PHOENIX – The 9th U.S. Circuit Court of Appeals has voided a cost-saving bid by Arizona’s Medicaid program to deny incontinence briefs to adults who need them.
WASHINGTON – Nationwide, Medicaid Fraud Control Units (MFCU) in 2013 secured 1,341 criminal convictions and 879 civil settlements and judgments in cases involving Medicaid fraud and patient abuse and neglect, according to a report from the Office of Inspector General (OIG).
WASHINGTON – The Medicare Strike Force set record numbers for healthcare prosecutions last year, the U.S. Department of Justice (DOJ) announced Jan.27.
NEW ORLEANS – Robert Shea and Mark Franz, owners of a pair of Kansas-based diabetic supply companies, will pay the government $7 million to settle allegations of fraud, U.S. Attorney Kenneth Allen Polite, Jr., announced Oct. 22.
LOS ANGELES – The owner of a medical equipment supply company has been sentenced to 87 months in prison for a power wheelchair scam that defrauded Medicare out of $11 million, according to local news reports.
WASHINGTON – A bill that would require Medicare to pay only licensed providers for orthotics and prosthetics (O&P) is a proverbial hat trick, say stakeholders.
PITTSBURGH – A DME saleswoman was indicted Sept. 17 for fraud related to $400,000 she billed to Medicare for air mattress sales prosecutors say were based on false and forged documents.
WASHINGTON – The Office of Inspector General’s (OIG’s) Senior Medicare Patrol project was responsible for recovering $6 million in funds in 2012, according to a new report.
MCALLEN, Texas – The owner of a now defunct DME business has been ordered to prison for his role in a scheme to defraud Medicare and Medicaid through fraudulent billing, according to a press release from the U.S. Attorney’s Office for the southern district of Texas.
WASHINGTON – The Office of Inspector General (OIG) recommends that CMS review and revise the replacement schedule for CPAP supplies in a report published today (June 26).
