Feb 20, 2025 | DMEPOS, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid
If you are a DMEPOS supplier and are purchasing opt-in Medicare leads, you should be aware of Medicare’s prohibition against telephone solicitation of beneficiaries. In order to enroll as a Medicare DMEPOS supplier, and as a condition of payment, DMEPOS providers must...
Feb 17, 2025 | False Claims Act, Fraud Investigations, Government Investigations, Health Care Fraud, Medicare and Medicaid
The DOJ announced that SVCMC Inc., formerly known as Saint Vincent’s Catholic Medical Centers of New York (SVCMC), will pay $29 million to resolve allegations of violating the False Claims Act. According to the DOJ, the medical center knowingly retained...
Nov 25, 2024 | Medicare and Medicaid
Twenty years ago, Robert Peter Sauve faced charges for orchestrating a significant scheme that defrauded the federal Medicare program of millions of dollars. However, before authorities could detain him, Sauve managed to escape the Miami area, evading capture for two...
Nov 19, 2024 | Medicare and Medicaid
On November 15, the Department of Justice announced that Muhammad Zafar, the owner of a Michigan home health care company, was sentenced to three years and five months in prison. Zafar was accused of participating in a health care fraud conspiracy that allegedly led...
Nov 11, 2024 | Health Care, Medicare and Medicaid
When the Affordable Care Act was passed and signed into law by President Obama in 2010, one of its provisions required Medicare providers and suppliers to report and refund Medicare overpayments within 60 days of “identifying” such an overpayment. Violating this...
Sep 15, 2024 | DOJ, False Claims Act, Fraud Investigations, Health Care, Medicare and Medicaid
Late last week, the Department of Justice announced that Walgreen had agreed to pay over $106 million to resolve allegations that it violated the False Claims Act by billing government health care programs for prescriptions that were never dispensed. According to the...
