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Fraud

Fingerprint checks under way

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08/22/2014

WASHINGTON – CMS began requiring fingerprint-based background checks for certain providers on Aug. 6, according to an MLN Matters article.

In brief: Court protects access to incontinence supplies, Quantum Rehab buys Stealth Products

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05/16/2014

PHOENIX – The 9th U.S. Circuit Court of Appeals has voided a cost-saving bid by Arizona’s Medicaid program to deny incontinence briefs to adults who need them.

Medicaid fraud units secure thousands of convictions

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03/11/2014

WASHINGTON – Nationwide, Medicaid Fraud Control Units (MFCU) in 2013 secured 1,341 criminal convictions and 879 civil settlements and judgments in cases involving Medicaid fraud and patient abuse and neglect, according to a report from the Office of Inspector General (OIG).

Medicare fraud efforts pay off

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01/28/2014

WASHINGTON – The Medicare Strike Force set record numbers for healthcare prosecutions last year, the U.S. Department of Justice (DOJ) announced Jan.27.

Government announces $12M Medicare fraud settlement

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10/23/2013

NEW ORLEANS – Robert Shea and Mark Franz, owners of a pair of Kansas-based diabetic supply companies, will pay the government $7 million to settle allegations of fraud, U.S. Attorney Kenneth Allen Polite, Jr., announced Oct. 22.

Pastor sentenced to seven years for Medicare fraud

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10/21/2013

LOS ANGELES – The owner of a medical equipment supply company has been sentenced to 87 months in prison for a power wheelchair scam that defrauded Medicare out of $11 million, according to local news reports.

Bill seeks to curb O&P fraud

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09/20/2013

WASHINGTON – A bill that would require Medicare to pay only licensed providers for orthotics and prosthetics (O&P) is a proverbial hat trick, say stakeholders.

Woman indicted for fraudulent air mattress sales

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09/18/2013

PITTSBURGH – A DME saleswoman was indicted Sept. 17 for fraud related to $400,000 she billed to Medicare for air mattress sales prosecutors say were based on false and forged documents.

Senior Medicare Patrol saves $6M

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07/22/2013

WASHINGTON – The Office of Inspector General’s (OIG’s) Senior Medicare Patrol project was responsible for recovering $6 million in funds in 2012, according to a new report.

DME provider sentenced to prison

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07/12/2013

MCALLEN, Texas – The owner of a now defunct DME business has been ordered to prison for his role in a scheme to defraud Medicare and Medicaid through fraudulent billing, according to a press release from the U.S. Attorney’s Office for the southern district of Texas.

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