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Whistleblower details alleged fraud at Lincare


CLEARWATER, Fla. – A former employee says Lincare has been knowingly defrauding the government of millions of dollars by allegedly billing false claims to Medicare.

Texas providers charged with healthcare fraud


MCALLEN, Texas – Federal charges have been filed against two DME owners for allegedly defrauding Texas Medicaid/Medicare through false billings, the Southern District of Texas U.S. Attorney’s Office has announced.

OIG certifies CMS’s fraud savings


WASHINGTON – The Office of Inspector General has certified $133.2 million of actual and projected savings from CMS’s Fraud Prevention System, a return of investment of $2.84 for every dollar spent on the system.

CMS uses data to thwart $820M in fraud


WASHINGTON – CMS’s Fraud Prevention System has identified and prevented $820 million in inappropriate payments in three years of use, the agency announced today.

Gov’t announces ‘largest takedown in history’


WASHINGTON – A nationwide sweep led by the Medicare Fraud Strike Force has resulted in charges against 243 individuals, including 46 doctors, nurses and other licensed medical professionals.

Fingerprint checks on way for Medicaid


WASHINGTON – Providers who CMS considers to be at high risk of defrauding Medicaid should expect fingerprint-based background checks on Aug. 1, the National Law Review reports.

OIG report includes DME items


WASHINGTON – The Office of Inspector General included in its semiannual report to Congress a recommendation that the New York Medicaid program could have saved an estimated

Bill raises standards for O&P


WASHINGTON – Sens. Chuck Grassley, R-Iowa, and Mark Warner, D-Va., introduced a bill on March 23 that would apply accreditation and other standards for orthotics and prosthetics to help guarantee product quality and reduce fraud in the Medicare program.

Fraud efforts recover $3.3B


WASHINGTON – The government’s healthcare fraud prevention and enforcement efforts recovered $3.3 billion in taxpayer dollars in fiscal year 2014, the Justice and Health and Human Services departments an

Fingerprints slow Medicare application process


WASHINGTON – There have been delays in processing new Medicare applications for DME providers due to CMS’s new fingerprinting initiative, the Midwest Association for Medical Equipment Services (MAMES) reports.