1. United States Joins False Claims Act Lawsuit Against Wheeling Hospital, R & V Associates, and Ronald Violi Based on Improper Payments and Kickbacks to Physicians – “Improper financial arrangements between hospitals and physicians threaten patient safety because they can influence the type and amount of health care that is provided,” said Assistant Attorney General Jody Hunt of the Department of Justice’s Civil Division. “The department is committed to taking action to eliminate improper inducements that can corrupt the integrity of physician decision-making.” Get the full scoop >>
2. Fort Myers Doctor Agrees To Pay More Than $1.7 Million To Resolve Allegations Of Fraud – “United States Attorney Maria Chapa Lopez announces that Dr. Jonathan Daitch, M.D. has agreed to a civil settlement that will pay $1.718 million to the United States to resolve allegations that he violated the False Claims Act by receiving illegal kickbacks associated with the provision of anesthesia services and by causing the submission of medically unnecessary urine tests.” Get the full scoop >>
3. Deeper Than the Headlines: Hyperbaric Oxygen Therapy – The OIG’s most recently published report reveals its findings of overpayments associated with HBO (and they’re not talking about the cable channel). Hyperbaric oxygen therapy (HBO therapy) involves giving a patient high concentration of oxygen within a pressurized chamber in which the patient intermittently breathes in 100-percent oxygen. A prior OIG review on HBO therapy expressed concerns that (1) Medicare beneficiaries received treatments for noncovered conditions, (2) medical documentation did not adequately support treatments, and (3) Medicare beneficiaries received more treatments than what was considered medically necessary. Get the full scoop >>
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