tci Medicare Compliance & Reimbursement - 2010 Issue 1

INDUSTRY NEWS: Audiologist Lands Behind Bars For 6 Months

Plus: Home health false claims fraud uncovered. Fraud is fraud, no matter how old you are. That's what 88-year-old audiologist Adam John Sortini discovered when he was sentenced Dec. 11, 2009 to six months in prison to be followed by 15 months of home confinement, plus restitution of $100,000 for defrauding the Medicare program from January 1998 to January 2003, when the FBI finally raided his office in Merced, CA. Sortini visited skilled nursing facilities across Northern California and billed for hearing tests that were not reimbursable by Medicare because they were routine in nature and were performed...

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