http://en.redtram.com/ healthcarefraudblog.com Copyright (c) 2009 RedTram. All rights reserved. webmaster@redtram.com (RedTram) en Thu, 17 Dec 2009 05:00:56 GMT 300 100 50 http://en.redtram.com/ http://img.en.redtram.com/rsslogo.gif 241194 | Three State Medicare Fraud Crackdown Underway Today http://en.redtram.com/go/236316424/top100/ 236316424 According to a released this earlier this morning, hours ahead of an official announcement scheduled for later today, arrests were made in Miami, Brooklyn and Detroit. Federal agents are expected to take about 30 suspects into custody from three states Thu, 17 Dec 2009 02:32:39 GMT http://en.redtram.com/go/236316424/top100/ 241194 | The Militaristic Sound of Medicare Fraud Enforcement http://en.redtram.com/go/236263411/top100/ 236263411 Increasingly the manner in which the government promotes its law enforcement efforts in the Medicare arena sound more and more like military operations or even Saturday morning cartoons. The creation of the "Strike Force" known as HEAT, Health Care Fraud Tue, 15 Dec 2009 12:33:28 GMT http://en.redtram.com/go/236263411/top100/ 241194 | Physical Therapist Charges $50 Per Fake File in $5M+ Detroit Area Medicare Fraud Scheme http://en.redtram.com/go/236263390/top100/ 236263390 In one of the recent pleas related to the government's new focus on Medicare fraud in Detroit, a physical therapist and two others pleaded guilty to approximately $2.5 million in Medicare Fraud related to physical and occupational therapy services. Click Tue, 15 Dec 2009 12:33:11 GMT http://en.redtram.com/go/236263390/top100/ 241194 | Doctor Pleads Guilty To Fraud Altering Records For Ambulance Transportation http://en.redtram.com/go/236263376/top100/ 236263376 A Jacksonville physician, Janet Johnson-Hunter, pleaded guilty to altering medical records to justify ambulance transportation of patients. Rather than have the case presented to a grand jury and require the government obtain an indictment, Dr. Hunter-Johnson waived that right and Tue, 15 Dec 2009 12:32:43 GMT http://en.redtram.com/go/236263376/top100/ 241194 | Whistleblower Alleges Drug Salespeople, not Doctors Dictated Dosages of Medicine http://en.redtram.com/go/234023609/top100/ 234023609 In an interesting suit filed against Amgen, the maker of Epogen, as well as two large dialysis clinic chains, Fresenius and Davita, a whistleblower alleges that salespeople for the drug company told clinic operators and physicians working there to prescribe Wed, 02 Dec 2009 06:03:54 GMT http://en.redtram.com/go/234023609/top100/ 241194 | The Political Debate Over Health Reform And Florida , "The Health Care Fraud Capital Of The World" http://en.redtram.com/go/234023582/top100/ 234023582 According to Senator LeMieux of Florida, Florida is the health care fraud capital of the world and instead of reforming health care, the government should be focusing on fixing the current system, particularly targeting fraud waste and abuse. Meanwhile, federal Wed, 02 Dec 2009 06:03:45 GMT http://en.redtram.com/go/234023582/top100/ 241194 | By The Time You Read This You May Have Already Committed Three Crime http://en.redtram.com/go/231754168/top100/ 231754168 The growing issue of the number and vagueness of federal criminal statutes has led to a push back from even conservative groups, disdaining the over criminalization of federal law, leading one author to write a book arguing that each person Wed, 25 Nov 2009 02:16:18 GMT http://en.redtram.com/go/231754168/top100/ 241194 | South Florida Remains the Oxycontin Capital http://en.redtram.com/go/231524507/top100/ 231524507 The federal agents arrested 20 people for a Palm Beach operation that engaged in buying up oxycontin from Broward County pain clinics and pharmacies and shipping those drugs to Tennessee, Kentucky, West Virginia, Virginia and North Carolina . The operation Tue, 24 Nov 2009 02:22:29 GMT http://en.redtram.com/go/231524507/top100/ 241194 | FDA Targets Internet Pharmacy Websites http://en.redtram.com/go/231524477/top100/ 231524477 The FDA recently moved to shut down internet pharmacy "affiliate" websites in the United States . The Ryan Haight Act, passed in 2008 was the first effort to define the lawful and unlawful practice of telemedicine with respect to controlled Tue, 24 Nov 2009 02:22:19 GMT http://en.redtram.com/go/231524477/top100/ 241194 | President Establishes Interagency Financial Fraud Enforcement Task Force http://en.redtram.com/go/231524390/top100/ 231524390 WASHINGTON (November 17, 2009) — Today President Barack Obama established by Executive Order an interagency Financial Fraud Enforcement Task Force (FFETF) to strengthen efforts to combat financial crime. According to a press release, the Department of Justice will lead the Tue, 24 Nov 2009 02:21:15 GMT http://en.redtram.com/go/231524390/top100/ 241194 | W Administration Ignored Warning About Organized Crime Committing Medicare Fraud http://en.redtram.com/go/231261989/top100/ 231261989 Federal officials in charge of preventing fraud in the billion-dollar Medicare program ignored dozens of warnings of criminal activity during the Bush administration, according to by the Associated Press and U.S. Senator Charles Grassley's (R-IA) office.CMS received about 30 tips Sun, 22 Nov 2009 18:37:09 GMT http://en.redtram.com/go/231261989/top100/ 241194 | CMS Efforts To Use Software to Detect Fraud http://en.redtram.com/go/230646128/top100/ 230646128 CMS uses contractors to process claims, but also to use sophisticated software to detect fraud patterns and make referrals for claims denials, audits and criminal investigations. At one time the system was somewhat fragmented, given that there are different contractors Wed, 18 Nov 2009 07:00:33 GMT http://en.redtram.com/go/230646128/top100/ 241194 | FBI, OIG, HEAT How About SFO - "Serious Fraud Office?" http://en.redtram.com/go/230646114/top100/ 230646114 We have done posts on the various monikers given to task forces, including the most recent in healthcare fraud, HEAT (Healthcare Fraud Prevention and Enforcement Team) and the agencies in involved in those investigations; the FBI (Federal Bureau of Investigation), Wed, 18 Nov 2009 07:00:24 GMT http://en.redtram.com/go/230646114/top100/ 241194 | Are Large Corporations Treated Differently? Pfizer $2 Billion False Claims Act Settlement Is Its Second In Six Years http://en.redtram.com/go/230646095/top100/ 230646095 Often, we hear that white collar crime is treated differently than other types of crime. However, it is often who commits white collar crime that brings about different treatment. I had a client indicted for fraud related to a DME. Wed, 18 Nov 2009 07:00:11 GMT http://en.redtram.com/go/230646095/top100/ 241194 | Increased Penalties for Health Care Fraud Likely http://en.redtram.com/go/230143725/top100/ 230143725 Proposals to increase the criminal penalties for health care fraud are making their way into the Senate's health care reform bill. The proposal, The Health Care Fraud Enforcement Act, involves significant increases in potential jail time through modifications of the Fri, 13 Nov 2009 18:50:25 GMT http://en.redtram.com/go/230143725/top100/ 241194 | Medicare Fraud Bumps Workers Comp Fraud Off The Radar? http://en.redtram.com/go/230143718/top100/ 230143718 Budget priorities and redirection of investigations at the state level, has led to a drop off in investigations of workers compensation fraud at a time when such fraud is increasing, according to investigators. The focus on Medicare and Medicaid fraud Fri, 13 Nov 2009 18:50:17 GMT http://en.redtram.com/go/230143718/top100/ 241194 | Whistleblower Lawsuit Alleges Medicare Fraud by Fresenius North America http://en.redtram.com/go/230143698/top100/ 230143698 A Federal False Claims Act Case filed by an employee of a dialysis center owned by Fresenius North America, which has over 1500 clinics serving dialysis patients, alleges that a clinics in El Paso and elsewhere used unlicensed employees to Fri, 13 Nov 2009 18:50:08 GMT http://en.redtram.com/go/230143698/top100/ 241194 | $60 Billion A Year In Medicare Fraud, Where Does That Number Come From? http://en.redtram.com/go/230143674/top100/ 230143674 In a Sixty Miutes piece on Medicare Fraud, reviewed by the HCFBlog , Steve Kroft claimed the government loses $60 Billion to health care fraud. The piece, otherwise quite good, then goes on to describe some of what we have Fri, 13 Nov 2009 18:49:55 GMT http://en.redtram.com/go/230143674/top100/ 241194 | West Publishing to Release White Collar Crime: Health Care Fraud Practice Guide http://en.redtram.com/go/229385967/top100/ 229385967 After 15 long months of hard word work, West Publishing is almost ready to release my book. The book is expected to be released before the end of the month. In the mean while, the publisher just sent me a Tue, 10 Nov 2009 10:58:27 GMT http://en.redtram.com/go/229385967/top100/ 241194 | Health Care Fraud Heads North, But Miami Is Still Home http://en.redtram.com/go/229080215/top100/ 229080215 Part of the Health Care Fraud Task Force initiative in Miami, Houston, Detroit and Los Angeles has met with some success, and not so coincidently some of the cases have Miami roots. The related to a plea in a in Thu, 05 Nov 2009 14:58:25 GMT http://en.redtram.com/go/229080215/top100/