BOSTON – The United States Attorney’s Office announced today that CareWell Urgent Care Centers of MA, P.C., CareWell Urgent Care of Rhode Island, P.C., and Urgent Care Centers of New England Inc. (CareWell), the owners and operators of urgent care centers located throughout Massachusetts and Rhode Island, have agreed to pay $2 million to resolve … Read more
Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Wednesday, August 2, 2017 Attorney General Jeff Sessions today announced the formation of the Opioid Fraud and Abuse Detection Unit, a new Department of Justice pilot program to utilize data to help combat the devastating opioid crisis that is ravaging families and communities across America. … Read more
In what Atty. Gen. Jeff Session is characterizing as the largest Health Care Fraud Enforcement Action in Department of Justice history, the Medicare Fraud Strike Force brought charges on July 13, 2017, involving 412 charged defendants across 41 federal districts of the US. The allegations included complaints against 115 doctors, nurses and other licensed medical … Read more
CMS says it will be going after more than $700 million that the OIG discovered in improper payments under the Meaningful Use program that made incentive payments for implementation of electronic health records. The OIG audit found that approximately 12% of the incentive payments were improperly paid because providers failed to maintain documentation to support … Read more
After trial, appeal, reversal, and a re-trial together with a multitude of legal motions, a Federal Judge has finally ruled that a South Carolina hospital owes the federal government $276 Million in reimbursement, fines, and penalties over an arrangement with doctors that was found to violate Medicare rules against compensating doctors for referrals to a … Read more
When physicians become employees of hospitals or clinics, they often assign their billing rights to the employer as a part of the agreement. Once signed, few physicians give much attention to how the employer codes and bills the services, but the OIG has alerted physicians that could be a big mistake. The OIG has warned … Read more