A recent article in a home health care industry publication lays out a compelling argument against a bounty system that punishes individuals and companies that have done nothing wrong. Their "crimes" are often little more than bookkeeping errors, insufficient documentation or simply being in the wrong place at the wrong time and getting pulled into one of many investigations launched in pursuit of big paydays from whistleblower lawsuits.
In a fact sheet released last year, the Obama administration touted its efforts in "reducing fraud, waste, and abuse across the government." But many observers believe the federal government still isn't doing enough to prevent fraud in Medicare and Medicaid.
Being a nurse is a difficult job. As you work to take care of patients and save lives every day, you may have concerns about losing your license. Disciplinary action by the Texas Board of Nursing (BON) can be scary to think about. But what actually leads to investigations and license suspensions?
A 52-year-old Texas woman was recently sentenced to serve 10 years in a federal prison and ordered to pay more than $23 million in restitution to Medicaid and Medicare. The FBI said the sentence was the last to be handed down in "a massive health care fraud case" run by Dr. Jacques Roy.