Physician Excluded from Medicare/Medicaid for 20 Years

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  • November 22, 2016
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Physician Excluded from Medicare/Medicaid for 20 Years

The Department of Health and Human Services (HHS) Office of Inspector General announced November 15 that Labib Riachi, a New Jersey OB/GYN specializing in urogynecology, agreed to a 20-year exclusion from federal health care programs to resolve allegations that he submitted false claims to Medicare and Medicaid for Pelvic Floor Therapy services that were never provided, or were provided improperly. A $5.25 million settlement resolved a civil false claims suit filed by the government. “Twenty years is a substantial period of exclusion and is a clear signal to physicians that they face significant consequences, beyond monetary penalties, for taking advantage of Federal health care programs and their beneficiaries,” said Gregory E. Demske, Chief Counsel to the HHS Inspector General, in a press release.

Michael Miscoe
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Mr. Miscoe, JD, CPC, CASCC, CUC, CCPC, CPCO, CPMA has over 20 years of experience in healthcare coding and over sixteen years as a compliance expert, forensic coding expert and consultant. He has provided expert analysis and testimony on a wide range of coding and compliance issues in civil and criminal cases and his law practice concentrates exclusively on representation of healthcare providers in post-payment audits as well as with responding to HIPAA OCR issues. He has an extensive national speaking background and has been published in numerous national publications on a variety of coding, compliance and health law topics.

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