Medicare Compliance & Reimbursement
Prosecutors Find Nursing-Home Swallow Tests Hard To Digest
Radiologist Robert Riether and his wife Judith could face stiff prison sentences for fraudulent billing. The U.S. Attorney for the Northern District of Ohio said a federal grand jury had returned a 13-count indictment that said the Riethers billed Medicare more than $6 million, and were paid $3.7 million, for non-covered services.
The Riethers allegedly billed Medicare as if Robert Riether had performed modified barium swallow (MBS) tests in his office in Massillon, OH. In fact, he was employed full-time in another town and eventually moved to New Mexico during that time period. Instead, the Riethers allegedly paid a contract doctor, a speech therapist and a driver to travel to nursing homes and administer the tests. Medicare won't pay for MBS tests performed in nursing homes.
Prosecutors say the Riethers also billed for spot X-rays and other services that weren't ordered by any physician.
Medicare Compliance & Reimbursement
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