Medicare Fraud News, Breaking Headlines and Insight from the Qui Tam Perspective
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Executives and employees at WellCare Health Plans Inc. engaged in an elaborate scheme to defraud the Florida Medicaid program and the Florida Healthy Kids Corporation, according to a press release by the U.S. Department of Justice. In order to avoid a health care fraud conviction on these charges WellCare must, among other things, consent to [...]
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R&I Billing was charged with fraudulently billing Medicare $170 million for infusions of HIV drugs. The scheme worked as follows: “From roughly October 2002 through April 2006, HIV clinics in South Florida serviced by R&I Billing allegedly provided bills to Medicare that indicated patients were being injected with excessive amounts of HIV medications…Based on claims [...]
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Federal officials have documented in excess of $140 million in Medicare fraud in South Florida alone. With 38 arrests in a recent sting operation, the government has said it will take a closer look at other providers of medical equipment. Health and Human Services Mike Leavitt has said that increased enforcement efforts nationally could save [...]
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CMS recently announced multiple accomplishments and projects, all designed to reduce fraud and abuse: the Los Angeles office of CMS revoked the billing numbers of 117 providers who had presented false claims or suspicious business operations, saving $200 million, editing the system to stop payment on claims using billing numbers from deceased providers saved another [...]
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