tci Medicare Compliance & Reimbursement - 2004 Issue 5

DME: Power Wheelchair Enforcement Continues

Fraud enforcement seeks out all players in lack of medical necessity casesThe long arm of the law tapped a few more shoulders last December. More charges were announced relating to a Los Angeles Medicare fraud scheme that allegedly involved approximately $2.6 million in fraudulent DME claims. The latest indictment alleges that Sumner Bohee, physician and owner of the Los Angeles-based Phoenix Multi-Specialty Clinic received patients referred by the three defendants, Steve Jari, Keith Allison and Bernard Townsend. The defendants allegedly worked as "cappers" for Vasu Deo, a man previously charged with defrauding Medicare for unnecessary or...

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