The Office of the Inspector General (OIG) recently released a report that the government overpaid for over half of reviewed payment requests to Medicare for polysomnography services. Overall, the agency estimates the government overpaid by $269 million for these sleep...
Year: 2019
Autistic care providers accused of health care fraud
Government officials recently charged two women with health care fraud. The case is unique as the charges are the result of allegations connected to the women’s practice providing care for autistic children. Prosecution states autistic services a front for...
Look-back period extended for some Medicare overpayments
The Office of the Inspector General (OIG) recently conducted an audit of Medicare claims for a specific medical device. The agency found the majority of Medicare claims for this device, the positive airway pressure device and associated supplies, did not comply with...
Physician files case against employer, claims breach of contract
Although people go into medicine for more than just a job, those who choose the medical field often still need to navigate the particulars that come with employment. This can include employment contract negotiations. Once an employment contract is put into place, both...
NY medical practice admin pleads guilty to health care fraud
A pain management facility in New York was the subject of a recent federal investigation. The investigation led to two separate indictments. The first involved two chiropractors, a business manager and an administrator. The government charged all four individuals with...
New finding in opioid crackdown: Doctors are just the beginning
A recent investigation delves more deeply into the details of the opioid crisis. It digs into a new area of concern: the courtroom. The investigation focuses on the role of judges in these cases and how they may have missed an opportunity to address this growing issue...
Religion & medicine: How can doctors navigate these conversations?
Medicine and religion can come at odds. The current debate over vaccine exemptions for religious reasons is one current example. As measles outbreaks surge throughout the country, lawmakers and doctors are forced to consider the difficult balance between respecting an...
NY cardiologist charged with healthcare fraud for ECP treatments
Assistant United States Attorneys recently accused a 53-year-old cardiologist of perpetrating a scheme in states throughout the country to defraud the health care benefit programs in exchange for personal profit. Though indicted in Pennsylvania, the physician also...
Link between the college admission scandal and healthcare fraud
The college admission scandal was top of the news headlines just a few weeks ago. The scandal involved members of the Hollywood elite along with other wealthy parents paying bribes to get their children spots in prestigious universities. The fallout of the problem...
Dentist faces over five years imprisonment for health care fraud
Government officials recently charged a dentist with over $1 million in fraudulent charges. After pleading guilty to the allegations, the dentist could find himself spending anywhere from 46 to 57 months in prison.The prosecution has reportedly requested a four-year...

