In response to 2023 bogus charges for intermittent urinary catheter billing within the Medicare Shared Savings Program (Shared Savings Program) program, the federal government released a final rule that holds ACOs harmless for the suspicious billing activity. The program showed a 20-fold increase in catheter billing from 10 durable...
On January 2nd, Prescott Valley eye surgeon Dr. Michael Lee Ham was arrested and charged with conspiracy, fraudulent schemes and artifices, illegal control of an enterprise, theft and money laundering violations for allegedly defrauding Medicare, the US Department of Veterans Affairs and the Arizona Health Care Cost Containment System...National News
On Aug. 3, the U.S. Department of Justice reached a settlement with Prime Healthcare and its CEO Dr. Prem Reddy have agreed to pay $65 million to settle allegations of Medicare over-billing for false claims across 14 Prime hospitals in California. A San Diego whistleblower Karin Berntsen, will receive $17.2 million for her reporting of...
