Scripps Health, a health care system based in San Diego, has agreed to settle federal False Claims Act allegations for $1.5 million. The Department of Justice accused the system of allowing unauthorized physical therapists to bill Medicare and TRICARE.
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.
Few people savor being cast in the role of David in a battle with Goliath. But just as the ancient story turned out favorably for the underdog, so too do more modern tales.
A recent sentence handed out by a federal judge in the Southern District of Texas has legal experts puzzled, news outlets report. The defendant is a 53-year-old Sugar Land mother of twin 7-year-old boys who had been found guilty of Medicare fraud in what has been described as a "relatively routine case."
It takes about four hours to drive north from Austin to Frisco, Texas. We are not sure how long it would take to walk those 220 miles, but we're pretty certain that you might need to visit a podiatrist after you arrive.
When it comes to health care fraud, ignorance of the law will not save you. You may think you are safe because you are an honest professional with a qualified billing department. However, errors can lead to investigations, and even if nothing turns up, it can hurt your practice's reputation and finances.
As our regular Austin legal blog readers know, we have more than once written about the ongoing case of a 60-year-old Dallas-area doctor. People across Texas have been wondering when the hammer would fall on Jacques Roy and how hard it would hit.
Two Austin psychologists and a Houston physician are among the more 35 Texans charged in what federal prosecutors say is the largest medical fraud investigation in the Department of Justice's history. More than 400 people nationwide are accused of improperly prescribing and distributing opioids and other powerful drugs.