Remove Fraud Remove Nursing Homes Remove Presentation
article thumbnail

Nursing Home Psychologist Convicted of Healthcare Fraud Scheme

Med-Net Compliance

According to court documents and evidence presented at trial, the psychologist caused the submission of fraudulent Medicare claims from July 2016 through June 2019 for psychotherapy services purportedly provided to nursing home residents in Chicago and surrounding areas.

article thumbnail

Post-Acute Compliance Program Update: OIG Recommendations on Medical Director Agreements and Roles

Hall Render

Department of Health and Human Services (HHS) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursing home members of the health care compliance community. Medical Directors in Nursing Homes 42 CFR 483.70(g)

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

False Claims Lawsuit Filed Against Alabama Psychiatrist  for Improper Prescribing of Nuedexta to Nursing Home Resident

Healthcare Compliance Blog

The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursing home residents. In return, the psychiatrist prescribed Nuedexta to nursing home residents who did not have pseudobulbar affect.

article thumbnail

Justice Department Charges Dozens for $1.2 Billion in Healthcare Fraud

Med-Net Compliance

In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds. Issue: Nursing staff should monitor telemedicine appointments held with their residents, review related medical record documentation, and report any concerns with observed practices immediately.

Fraud 59
article thumbnail

Three Individuals Charged for Providing Fraudulent COVID-19 Vaccination Cards for Employment Purposes

Healthcare Compliance Blog

A mother and her two daughters have been charged for providing fraudulent COVID-19 vaccination cards to maintain and obtain employment at a New York nursing home. Vaccination is mandatory for nursing home employment in New York. Bassett stated, “Vaccination fraud is a serious crime.

article thumbnail

Bad Actors Round Up (November)

Verisys

If you are looking for something to read prior to turkey or afterwards, here is a round up of bad actors: Pharma Fraud: . A Physician representing Avanir received over $300,000 in kickbacks for writing over 10K prescriptions for the drug Nuedexta and another $1,500 per each presentation. Pharma Fraud. Pharma Fraud .

Fraud 52
article thumbnail

What Is Involved With a Healthcare CMS Inspection?

MedTrainer

Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursing homes, and pharmacies. There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud.