Fraud & Abuse:
More Providers' Payments Suspended For Fraud Charges
Published on Thu Oct 18, 2012
Will your billing pattern put you on the target list for suspension?Medicare home care fraud made up the lion's share of charges in the feds' latest record-breaking fraud sweep nationwide.The feds indicted 91 people in seven cities in Medicare fraud schemes totaling $492 million, the Department of Justice says in a release. That included $230 million in home care fraud. (See story, p. 287 for indictment details.)In addition to formal indictments, the Cen-ters for Medicare & Medicaid Services suspended Medicare payments and took other administrative actions against 30 health care providers "following a data-driven analysis and based upon credible allegations of fraud," the DOJ says.What is unclear is whether the providers CMS suspended are under indictment. The DOJ notes that "under the Affordable Care Act, HHS is able to suspend payments until the resolution of an investigation.""Payments are routinely suspended whenever DOJ gets an indictment," points out William Dombi with [...]
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