Compliance News Roundup: Exclusions for Doctors, Billers & Suppliers...Oh My!

1. Long Island Radiology Company, Zwanger-Pesiri Inc., Pleads Guilty To Federal HealthCare Fraud Charges And Agrees To Pay $2.4 Million In Criminal Forfeiture - “Earlier today, at the federal courthouse in Central Islip, New York, Zwanger-Pesiri Inc., a Long Island radiology company, pleaded guilty to two counts of health care fraud for illegally performing and billing for procedures that had not been ordered by treating physicians. After accepting the guilty plea, United States District Court Judge Joanna Seybert approved a settlement with the United States and the State of New York in which Zwanger-Pesiri agreed to forfeit $2.4 million in the criminal case and pay $8,153,727 million to resolve civil liability arising from its fraudulent practices.” Read more here: https://www.justice.gov/usao-edny/pr/long-island-radiology-company-zwanger-pesiri-inc-pleads-guilty-federal-health-care

2. Attorney General’s Office Agrees to Settlement with Mousetrap Pediatrics on False Claims Investigations - “The State of Vermont and Mousetrap Pediatrics PC, have reached an agreement settling an investigation into whether Mousetrap submitted false claims or received overpayments from the Vermont Medicaid Program.” Read more here: https://vtdigger.org/2016/11/18/attorney-generals-office-agrees-settlement-mousetrap-pediatrics-false-claims-investigation/

3. Deeper Than The Headlines-Exclusions: Doctors and Billers and Suppliers...Oh My! - “On November 15, 2016, the HHS OIG announced that New Jersey OB/GYN, Dr. Labib Riachi, agreed to be excluded from participation in Federal healthcare programs for 20 years. That is a long time to be excluded by the OIG and Gregory E. Demske, Chief Counsel to the HHS Inspector General said, "In cases such as this, collecting money from a wrongdoer is not sufficient and OIG will pursue exclusion to protect our patients and programs." This 20-year exclusion headline alone is significant, but the story deeper than the headline gets even more interesting.” Read more here: Deeper Than the Headlines: Exclusions for Doctors, Billers and Suppliers...Oh My!