Renal Business Today

Fraud

DaVita Named in Whistleblower Lawsuit

ATLANTA—In a whistleblower lawsuit, dialysis provider DaVita has been accused of intentionally throwing away extra medication in order to boost reimbursements from Medicare and Medicaid. ...More
July 27, 2011
Posted in News, Government & Regulation
CMS Unveils Technology to Fight Medicare Fraud

WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) announced that starting July 1, it will begin using predictive modeling technology to fight Medicare fraud. ...More
June 20, 2011
Posted in News
Judge Increases Fresenius Medicare Fraud Penalty

NASHVILLE—A federal judge ruled on May 26 that Fresenius must now pay the U.S. government $82.6 million instead of the original $19.3 million penalty handed down last year for Medicare fraud, according to a report from the Tennessean. ...More
May 27, 2011
Posted in News, Business, Government & Regulation
HHS Issues Fraud Alert

The U.S. Department of Health and Human Services issued a fraud alert on Dec. 21 warning of a scheme that is attempting to get personal and financial information through people impersonating HHS employees. ...More
December 22, 2010
Posted in Blog, Government & Regulation
Feds Charge Dozens in Largest Medicare Fraud Ever

A network of Armenian gangsters used fake healthcare clinics and other scams in an effort to cheat Medicare out of $163 million, according to U.S. authorities. This is the most extensive fraud by one outlet in the program's history. ...More
October 14, 2010
Posted in News, Government & Regulation, Practice Management
Actuaries Believe More Transparency in the U.S. Healthcare System Would Help Bend the Cost Curve Downward

SCHAUMBURG, Ill.–With national healthcare spending expected to rise by hundreds of billions of dollars over the next 10 years, there needs to be a greater emphasis on finding ways to reduce healthcare cost trends. According to the findings from two recent surveys by ...More
June 29, 2010
Posted in News, Business, Clinical & Pharma, Government & Regulation
Fresenius Appeals Verdict, Claims No Wrongdoing

Nashville dialysis provider Renal Care Group faces federal allegations that it improperly sought Medicare reimbursement by organizing another company, but parent company Fresenius is denying any wrongdoing by Renal Care Group, which it acquired in 2005, according to the ...More
March 25, 2010
Posted in News, Business, Government & Regulation
Office Manager Convicted of Stealing from Medicare and Medicaid

A North Carolina woman is getting sent to federal prison for stealing more than $650,000 in Medicare and Medicaid funds, according to WECT News, an NBC affiliate. The woman, Faith Sumner, was an office manager for Preferred Medical Transport, in Aulander. ...More
March 24, 2010
Posted in News, Business, Government & Regulation, Practice Management
Renal Care Ordered to Pay $19.4M for Billing Fraud

NASHVILLE, Tenn.—A federal judge ordered Renal Care Group, Renal Care Group Supply Company, and Fresenius Medical Care Holdings to pay $19.4 million because the group “recklessly disregarded federal law when billing the Medicare program for home dialysis supplies and ...More
March 23, 2010
Posted in News, Business, Government & Regulation
Ambulance Company Indicted on $1 Million Medicare Fraud

The owners of Murfreesboro Ambulance Service have been indicted on federal charges of defrauding Medicare for $1 million by lying about whether transporting patients was medically necessary or emergencies, ...More
January 13, 2010
Posted in News, Business, Clinical & Pharma, Government & Regulation, Practice Management