Health Care Fraud Report Index-Summary

BILLING

– AIDS and HIV

– – Clinic owner found guilty (S.D. Fla.), 616
– – Drugs, guilty pleas (S.D. Fla.), 343

– Ambulance services

– – Dallas, manager pleads guilty (N.D. Tex.), 294; owner pleads guilty, 843
– – Houston, owners sentenced (S.D. Tex.), 663
– – Unnecessary transports, executive sentenced (S.D. Tex.), 511

– Arthritis injections administered improperly, charges settled (D. Conn.), 803
– Cancer drugs not provided, doctor pleads guilty (C.D. Cal.), 341
– Cardiologist sentenced (N.D. Ill.), 701; civil charges settled, 807
– Chiropractors

See CHIROPRACTIC SERVICES

– Clinics

– – Lymphatic therapy (11th Cir.), 166
– – S. Fla., six people charged in $13M scheme (S.D. Fla.), 342; brothers plead guilty, 659; employee and nurse plead guilty, 701

– Dentists

– – “Free” checkups at public schools, guilty plea, 393
– – Medicaid, indictment (Mass. Super. Ct.), 258
– – Unlicensed personnel, oral surgeon indicted (S.D. Tex.), 580
– – Unperformed services, conviction (S.D. Tex.), 806

– Dermatologists

– – Resentencing ordered (9th Cir.), 698
– – Revoked billing privilege upheld (D. Mass.), 421

– DME

– – Adult diapers

– – – Firm owner indicted (S.D. Tex.), 171; pleads guilty, 344; sentenced, 757
– – – Houston, federal grand jury indictments (S.D. Tex.), 577

– – Artificial limbs, diabetic supplies (S.D. Tex.), 171
– – Dearborn, ex-owner sentenced (E.D. Mich.), 746
– – Wheelchairs

See WHEELCHAIRS

– Foot care clinic, unqualified staff, podiatrist sentenced (S.D. Tex.), 512
– Home health care

– – Fla., three defendants sentenced (S.D. Fla.), 798
– – Paycheck fraud, Cal. reform needed, report, 301

– Hospitals

– – Discovery of DOJ memos (D. Idaho), 169
– – Floating Hospital, NYC nonprofit, settles charges (S.D.N.Y.), 506
– – Kyphoplasty, nine facilities settle claims, 407
– – Nonphysicians, settlement (E.D. Mich.), 28
– – Outlier billing claims, settlement, 744
– – Philadelphia facilities resolve claims, 657

– Improper payments to federal agencies

See LEGISLATION, FEDERAL, S 1508

– Infusion therapy

– – AIDS patients

See AIDS and HIV, this heading

– – Fla. doctor sentenced (S.D. Fla.), 166
– – J&F Community Med. Center., owner pleads guilty (S.D. Fla.), 752
– – Project New Hope clinic, conviction affirmed (11th Cir.), 506
– – Rehabilitation center, employee pleads guilty (E.D. Mich.), 345

– Kytril and Zofran, price inflation alleged, settlement, 760
– Medicaid, nationwide crackdown leads to $251M in fraud charges, 606
– Medical devices

– – Custom braces, firm owner arrested (Ala. Cir. Ct.), 762
– – Mail fraud, Denver, officers indicted (D. Colo.), 847

– Medicare Advantage (MA), Fla. resident with Tenn. firm indicted (M. D. Tenn.), 797
– Mental health

– – Field trips, director sentenced (D. Idaho), 454
– – Lying to FBI about billing practices, psychiatrist pleads guilty (E.D. Mo.), 845
– – Owner of services firm sentenced (E.D.N.C.), 757
– – Pre-sentence report, calculation of losses remanded (6th Cir.), 614

– Military treatment centers, wholesale drug distributors, charges settled, 572
– N.Y. insurance plan, reimbursement, 180
– Orthopedic surgeon, guilty plea (D.N.J.), 222
– Pediatrician settles Mo. charges, 812
– Pharmacists

– – Fla., Medicare scheme, sentence (S.D. Fla.), 695
– – Technician, guilty plea (N.D. Ala.), 616

– Physical therapy

– – Comparative billing reports, CMS program begun, 690
– – False claims, $1.8M settlement for firm, 590

– Rehabilitation facilities, inpatient, coding errors, IG, 570
– Social service employees sentenced (E.D. Pa.), 515
– Standing, billing for test not performed, suit dismissed (S.D. Ohio), 758
– Test results falsified, doctors indicted (E.D. Cal.), 457
– Unlicensed provider charged with fraud (D. Colo.), 621
– Urine drug tests, Mass. labs

– – Clinical Science, settlement, 762
– – Life Labs., settlement, 177

– Vitamin marketing probed by Regence Blue Cross, 428
– Wheelchairs

See WHEELCHAIRS

– Zone Program Integrity Contractors

– – CMS contractors, GAO sustains two protests, 202
– – Preventing fraud discussed at forum, 814
– – Probe, Insight, 188
– – Unaccounted Medicare overpayment referrals, IG, 411

BRIBERY

– FCPA

– – Life sciences firms warned of violations, 448
– – Medical devices industry target for prosecutions, lawyer says, 792

– “Honest-services” fraud law covers only bribery and kickbacks (U.S., aff. vac and rem), 550; implications of ruling, Insight, 594
– Psychiatric facility, CEO and doctor sentenced (N.D. Ill.), 30; ex-director sentenced, 172
– Rituxan, off-label use allegations (E.D. Pa.), 508; whistleblower denied access to grand jury transcripts, 841

BUDGET, U.S.

See specific agencies and departments