tci Medicare Compliance & Reimbursement - 2006 Issue 22

FRAUD & ABUSE: Prosecutors Find Nursing-Home Swallow Tests Hard To Digest

Radiologist faces a 13-count indictment for Medicare fraud.Radiologist Robert Riether and his wife Judith could face stiff prison sentences for fraudulent billing. The U.S. Attorney for the Northern District of Ohio said a federal grand jury had returned a 13-count indictment that said the Riethers billed Medicare more than $6 million, and were paid $3.7 million, for non-covered services.The Riethers allegedly billed Medicare as if Robert Riether had performed modified barium swallow (MBS) tests in his office in Massillon, OH. In fact, he was employed full-time in another town and eventually moved to New Mexico...

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