Compliance News Roundup: Corporate Integrity Agreement-Digestive & Liver Disease Consultants

1. Huntsville Nursing Home Pays the United States and the State of Texas $5 Million to Settle Claims Alleging Poor Quality of Care – Health Services Management Inc. (HSM) has paid the United States $5 million to resolve claims that the company billed the Medicare and Medicaid programs for worthless services and for services that were never provided, announced Acting U.S. Attorney Abe Martinez. HSM is based in Murfreesboro, Tennessee, and owns and operates nursing homes throughout Texas and the United States. The claims resolved by the settlement are allegations only with no determination of liability. Get the full scoop >>

2. Doctor Admits Billing Medicare, Other Insurers $3 Million For Therapy Services Performed By Unqualified Personnel – A doctor with offices in Paterson, New Jersey, Passaic, New Jersey, and Elizabeth, New Jersey, today admitted defrauding Medicare and private insurance companies out of $3 million by billing for more than 150,000 physical therapy sessions that were performed by unlicensed and unqualified personnel, Acting U.S. Attorney William Fitzpatrick announced. Anthony J. Enrico, 60, of North Haledon, New Jersey, pleaded guilty before U.S. District Judge Kevin McNulty in Newark federal court to an information charging him with one count of health care fraud. Get the full scoop >>

3. Deeper Than The Headlines: Corporate Integrity Agreement - Digestive & Liver Disease Consultants and Dr. Gurunath Thota Reddy – Though many CIAs read very similarly, it’s good practice to read new ones to reaffirm some of the core principles of an effective compliance program. It’s a great way to see the elements of a compliance program applied in a black and white, real-life way. So let’s check out a recent CIA for Digestive & Liver Disease Consultants and Dr. Gurunath Thota Reddy. Get the full scoop >>