Stark Act and Anti-Kickback Statute-News, Guidance and Analysis
After a three-week trial, a Detroit federal jury convicted Jose Castro-Ramirez, MD on 13 counts in connection with an $18.3 million Medicare fraud scheme, according to a news release from the OIG's office.
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CMS and other federal agencies will expand use of payment recapture audits, currently used by recovery audit contractors, and thereby double the amount of recovered costs previously projected, according to a release by the White House.
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Manuel Anthony Puig and his wife Romelia Sanchez Puig, both of Edinburg, Texas, were indicted by a federal grand jury for healthcare fraud, mail fraud and conspiracy to commit healthcare fraud, according to a news release from the U.S. Attorney's Office for the Southern District of Texas.
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A new bill proposed in the Florida legislature would give the state's attorney general power to investigate private managed care companies that administer Medicaid, according to a report in the South Florida Business Journal.
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Abdul Naushad, MD, his wife, their six pain management clinics and their billing company have agreed to pay $820,000 to resolve civil Medicare fraud allegations, according to an announcement by the U.S. Attorney's Office for the Eastern District of Missouri.
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Robert E. Alick, the operator of a used medical equipment sales business and resident of Chagrin Falls, Ohio, pleaded guilty today to five counts of mail fraud, one count of wire fraud and one count of corruptly endeavoring to obstruct the administration of the Internal Revenue laws in a scheme to defraud six hospitals, according to a release from the Department of Justice and the IRS.
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Houston residents Bassey Monday Idiong, Linda Eteimo Ere Kendabie and Modupe Babanumi each have pleaded guilty in connection with their roles in an "arthritis kit" Medicare fraud scheme, according to a U.S. Department of Justice news release.
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Christiana Care Health System in Wilmington, Del., has agreed to pay $3.3 million to settle claims made by a whistleblower that the health system allegedly paid kickback to neurologists for referring patients to its Wilmington hospital, according to a report in The News Journal.
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George Steven Kooshian, an AIDS physician based in La Quinta, Calif., was sentenced to 15 months in federal prison after pleading guilty to federal healthcare fraud charges for "subdosing" patients by administering doses of medicine that contained less than the prescribed amount of medication that the patients were supposed to receive, according to a news release from the Department of Justice.
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Testimony has ended in a trial over the proposed sale of Hemet, Calif.-based Valley Health System to Physicians for Healthy Hospitals, which alleges that the physician group influenced appraisers in their evaluation of the hospital district's assets, according to a report in The Press-Enterprise.
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