A New York man recently agreed to a plea deal with the government for allegations of health care fraud. According to his plea agreement, the accused requested blank prescriptions from a physician friend. The accused then put in the names of other patients and made copies of the prescriptions to help perpetrate a fraudulent scheme.
The Medicare Fraud Strike Force recently announced the arrest of five New Yorkers based on charges of health care fraud. The arrests were part of a larger coordinated health care fraud enforcement action that led to the arrest of 48 individuals throughout the Northeast in connection to a scheme involving over $800 million in false and fraudulent claims.
The government has not held back on its promise to hold those it deems responsible for the opioid crisis accountable in court. This promise has held true in the first federal case, involving local government agencies holding opioid distributors and manufacturers financially accountable for the damage the government claims the drugs have caused within their community.
Patients who seek services in the health care industry are starting to expect clarity from their providers. Whether seeking a dental cleaning, cancer screening or blood test, patients are more regularly asking about the service they will receive and the likely cost. Diagnostic and reference labs can make the most of this new trend in patient care with the following tips:
It is generally illegal to get benefits in exchange for referring patients to health care providers. A registered nurse care coordinator is experiencing just how serious the government is when it comes to allegations of health care fraud.
The Medicare Fraud Strike Force (MFSF) recently concluded an investigation of a New York based ambulatory company. The MFSF is part of a joint initiative between the Department of Justice (DOJ) and the United States Department of Health and Human Services (HHS) tasked with deterring fraud and enforcing applicable laws.
The Department of Justice (DOJ) recently sent federal agents to raid at least four genetic testing labs to gather evidence in connection with allegations of health care fraud.
The federal government continues to crackdown on allegations of health care fraud. In recent weeks, five from the New York area have been arrested and charged with health care fraud crimes.
The United States Centers for Medicare and Medicaid Services (CMS) recently announced a new rule to address health care fraud. The announcement was made in September 2019. The new rule expands the agency’s ability to revoke or deny applications for entry or re-enrollment into the Medicare, Medicaid and CHIP payment programs.
The government requires medical facilities to follow certain rules and regulations. A failure to do so can result in allegations of wrongdoing. One specific area that can cause great harm to a health care facility are allegations of health care fraud. If substantiated, the allegations can come with crippling financial penalties and potentially result in the inability to continue to bill for services through Medicare and Medicaid.