News and Commentary

False Claims Act: Cabrini Medical Center (US Attorney Press Release)

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United States Attorney
Southern District of New York
FOR IMMEDIATE RELEASE
DECEMBER 6, 2005

UNITED STATES INTERVENES IN FALSE CLAIMS ACT LAWSUIT
AGAINST CABRINI MEDICAL CENTER ALLEGING ILLEGAL
MEDICAID PATIENT REFERRAL SCHEME

MICHAEL J. GARCIA, the United States Attorney for the Southern District of New York, announced today that on December 2, 2005, the Government filed a civil complaint against CABRINI MEDICAL CENTER (“CABRINI”). The complaint alleges that CABRINI entered into an illegal patient referral scheme with APPLIED CONSULTING, INC. (“CONSULTING”), and then falsely billed Medicaid for the care of these illegally-referred patients. CABRINI also allegedly billed Medicaid for alcohol and substance abuse detoxification treatment that it was not certified to provide.

Dentist gets 5 years, must repay $827,000

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The Southern Illinoisan

BY Jim Muir
THE SOUTHERN

BENTON - Benton dentist Dr. W. David Rommel was sentenced to 63 months in federal prison and ordered to repay $827,000 to the Illinois Department of Public Aid during a sentencing hearing Tuesday morning in U.S. District Court in Benton.

Panel recommends additional Medicaid oversight (Wichita Business Journal)

News and Commentary

Panel recommends additional Medicaid oversight - 2005-11-23 - Wichita Business Journal

Jerry Siebenmark

A special Kansas legislative panel says the state should establish an independent inspector general for Medicaid, Kansas’ health insurance program for low-income citizens.

Man cheated hospital of £8,000

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icSurreyOnline - Man cheated hospital of £8,000 with false timesheets

Nov 23 2005

A MAN who tried to fleece the NHS out of more than £8,000 was given a three-month suspended sentence this week.

Nursing home figure enters not guilty plea in fraud case (St. Louis Post)

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STLtoday - News - St. Louis City / County

Nursing home figure enters not guilty plea in fraud case
By Peter Shinkle
ST. LOUIS POST-DISPATCH
11/22/2005

Robert D. Wachter, the former operator of a chain of nursing homes in the St. Louis area, pleaded not guilty Tuesday to charges that he conspired to defraud the government by providing substandard care at his facilities.

Hospitals say anti-fraud exemptions too narrow to spur IT use (Healthcare IT News)

News and Commentary

Hospitals say anti-fraud exemptions too narrow to spur IT use

“WASHINGTON — Proposed Medicare rules designed to remove legal barriers to the donation of e-prescribing and electronic health records don’t go far enough, according to some hospital leaders and healthcare providers.

Doctor Receiving TennCare Benefits?

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NASHVILLE – A Franklin County medical doctor has been charged with TennCare fraud. The Office of Inspector General (OIG) today arrested Dr. Floyd Brown, 54, an osteopathic specialist, of Estill Springs. He is charged with two counts of TennCare fraud for making false statements and concealing income information from TennCare. Read Press Release

Nursing home fraud alleged in indictments (Jefferson City News Tribune)

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Nursing home fraud alleged in indictments (Jefferson City News Tribune) - ST. LOUIS (AP) - A federal grand jury returned indictments Thursday on charges that several nursing home operators conspired to defraud Medicare and Medicaid by collecting payments for services they did not provide to their residents.

Redding Cardiologists Agree to Pay Millions in Settlement

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Press Release from: McGregor W. Scott, United States Attorney, Eastern District of California

FOR IMMEDIATE RELEASE Contact: Patty Pontello, 916-554-2706
November 15, 2005

DOCTORS ACCUSED OF PERFORMING UNNECESSARY HEART SURGERIES AT REDDING MEDICAL CENTER AGREE TO PAY MILLIONS TO SETTLE FRAUD ALLEGATIONS AND ACCEPT RESTRICTIONS ON THEIR MEDICAL PRACTICE

  • The Agreement Preserves the Right to Revoke the Doctors’ Licenses and Exclude Them From the Medicare Program.
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