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Dental Fraud Schemes Uncovered

Compliancy Group

This month, fraud in the medical industry has been making headlines fairly frequently. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. After an investigation, the Board determined that Dr. As a result, his license was revoked in 2015.

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Michigan Podiatrist Convicted of $1.8 Million Healthcare Fraud Scheme

Med-Net Compliance

The defendant was also convicted for falsification of records designed to prevent detection of this fraud and aggravated identity theft for falsely corresponding with Medicare under the name of another physician. Million Healthcare Fraud Scheme appeared first on Med-Net. He is scheduled to be sentenced on Jan.

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Georgia Rehabilitation Center Submitted 808 False Claims to Medicaid/Tricare

Healthcare Compliance Blog

A Georgia district court has issued a summary judgment against a state rehabilitation center for 808 false claims billed to Medicaid and Tricare between November 2015 and June 2020. 2, 2015–July 31, 2016, and a range of $11,181–$22,363 for violations committed after Jan. Issue: All submitted claims must be accurate and truthful.

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Compliance lessons from recent fraud cases

Health Care Performance

A New York ENT physician was convicted of filing false claims with Medicare and Medicaid. The physician submitted claims totaling about $585,000 to Medicare and Medicaid and was paid roughly $191,000. Mole billing fraud scheme totals $4.1 million in fraudulent payments between 2015 and 2021.

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Former Arizona Medicaid Official Sentenced to 10 Years for Medicaid Fraud

The Health Law Firm

Board Certified by The Florida Bar in Health Law On May 9, 2016,Michael John Veit, 64, the former chief procurement officer for Arizona's state Medicaid program, was sentenced to 10 years in prison for his role in the fraud scheme that resulted in the theft of 5.9 The Original Fraud and Theft Charges. Indest III, J.D.,

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Florida Man Pleads Guilty in Medicare Beneficiary Identifier Trafficking Case

HIPAA Journal

The Department of Justice has announced one of its first prosecutions under the Medicare Access and CHIP Reauthorization Act of 2015 in a case involving the theft and sale of Medicare Beneficiary Identifiers. million Medicare recipients in a $310,000 Medicare fraud scheme.

Medicare 101
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Not-So-Charitable Donations: DOJ Achieves a $20 Million Settlement for a Backdoor Donation Scheme for Increased Medicaid Contributions

C&M Health Law

Department of Justice (DOJ) to resolve allegations that it had made donations in order to improperly inflate the funding four of its hospitals received from the federal Medicaid program. Florida Medicaid is administered by the state but jointly funded by both the state and federal governments.