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Nursing Home Psychologist Convicted of Healthcare Fraud Scheme

Med-Net Compliance

According to court documents and evidence presented at trial, the psychologist caused the submission of fraudulent Medicare claims from July 2016 through June 2019 for psychotherapy services purportedly provided to nursing home residents in Chicago and surrounding areas.

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Woman Arrested for Practicing Medicine without a License at 7 Nursing Homes

Med-Net Compliance

South Carolina Attorney General Alan Wilson announced that his office’s Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old woman for allegedly practicing medicine as a registered nurse without a license at seven nursing and assisted living facilities in Anderson, Greenville, and Pickens counties.

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False Claims Lawsuit Filed Against Alabama Psychiatrist  for Improper Prescribing of Nuedexta to Nursing Home Resident

Healthcare Compliance Blog

The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursing home residents. In return, the psychiatrist prescribed Nuedexta to nursing home residents who did not have pseudobulbar affect.

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Justice Department Charges Dozens for $1.2 Billion in Healthcare Fraud

Med-Net Compliance

In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds. Issue: Nursing staff should monitor telemedicine appointments held with their residents, review related medical record documentation, and report any concerns with observed practices immediately.

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Bad Actors Round Up (November)

Verisys

If you are looking for something to read prior to turkey or afterwards, here is a round up of bad actors: Pharma Fraud: . A Physician representing Avanir received over $300,000 in kickbacks for writing over 10K prescriptions for the drug Nuedexta and another $1,500 per each presentation. Pharma Fraud. Pharma Fraud .

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Highlights from the HHS-OIG 2023 Spring Semiannual Report

Provider Trust

Grimm, the OIG continues its tireless efforts to uncover instances of fraud, waste, and abuse within HHS programs. OIG continues to work tirelessly to identify instances of fraud, waste, and abuse and prosecute offenders. Led by acting Inspector General Christi A. What is the HHS-OIG Semiannual Report to Congress?

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Three Individuals Charged for Providing Fraudulent COVID-19 Vaccination Cards for Employment Purposes

Healthcare Compliance Blog

A mother and her two daughters have been charged for providing fraudulent COVID-19 vaccination cards to maintain and obtain employment at a New York nursing home. Vaccination is mandatory for nursing home employment in New York. Bassett stated, “Vaccination fraud is a serious crime.