tci Medicare Compliance & Reimbursement - 2005 Issue 28

ENFORCEMENT WATCH: Mattress Scam Could Land Fraudster In Prison Bed

Why hiring Medicare and Medicaid beneficiary recruiters or marketers might not be wise.Submitting alternating pressure mattress claims to Medicare without providing them to beneficiaries could grab the Department of Justice's attention.Houston durable medical equipment company Transcon Medical Services, Inc. owner Sunny Alfred Imeh pleaded guilty to conspiracy and health care fraud, according to a June 14 DOJ press release. Feds Paid For Unprovided Wheelchairs, Mattresses Between January 2000 and June 2003, Imeh fraudulently billed Medicare and Medicaid for nearly $5 million and defrauded the health care programs of $1.6 million through false DME claims, the DOJ...

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