Hospital System that ‘Falsely Diagnosed’ Sleep Apnea to Pay $1M Settlement
Cincinnati.com: The US Attorney's Office alleges that Mercy Health made medically unnecessary claims for machines used to treat sleep apnea.
Category: Fraud & Malpractice
Fraud & Malpractice
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LatestCareCentrix Partners with Performant to Reduce Fraud, Waste, Abuse in Home Health Care
CareCentrix has partnered with Performant Financial Corporation to offer health care payors stronger mechanisms to identify and decrease waste and fraudulent insurance claims in home health care and durable medical equipment...
Fraud & Malpractice
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Family of California Girl Left Brain Dead After Tonsillectomy Sues Hospital
Jahi McMath’s family is suing the surgeon and hospital who performed a tonsillectomy to cure her sleep apnea, Reuters reports. The lawsuit, filed in Alameda County Superior Court by McMath’s mother, stepfather and...
Read MoreThe Employment Law Group Law Firm Helps Florida Whistleblower Win Settlement
Whistleblower Donna Nichols will receive 20% of nearly $300,000 repaid to taxpayers in the US government’s settlement of fraud claims against a Florida sleep-disorder clinic. The clinic was accused of pretending to...
Read MoreCorporate Whistleblower Center Launches New Initiative Involving Sleep Clinic Medicare Fraud
Following on the heels of the US settling false claim allegations against a Florida sleep clinic, consumer advocacy group Corporate Whistleblower Center issued a press release urging employees of sleep clinics to contact the...
Read MoreClinic Gets 8-year Timeout for Fraud
The most significant disorder at one sleep center was fraud. It recently brought to light by the Department of Justice, reports the Washington Examiner. A Florida clinic that performed medically unnecessary tests on patients to...
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Answers to the Questionable PSG Billing Report Released by the OIG
Sleep testing is clearly on the OIG’s radar. A recently released report by the agency identified nearly $17 million in questionable billing for PSG services. A lawyer analyzes the OIG’s report and provides recommendations you can implement today.
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HHS Would Increase Rewards for Reporting Fraud to Nearly $10 Million
A proposed rule would increase rewards paid to Medicare beneficiaries and other individuals whose tips about suspected fraud lead to the successful recovery of funds.
Read MoreAmerican Sleep Medicine Pays $15.3M to Settle Medicare Fraud Allegations
The Florida-based sleep testing company allegedly billed Medicare and other federal health care programs illegally.
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OIG Refuses to Grant a Stark Waiver for Physician Dispensing
Office of Inspector General of the US Department of Health and Human Services rejects a request for waiver of the Stark Law to permit sleep specialists to dispense Medicare CPAP to their patients.
Read MoreThirty Percent of Health Spending Wasted
America’s health care system has become too complex and costly to continue business as usual, says a new report from the Institute of Medicine. Inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progre
Read MoreMedicare Imposes Stronger Protections on Medical Equipment Suppliers
The Centers for Medicare and Medicaid Services (CMS) today issued a final rule representing another step to increase protections for Medicare and beneficiaries from potentially fraudulent suppliers of durable medical equipment, prosthetics, ort
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Billing Under the Watchful Eye
Knowledge and diligence pay off in the world of coding and reimbursement.
Read MoreObama Unveils New Effort to Crack Down on Waste and Fraud
President Barack Obama introduced a new effort to crack down on waste and fraud in Medicare, Medicaid, and other government programs through the expanded use of payment recapture audits. The initiative is the latest component in President Obama&
Read MorePresident Obama’s Health Care Proposal Would Crack Down on Fraud and Abuse
Prior to the much hyped televised health care debate that took place on February 25, President Obama spelled out his objectives for health care reform. The plan would make health care more affordable, make health insurers more accountable, expan
Read MoreSenator Introduces Bill to Crack Down on Health Care Fraud
Sen Ted Kaufman (D-Del), a member of the Senate Judiciary Committee, introduced the Health Care Fraud Enforcement Act of 2009 (S 1959), according to an announcement on the Senator’s Web site. The legislation would further strengthen the gover
Read MoreNew Team Promises to Reduce Medicare Fraud
Health and Human Services (HHS) Secretary Kathleen Sebelius, along with US Attorney General Eric Holder, announced the creation of the Health Care Fraud Prevention and Enforcement Action Team (HEAT), an interagency effort designed to prevent Medica
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