Advanced Search

Medicare Compliance & Reimbursement

Industry Notes:

Florida Fraudsters Steal Identity of Legitimate Therapist to Bilk Medicare Out of Thousands

Published on Wed Jun 08, 2011

Practitioners may be keeping an eye on their patients' data to ensure that no one steals beneficiaries' identities -- but it's also smart to keep your providers' identities secure. One physical therapist learned that the hard way after two Florida residents pleaded guilty last week in a scheme to defraud Medicare. The fraudsters bought a therapy practice and indicated that they planned to provide physical therapy to Medicare patients. However, they stole the identity of a legitimate PT to submit claims to Medicare. In addition, they stole Medicare data from people that they knew so they could send claims to Medicare on those patients' behalf, to the tune of $757,654, a June 10 Department of Justice press release notes. After pleading guilty, the fraudsters each face up to 10 years in prison and a $250,000 fine. To read the complete press release, visit www.justice.gov/opa/pr/2011/June/11-crm-763.html. Tip: Treat your physician data, including [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Medicare Compliance & Reimbursement

View All