wheelchairs that they did not want, need, and/or could not use.” ”This settlement is part of our ongoing commitment to fighting abuse of Medicare’s durable medical equipment benefit,” said Assistant Attorney General Peter D. Keisler.
To read more click on this story click here and also see Nolan Law Firm for more information about whistleblowers and medicare fraud.
| Posted By Marcella Auerbach | Responces 5 |
| Category Medicare Fraud | Posted May 25th, 2007 |
Has Greed Driven Stent Implantation?
The FBI is apparently investigating allegations that a Maryland cardiologist, Dr. John “Jack” McLean was performing unnecessary stent implantations on his patients. Officials have stated that most of the patients involved are Medicare patients. On average, Medicare pays between $11,184 to $14,287 for a drug-eluting stent procedure. The investigation which involves the FBI as well as the Health and Human Services involves whether the procedures were medically necessary and whether alternative methods could have been used to treat blood clots. Dr. McLean has stated that he has done no wrong and none of his patients are complaining.
To read more click here or Nolan Law Firm.
medicare fraud, stent
| Posted By Marcella Auerbach | Responces 0 |
| Category Medicare Fraud | Posted May 17th, 2007 |
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
Nolan Law Firm Articles
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