Medicare Compliance & Reimbursement
WHEN A PATIENT TURNS INTO A WHISTLEBLOWER...
Michigan doctor on the line for more than $500,000. Doctors can't be in two places at once - and trying to be can cost them big time. Dr. Raymond Weitzman recently learned that lesson the hard way, and now will hand over $571,451 to settle allegations that he improperly billed Medicare for the treatment of thousands of nursing home patients. The improper billing spanned a six-year period, from January 1993 through April 1999, according to U.S. Attorney Jeffrey Collins. Among his more grievous billing errors: In a single day, the West Bloomfield, MI physician billed Medicare for treating 103 nursing home patients - although in fact he was aboard an airplane that took off at 10:00 that morning. Similarly, he claimed to treat more than 4,000 patients "during a time when Weitzman notified his disability insurance carrier that he was effectively unable to work" due to a serious head injury he suffered in a bicycle accident, Collins reports. The settlement arises from a whistleblower suit filed by Harriet Marash and her husband, Irving Marash - one of Weitzman's former nursing home patients. Harriet Marash's estate will receive more than $60,000 of the settlement proceeds for tipping off the feds. Weitzman denies all the allegations, and agreed to settle for the sake of putting the matter behind him.
Medicare Compliance & Reimbursement
- HIPAA:
HIPAA SCAMS ON THE RISE
The tell-tale signs of compliance cons - and how to avoid them. From companies offering [...] - Home Health:
HHAs Brace For Scrutiny Of their Patient Outcomes
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COULD BUSH PROPOSE PER CAPITA CAP FOR MEDICAID?
The Bush administration continues urging states to accept its capped-funding plan for Medicaid, but details [...] - Long-Term Care:
CRACKDOWN ON BAD DEBT IS BAD NEWS FOR SNFs
Nursing homes stand to lose thousands of dollars on reimbursement for Medicare bad debt. At [...] - Fraud & Abuse:
HEALTH CARE PROVIDERS STILL UNDER THE GUN
DOJ boast sheet touts record-setting fraud haul. Think health care fraud enforcement is easing up after years [...] - Medicare Reform:
MEDICARE VS. MEDICAID: WHO SHOULD PAY FOR DUAL ELIGIBLES?
The Bush administration continues to believe that people dually eligible for Medicare and Medicaid should [...] - PBMs:
CHARGES PILE ON IN MEDCO WHISTLEBLOWER SUIT
PBM giant faces False Claims Act charges. It was bad enough for pharmacy benefits manager [...] - DME:
HOW ONE SUPPLIER BEAT OFF THE FEDS IN A WHISTLEBLOWER SUIT
A False Claims Act case is on shaky ground when on one is clear on [...] - Physicians:
WHEN A PATIENT TURNS INTO A WHISTLEBLOWER...
Michigan doctor on the line for more than $500,000. Doctors can't be in two places at [...] - BILL WATCH
For the second week in a row, no Medicare or Medicaid bills were introduced in [...] - PROGRAM MEMO ROUNDUP
The Centers for Medicare & Medicaid Services Oct. 1 released the latest round of new [...]
