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Two Cases Uncover $49 Million Fraud
Two individuals have pleaded guilty in the case of a Miami health care agency’s acts of health care fraud. Marietha Morales, 38, and Eduardo Saborit-Dominguez, 48, each face up to 10 years in prison. Under a federal endictment, Morales and Saborit-Dominguez were charged with conspiring to bill Medicare for unnecessary home health care and therapy [...]
Continue reading...More than $4 Million in Fraudulent Charges Uncovered
23. January 2012
The Department of Health and Human Services, Office of the Inspector General (HHS-OIG), with the collaboration of the United States Secret Service (USSS) and the Federal Bureau of Investigation (FBI) has uncovered a massive health care fraud operation that led to the arrests of 10 people. They include the presidents and employees of four medical organizations, [...]
Continue reading...Woman Pleads Guilty in $200 Million Medicare Fraud Case
20. January 2012
The Department of Justice, the FBI and the Department of Health and Human Services (HHS) together have been investigating the case of $200 Million in fraudulent claims to Medicare under the guidance of American Therapeutic Corporation (ATC); its management company, Medlink Professional Management Group Inc.; and the American Sleep Institute (ASI). Involved in the scheme [...]
Continue reading...Reading Your Medicare Statement is a Necessary Practice
21. December 2011
Detecting Medicare fraud is more easily done when recipients are proactive about trying to avoid it. One of the best ways to do that is to pay close attention to the statements that are sent by Medicare every few months. The following excerpt from the Illinois Senior Medicare Patrol Program highlights some of the red [...]
Continue reading...OIG Seeks Public Assistance to Capture Health Care Fugitives
6. December 2011
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The U.S. Department of Health and Human Service’s Office of Inspector General (OIG) is currently looking for more than a hundred healthcare fugitives who are charged with defrauding Medicare and Medicaid out of 400 million dollars. OIG’s most wanted fugitives website highlights the top criminals on its list. Visitors to the website can view photos and read descriptions [...]
Continue reading...Webinar on Medicare Fraud Now Available
30. November 2011
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This month, GeorgiaCare offered a free webinar to seniors with questions about Medicare. The show took live calls through a phone bank, and qualified panelists answered questions about Medicare and Medicaid services, Medicare fraud and other scams. While some answers may be Georgia-specific, the webinar offers excellent information for anyone with similar questions. The broadcast [...]
Continue reading...Alabama Firm Charged with Fraud
30. September 2011
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The feds have launched a Medicare Fraud case against Alabama-based SouthernCare. Just two years ago, SouthernCare settled another fraud suit in its home state for nearly $25 million. This time, a former employee filed the suit using the False Claims Act after federal officials refused to pursue charges, Madison.com reports. From the story: Karina Christensen [...]
Continue reading...Task Force Nabs 91 in Multi-Million Dollar Medicare Fraud Case
8. September 2011
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The Medicare Fraud Strike Force struck hard last week week in eight American cities, arresting 91 people for bilking the federal government for more than $295 million. It was the largest dollar amount associated with a takedown in the history of the task force. According to a statement from the Department of Health and Human Services: [...]
Continue reading...Prepare for Medicare Part D Enrollment
28. August 2011
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The time to join or change Medicare Part D plans is near. This year’s Medicare Part D annual enrollment period is scheduled from Oct. 15 through Dec. 7. It is only during this time that beneficiaries can switch, join or drop plans. New plans go into effect on Jan. 1, 2012. For more information on [...]
Continue reading...Wisconsin SMP Saves Family Thousands
4. August 2011
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Excerpt from the July Fraud Alert newsletter. Download the full newsletter here. An adult daughter received a suspicious bill ($7,000) from a hospice provider, located in another state, for hospice services her mother received while residing in a Medicare certified skilled nursing facility. The bill arrived approximately six months after her mother passed away. The [...]
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30. January 2012
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