Friday, December 5, 2008

FRAUD Update (TAF) - December 5, 2008

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TAF False Claims Act Update & Alert

  1. FRAUD Update (TAF) - December 5, 2008
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FRAUD Update (TAF) - December 5, 2008

False Claims Act Update & Alert

Taxpayers Against Fraud Education Fund Washington, D.C. WWW.TAF.ORG
December 5 2008

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MedQuist to Pay $6.6 Million
MedQuist Inc., a medical transcription service provider, has agreed to pay the United States Government $6.6 million to resolve charges it overbilled
the Veterans Administration, the Department of Defense, and the Public Health Service. >> To read more

$11 Million Mortgage Fraud

A Canadian bank holding company has agreed to pay the United States nearly $11 million to settle charges related to a mortgage-fraud ring operating at their subsidiary in Rockford, Illinois. > > To read more

Condell to Pay $36 Million
Condell Medical Center, a hospital in Libertyville, IL, has agreed to pay $36 million to head off a potential federal lawsuit related to kickbacks. The kickbacks to doctors came in the form of leases of medical office space at rates below fair market value; improper loans to physicians; and improper hospital reimbursements.
Condell's self-admitting violations were triggered by the sale of the hospital to Advocate Health Car e . >> To read more

TN Hospitals Pay $5.9 Million
Jackson-Madison County General Hospital and Milan General Hospital will pay the U.S. Government a combined total of $5.9 million to resolve charges they submitted Medicare false claims for non-emergency transportation and various psychiatric services. >> To read more

Jaw Dropping "Error" Rates
In a recent report to Congress , HHS notes that the "error rate" for Durable Medical Equipment was 28.9 percent, while 60 percent of claims for Facet Joint Injection Services were overpaid because doctors added billing codes. Improper DSH payments are no small matter either: Just three psychiatric hospitals received $142 million that they were ineligible for.

Investigating IT Fraud
Four large computer firms have walked away from contract talks with the General Services Administration or had their contracts canceled. The companies, Sun Microsystems, EMC and Cisco, are under investigation by the U.S. Government for deceptive pricing. >> To read more

Rumors of a Tax Settlement
UBS AG is rumored to be close to an agreement on tax evasion charges with the U.S. Department of Justice.
Analysts from Morgan Stanley estimate the company may have to pay over $826 million in settlements and fines -- a suspiciously precise number for a rumored settlement. >> To read more

High Cost of Free Samples
A paper in the September issue of the Southern Medical Journal says doctors who lose their samples closets are three times more likely to prescribe less-expensive generics to uninsured patients. >> To read more

Seeking Doctor Relators

AMA News notes that
physicians are seldom named in False Claims Act cases, but are often in a position to blow the whistle on fraud they observe. And the good news for doctor-relators is that more states are initiating cases now that 22 of them have passed their own False Claims Act laws. >> To read more




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