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Durable
Medical Equipment
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| November 2005 |
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In California, a durable medical equipment (DME) company owner
was sentenced to 33 months imprisonment and ordered to pay $170,000
in restitution for health care fraud. Through a highly complicated
double-billing scheme, the man received reimbursements totaling 200
percent for power wheelchairs. The DME company owner submitted claims
to Medicaid that were previously denied by Medicare. After receiving
payment from Medicaid, the man resubmitted claims to Medicare or appealed
the original denial, which resulted in the double payment.
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Physicians
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| November 2005 |
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In Michigan, a doctor was sentenced to 5 months incarceration,
5 months home detention and ordered to pay $120,000 in restitution
for health care fraud. The doctor, who was the owner/operator of
a neurology center, routinely billed Medicare, Medicaid and a private
insurer for two sleep studies when only one was performed.
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Employee
Misconduct
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November 2005
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In Maryland, a former NIH purchasing agent was ordered to pay
$12,000 in restitution for theft of Government property. The 20-year
employee used her Government issued credit card to pay for her apartment
rent, college tuition for her daughter, and kennel services for her
dog. The woman resigned from her position.
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