As part of ongoing coverage of healthcare fraud, CBS News delves into the case of The SCOOTER Store, a power wheelchair company that overbilled Medicare by $108 million. FROM CBS NEWS: The issue is that once a doctor has written a prescription, Medicare rarely verifies whether the chairs are actually necessary. The problem was crystallized when the Inspector General of the Department of Health and Human Services released this report, finding that industry-wide, 80 percent of Medicare payments for power […]
The American Coalition for Healthcare Claims Integrity (ACHCI) today announced the launch of a new website, ProperPayments.org, that highlights the ongoing work of government accountability programs and private sector partners in the fight against waste, fraud and abuse in the nation’s healthcare system. Founded in 2009, the American Coalition for Healthcare Claims Integrity (ACHCI) is a non-profit organization committed to achieving 100% accuracy in payment claims submitted to public and private sector healthcare payors. The coalition’s mission is to educate […]
From the FBI website: Manhattan Doctor Pleads Guilty to $8.5 Million Medicare Fraud Scheme Preet Bharara, the United States Attorney for the Southern District of New York, announced that Dr. Roberto Aymat, a medical doctor, pled guilty today in Manhattan federal court to participating in a scheme to defraud Medicare out of approximately $8.5 million through the use of fraudulent HIV/AIDS clinics in New York. As part of the scheme, Aymat and others billed Medicare for medications that were […]
Recently, 60 Minutes investigated Health Management Associates, the fourth largest for-profit hospital chain in the country. An estimated $210 billion a year goes toward unnecessary tests and treatments, with a large chunk of those tests being billed to Medicare and Medicaid programs. Watch the story to learn more about widespread fraud in the system.