Fraud & Abuse: SENTENCING APPEAL CAN'T SAVE SUPPLIER
The turning point in the campaign against health care fraud and abuse - the August 1996 effective date of the anti-fraud provisions of the Health Insurance Portability and Accountability Act - has taken on a uniquely personal significance for a durable medical equipment supplier convicted of health care fraud.Joyce Lee Hickman was sentenced to more than 17 years in prison for billing Medicare and other insurers for DME that was never prescribed and inpatient doctor visits and other services that never actually happened. She was also ordered to pay more than $9 million in restitution on the bogus...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: