Medicare Compliance & Reimbursement

Industry Notes

$100 Million Medicare Fraudster Pleads GuiltyDavit Mirzoyan, who pled guilty before United States Magistrate Judge Henry B. Pitman, fraudulently billed Medicare for over $100 million from 2006 to 2010 by creating dozens of "phantom clinics," in which the health care providers existed only on paper, according to an Oct. 26 Department of Justice press release. "At least 118 fraudulent Medicare providers, located in approximately 25 states, submitted fraudulent bills to Medicare totaling approximately $100 million, and received approximately $35.7 million," the release added."Davit Mirzoyan was a criminal parasite feeding on a grand scale off our country's health care system for personal financial gain and draining Medicare of needed funds. His guilty plea today ensures he will be held to account for his actions," said Preet Bharara, the United States Attorney for the Southern District of New York, in the release.For pleading guilty to one count of participating in a racketeering [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more