tci Medicare Compliance & Reimbursement - 2014 Issue 24

Industry Notes: 'No Show' Physician Faces 5 Years in Prison Over $13 Million Scheme

A Brooklyn, NY healthcare clinic was raking in cash over the past several years, despite the fact that investigators say its medical director wasn’t even on site to perform the services being billed to Medicare and Medicaid. The doctor pleaded guilty last week to his role in submitting over $13 million in fraudulent claims to government insurance plans between 2009 and 2012. Although the physician wasn’t at the clinic, the facility billed the services to Medicare and Medicaid under his provider number since he was the medical director, the Department of Justice (DOJ) said in a Dec...

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:
  • tci Medicare Compliance & Reimbursement +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!