The government has continued its crackdown on health care fraud, as exhibited by the dozens of arrests and criminal charges from the month of September. Examples include:
The Department of Justice (DOJ) recently announced charges against diagnostic labs that were allegedly part of a health care fraud scheme involving the use of genetic testing. The agency claims the tests were sold to seniors, with promises the results would provide information about a predisposition to cancer. The DOJ states the tests were either medically unnecessary or not covered by Medicare.
The Office of Inspector General with the United States Department of Health and Human Services (HHS) recently released a consumer alert to warn the public about a potential health care fraud scheme.
The United States Attorney’s Office recently charged a psychologist with health care fraud. The prosecution stated the psychologist provided false claims for payment to Medicare and private insurance companies from 2011 through 2018. According to the indictment, the psychologist never provided the billed services.
Over twenty rural Texas hospitals have closed in recent years. The most recent to join this growing number of closures is a hospital that operated in the state since 1949.
MD Anderson Cancer Center is known throughout the country for its cancer treatment. This facility often takes on some of the most difficult cancer cases in the country. The cancer center’s reputation recently took a hit after a government agency conducted multiple investigations and found “serious care deficiencies.”
Does health insurance impact whether a child will get emergency medical care? According to researchers who recently finished a study into the matter, if the child has a mental disorder then the answer is a resounding yes. The researchers reviewed 9,081 acute mental health emergency department (ED) visits. Based on a review of this data, the researchers found children without insurance were much more likely to get transferred compared to children who were covered by a private insurance policy.
The Texas Attorney General recently accused a faith-based health care provider of fraud. The state alleges the organization collected thousands of dollars in policy payments for coverage it deemed “worthless.” The allegations led the Attorney General to file a restraining order against the company to keep it from signing up new members from the state of Texas.
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.
A Texas man accused of health care fraud chose to skip a jury trial and accept a plea deal offered by the prosecution. The state accused the man of falsely submitting claims to Medicare and Medicaid under his father’s name.