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Table of Contents
Headlines
Fraud Charges Announced Against LTC Pharmacy Provider
OIG Audit Recommends Repayment
Dental Clinic Owner Faces Prison
Iowa Doctor Convicted of Fraud
CMS to Address Physician Investment in Specialty Hospitals
Florida Chiropractor Sentenced
Idaho Doctor Pleads Guilty
Home Health Care Owner Plead guilty to Health Care
Health Center Enters into Stipulated Agreement
CT Doctor Sentence
Medical Supplier Pleads Guilty
Damon Labs Still in the News
In Other Compliance Headlines
DOJ: Corporate Fraud Task Force
Backdating Stock Options Heats Up
Regulatory News
Proposal Would Revise Payments for Ambulatory Surgical Centers
CMS Proposes Revision of Physician Payment Rates
From the GAO
In the Federal Register
CMS Transmittals
CMS Fact Sheets
Court Cases and Administrative Actions
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Headlines:
Fraud Charges Announced Against LTC Pharmacy Provider
On August 16, the Detroit Free Press published a report that Michigan Attorney General Mike Cox “announced charges Wednesday against the president of a Livonia-based provider of pharmacy services.
“He described the case against Daniel Lohmeier, president of Specialized
Pharmacy Services Inc., as the largest criminal health care fraud investigation in state history.
“The company is a subsidiary of Covington, Ky.-based Omnicare, which provides pharmacy services to long-term care facilities.” For more:
http://www.freep.com/apps/pbcs.dll/ article?AID=/20060816/NEWS99/60816017
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OIG Audit Recommends Repayment
The San Francisco Chronicle reported on August 8, that “UCSF will have to repay the federal government $3.9 million in Medicare payments for allegedly overstating its costs to train dental students, according to an audit by federal regulators.
“The inspector general for the Department of Health & Human Services office said UCSF "inappropriately" overbilled Medicare from fiscal year 2000 through fiscal year 2002 by counting students without actually incurring all of the costs of training them, the audit says.
“The audit recommends that the university file an amended report, repay the money and establish and follow written procedures to ensure that it doesn't happen again.” For more:
http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2006/08/08/ BAGOMKCDVQ1.DTL&hw=UCSF&sn=001&sc=1000
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Dental Clinic Owner Faces Prison
On August 9, the Washington Times reported that “The owner of a D.C. dental clinic is facing more than 50 years in prison after her indictment on federal health care fraud charges in a purported scheme to bilk insurance companies for procedures never performed.
“Prosecutors said Afsaneh Tehrani, owner of D.C. Dentistry Inc., was not a dentist and submitted phony insurance claims from 1997 until last year, when authorities raided the company offices. D.C. Dentistry is located at 1712 I St. NW, Suite 910.
“Miss Tehrani, 47, of McLean, pleaded not guilty in U.S. District Court after her arrest last week on charges of health care fraud and making false statements.” For more: http://washingtontimes.com/metro/20060808-111223-9852r.htm
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Iowa Doctor Convicted of Fraud
On August 9, the Insurance Journal reported that “A Des Moines, Iowa doctor was convicted Monday of seeking reimbursement on medical procedures that were unnecessary or not performed.
“Dr. Peter Boesen is awaiting sentencing on 82 counts of health care fraud relating to his practices at his ear, throat and nose clinic. Each charge is punishable by up to 10 years in prison. He could also forfeit almost $429,000 that prosecutors allege came from fraudulent activity.” For more: http://www.insurancejournal.com/ news/midwest/2006/08/09/71297.htm
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CMS to Address Physician Investment in Specialty Hospitals
On August 8, The Department of Health and Human Services (HHS) announced a strategic and implementing plan to address issues regarding physician investment in specialty hospitals. As defined by Congress, specialty hospitals are hospitals exclusively or primarily engaged in caring for one of the following categories of patients: patients with a cardiac condition or an orthopedic condition; or patients receiving a surgical procedure.
“Specialty hospitals often achieve high levels of service, but especially under current payment methods, there have been questions about whether they focus on profitable patients rather than quality care,” said Centers for Medicare & Medicaid Services (CMS) Administrator Mark B. McClellan, MD, PhD. “This final report is a comprehensive review of the evidence on specialty hospitals and a comprehensive path forward to address concerns that have been raised.” For more: http://www.cms.hhs.gov/apps/media/ press/release.asp?Counter=1937
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Florida Chiropractor Sentenced
On August 3, US Attorney for the Southern District of Florida R. Alexander Acosta announced that U.S. District Court Judge Marcia G. Cooke sentenced defendant Barry Silverstein to 34 months’ imprisonment, three years of supervised release, a $100,000 criminal fine, and restitution in the amount of $1,768,200.30 on charges of conspiracy to commit health care fraud in connection with a scheme to defraud private insurance companies. For more:
http://www.usdoj.gov/usao/fls/PressReleases/060803-01.html
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Idaho Doctor Pleads Guilty
On July 17, US Attorney for Idaho Tom Moss announced that Dr. Ivyl Wells, a Boise, Idaho doctor who offered injections for treatment of facial wrinkles has pled guilty to injecting approximately 200 of his patients with a botulinum toxin that was not approved by the FDA for use on humans and was labeled, “not for human use, for research purposes only.”
Dr. Ivyl Wells, the former operator of Skinovative Laser Center in the Boise Towne Square Mall, entered his plea to four counts of fraud in U.S. District Court in Boise this morning. The charges included two counts of mail fraud, one count of adulterating a drug with intent to defraud, and one count of misbranding a drug with intent to defraud. He faces a maximum penalty of 20 years in prison on the mail fraud counts and three years on the other counts, plus fines and restitution to his victims for the amounts they paid for treatments. Sentencing is set for October 16 at 9:00 a.m. For more: http://www.usdoj.gov/usao/id/public_info/pr06/ wells07172006.html
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Home Health Care Owner Plead guilty to Health Care
US Attorney for the Eastern District of Michigan Stephan J. Murphy announced on August 3, that Amjad M. Khan, the former owner of one of Michigan’s largest home health care companies, pleaded guilty to felony health care fraud charges. For more: http://www.usdoj.gov/usao/mie/press/index.html
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Health Center Enters into Stipulated Agreement
On August 7, US Attorney for the Southern District of Texas Don DeGabrielle announced that St. Joseph Regional Health Center, which serves the Brazos Valley area, has entered into a Stipulated Agreement to pay the United States $750,000 to resolve numerous alleged regulatory violations of the Comprehensive Drug Abuse Prevention and Control Act. St. Joseph Regional Health Center is based in Bryan, Texas. For more: http://www.usdoj.gov/usao/txs/releases/August2006/060807-St%20Joseph%20Hospital.htm
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CT Doctor Sentence
On August 10, Associated Press reported that “A Waterbury doctor has been sentenced to 18 months in federal prison for health insurance fraud.
“Fifty-seven-year-old Doctor Juan Fica had pleaded guilty in March to conspiracy with health care fraud.
“He admitted that he hired and aide, Elie Nakouzi, who was not a licensed doctor, and billed insurance companies, Medicare and Medicaid for work Nakouzi did. “ For more: http://www.wtnh.com/Global/story.asp?S=5263600&nav=3YeX
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Medical Supplier Pleads Guilty
On July 12, the Kansas City Business Journal reported that “Another person has pleaded guilty in a scheme to defraud Medicare of millions of dollars through a program that provides motorized wheelchairs.
Godwin Iloka, 38, a naturalized U.S. citizen from Nigeria residing in Lee's Summit who owns medical supply businesses in Raytown and Kansas City pleaded guilty in federal court Wednesday to participating in the scheme, Bradley Schlozman, U.S. attorney for the Western District of Missouri, said in a release.” For more:
http://www.bizjournals.com/kansascity/ stories/2006/07/10/daily24.html
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Damon Labs Still in the News
(This article was originally published in Massachusetts Lawyers Weekly, Boston, another Dolan Media publication.)
On August 8, Kansas City Daily Record reported that “A lab executive's three-month sentence for fraud was too lenient when sentencing guidelines recommended a 60-month sentence for his crime, the 1st U.S. Circuit Court of Appeals has ruled.
“Prosecutors had appealed the defendant's sentence arguing that, even after the U.S. Supreme Court's decision in United States v. Booker declared the guidelines advisory rather than mandatory, the 95 percent departure from the guidelines was unreasonable.
“The 1st Circuit vacated the sentence with instructions not to sentence less than 36 months.
“In December 2001, a U.S. District Court jury convicted William Thurston of conspiring to commit Medicare fraud in the amount of $5 million.
“He was a vice president for Damon Clinical Laboratories.
“The sentencing judge said he departed from sentencing guidelines partly because a co-defendant had pleaded out and received only probation. The judge also cited Thurston's "good works. "
“Both the prosecution and defense filed cross appeals, and in 2004, the 1st Circuit remanded the case for resentencing.
“In 2005, the U.S. Supreme Court issued its Booker decision finding that the sentencing guidelines were only advisory. The Supreme Court also subsequently vacated the 1st Circuit's judgment in Thurston's case and remanded the case for resentencing again.
“The sentencing judge also imposed a three-month sentence.
“The government then appealed.
“Judge Jeffrey R. Howard said the District Court judge had imposed the new three-month sentence because:
- Thurston's sentence should be close to the co-defendant's because "a wide disparity in their sentences would punish Thurston for electing to go to trial. "
- The government's plea offer of probation indicated the offense was "not terribly serious. "
- The sentence was enough of a deterrent "because white-collar criminals typically are more concerned about whether they will be sent to prison than the length of imprisonment. "
“But the 1st Circuit found that these reasons were not enough to justify the 95 percent departure.
“Because a downward departure cannot be made based on ‘general disagreement with broad-based policies enunciated by Congress or the Commission,’ Howard wrote, "this was not an appropriate ground for reducing Thurston's sentence.”
http://www.ca1.uscourts.gov/cgi-bin/getopn.pl?OPINION=05-2271.01A
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In Other Compliance Headlines
DOJ: Corporate Fraud Task Force
On August 9, the US Department of Justice released a Corporate Fraud Task Force Fact Sheet. It states, “Since its creation by Executive Order in July 2002, the Corporate Fraud Task Force (CFTF) has spearheaded the Administration’s effort to prosecute corporate malfeasance, protect the jobs of hard-working Americans, and restore confidence to the marketplace. Through the coordinated efforts of several federal agencies, the CFTF is sending a clear message that criminal activities in the corporate world will be swiftly and decisively prosecuted.
“By acting to deter fraud, the Task Force is also helping to restore shareholder and employee trust and demonstrating to the American people that the vast majority of corporate leaders are still honest and hardworking. With today’s indictment of three former executives of Comverse Technology Inc., the Justice Department furthers its commitment to the American worker, investor, and honest taxpayers.” For more: http://www.usdoj.gov/opa/pr/2006/August/06_odag_521.html
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Backdating Stock Options Heats Up
Also on August 9, the DOJ announced that “three former executives of Comverse Technology Inc. (Comverse), a publicly-held computer software company, were charged for their roles in orchestrating a long-running scheme to manipulate the grant of millions of Comverse stock options to themselves and to employees.
“Former Chief Executive Officer Jacob “Kobi” Alexander, former Chief Financial Officer David Kreinberg, and former General Counsel William F. Sorin allegedly orchestrated the scheme by fraudulently backdating the options and operating a secret stock options slush fund.
NEW SESSION ADDED! Backdating Stock Options will be addressed at the SCCE Compliance & Ethics Institute, Chicago Downtown Marriott, September 11-13. For program details, click here: http://www.corporatecompliance.org
“The charges were announced by Deputy Attorney General Paul J. McNulty and Director of the Division of Enforcement Linda Thomsen of the Securities and Exchange Commission (SEC), joined by U.S. Attorney Roslynn R. Mauskopf of the Eastern District of New York and Acting Assistant Director James “Chip” Burrus of the FBI. The charges stem from a coordinated investigation led by the Department of Justice’s Corporate Fraud Task Force. Alexander, Krienberg and Sorin, all of whom resigned from Comverse on May 1, 2006, in the midst of an internal company investigation relating to options backdating, have been charged by criminal complaint filed in the Eastern District of New York with conspiracy to commit securities fraud, mail fraud and wire fraud. According to the complaint, between 1998 and 2002, the defendants reaped millions of dollars in profits as a result of their scheme and issued false and misleading financial statements to the company’s shareholders and the investing public regarding the true value of the options grants.” For more: http://www.corporatecompliance.org/index.htm***top***
This week, MediRegs provided TWCC readers with the following Regulatory information: In the Federal Register, CMS Transmittals, CMS Fact Sheets, and Court Cases and Administrative Actions.
Regulatory News
Proposal Would Revise Payments for Ambulatory Surgical Centers
On August 8, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for Medicare payment for hospital outpatient services in calendar year 2007 that would implement new steps to make payments more accurate and to promote higher quality and value in outpatient care. CMS also proposed a major revision of payments for ambulatory surgical centers (ASCs) that would better align payments for surgical procedures provided in ASCs and hospital outpatient departments. The proposed reforms are intended to address rapid and accelerating growth in hospital outpatient services.
http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=1938
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CMS Proposes Revision of Physician Payment Rates
Also on August 8, CMS announced that it projects it will pay approximately $61.5 billion to 875,000 physicians and other health care professionals in 2007, under a proposed rule that would revise payment rates and policies under the Medicare Physician Fee Schedule. These proposals are in addition to the proposed revisions to the work relative value units (RVUs) and proposed changes in the methodology for calculating practice expense RVUs released in a separate proposed notice in the June 29 Federal Register. For more: http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=1939
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From the GAO
Mammography: Current Nationwide Capacity Is Adequate, but Access Problems May Exist in Certain Locations, GAO-06-724, July 25, 2006
Abstract Highlights-PDFPDF
Medicare Outpatient Payments: Rates for Certain Radioactive Sources Used in Brachytherapy Could Be Set Prospectively, GAO-06-635, July 24, 2006
Abstract Highlights-PDFPDFAccessible Text
Medicare Physician Services: Use of Services Increasing Nationwide and Relatively Few Beneficiaries Report Major Access Problems, GAO-06-704, July 21, 2006
Abstract Highlights-PDFPDFAccessible Text
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In the Federal Register
Tuesday, August 8
CMS Creates Physician Self-Referral Exceptions for Electronic Prescriptions and Electronic Health Records
As required by the Medicare Modernization Act, CMS published a final rule, on August 8, 2006, creating an exception to the physician self-referral prohibition in the Social Security Act for certain arrangements in which a physician receives compensation in the form of items or services (not including cash or cash equivalents) that is necessary and used solely to receive and transmit electronic prescription information. The rule also creates a separate regulatory exception for certain arrangements involving the provision of nonmonetary remuneration in the form of electronic health records software or information technology and training services necessary and used predominantly to create, maintain, transmit, or receive electronic health records.
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_fr69_cms&u=0608082&h=top1.html&t=80&s=twcc
HHS and OIG Establish Safe Harbors for Electronic Prescribing and Electronic Health Records Arrangements
Also on August 8, 2006, the US Department of Health and Human Services and the Office of Inspector General established a new safe harbor under the Federal anti-kickback statute for certain arrangements involving hospitals, group practices, and prescription drug plan sponsors and Medicare Advantage organizations that provide to specified recipients certain nonmonetary remuneration in the form of hardware, software, or information technology and training services necessary and used solely to receive and transmit electronic prescription information. In addition, the rule creates a separate new safe harbor for certain arrangements involving the provision of nonmonetary remuneration in the form of electronic health records software or information technology and training services necessary and used predominantly to create, maintain, transmit, or receive electronic health records.
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_fr69_hhs&u=0608082&h=top1.html&t=80&s=twcc
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CMS Transmittals
Medicare Claims Processing (PUB. 100-04)
Transmittal #1024, Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_pm_100_04&u=mrepm10004r1024cp&h=top1.html&t=80&s=twcc
Transmittal #1023, Update To The Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer For FY 2007:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_pm_100_04&u=mrepm10004r1023cp&h=top1.html&t=80&s=twcc
Transmittal #1021, 2007 Annual Update for the Health Professional Shortage Area Bonus Payment:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_pm_100_04&u=mrepm10004r1021cp&h=top1.html&t=80&s=twcc
Transmittal #1019, Outpatient Therapy - Additional DRA Mandated Service Edits, dated July 28, 2006):
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_pm_100_04&u=mrepm10004r1019cp&h=top1.html&t=80&s=twcc
Program Integrity (PUB. 100-08)
Transmittal #155, Medically Unlikely Edits:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mr_pm_100_08&u=mrpm10008r155pi&h=top1.html&t=80&s=twcc
CMS One-Time Special Notification (PUB. 100-20)
Transmittal #233, Enhance the Multi Carrier System to avoid duplicate payments when a full claim adjustment is performed: Analysis and Design Phase:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_pm_100_20&u=mrepm10020r233otn&h=top1.html&t=80&s=twcc
DMERC - Region D - Cigna DMEPOS Supplier Manual
Instructions for Update:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mr_d_cigna_sm&u=mrdcignasmintruct0706&h=top1.html&t=80&s=twcc
National Coverage Analyses
Intracranial Stenting and Angioplasty (CAG-00085R2) - Expected Completion Date: 11/07/06:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_nca&u=CAG00085R22&h=top1.html&t=80&s=twcc
Serum Iron Studies (Addition of Restless Leg Syndrome as a Covered Indication) (CAG-00263R) - Expected Completion Date: 11/07/06:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_nca&u=CAG00263R2&h=top1.html&t=80&s=twcc
Vagus Nerve Stimulation for Treatment of Resistant Depression (CAG-00313R) - Expected Completion Date: 05/08/07:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_nca&u=CAG00313R&h=top1.html&t=80&s=twcc
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CMS Fact Sheets
Proposal for a Revised Payment System for Services Provided in Ambulatory Surgical Centers:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_rrl_facts&u=release20060808&h=top1.html&t=80&s=twcc
Final Report to Congress Implementing the DRA Provision Affecting Specialty Hospitals:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_rrl_facts&u=release20060808a&h=top1.html&t=80&s=twcc
Hospital Quality Reporting Expansion Provisions in CY 2007 Hospital Outpatient Prospective Payment System Proposed Rule:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_rrl_facts&u=release20060808b&h=top1.html&t=80&s=twcc
Proposed Changes for Payment for Imaging Services Under the Physician Fee Schedule Required by The Deficit Reduction Act:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_rrl_facts&u=release20060808c&h=top1.html&t=80&s=twcc
Effect of the Medicare Economic Index on the Physician Update:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mre_rrl_facts&u=release20060808d&h=top1.html&t=80&s=twcc
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Court Cases and Administrative Actions
Provider Reimbursement Review Board Decisions
PRRB 07/27/06 06-D40 Loma Linda University Medical Center - Loma Linda, California:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=hc_bd_pr&u=2006D40&h=top1.html&t=80&s=twcc
PRRB 07/27/06 06-D39 Loma Linda University Medical Center - Loma Linda, California:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=hc_bd_pr&u=2006D39&h=top1.html&t=80&s=twcc
PRRB 07/26/06 06-D38 St. Vincent's Medical Center - Bridgeport, Connecticut:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=hc_bd_pr&u=2006D38&h=top1.html&t=80&s=twcc
PRRB 07/26/06 06-D37 Lawrence & Memorial Hospital - New London, Connecticut:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=hc_bd_pr&u=2006D37&h=top1.html&t=80&s=twcc
PRRB 07/21/06 06-D36 Extendicare 99 Uncollect Co-In Dual Elig Group:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=hc_bd_pr&u=2006D36&h=top1.html&t=80&s=twcc
CMS Departmental Appeals Board Civil Remedies Decisions
DAB(CIV) 02/27/06 - 1420 - St. Catherine's Care Center of Findlay vs. Centers for Medicare & Medicaid Services:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1420&h=top1.html&t=80&s=twcc
DAB(CIV) 02/27/06 - 1419 - Andrew D. Goddard vs. The Inspector General:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1419&h=top1.html&t=80&s=twcc
DAB(CIV) 02/27/06 - 1418 - Casa Del Sol Senior Care Center vs. Centers for Medicare & Medicaid Services:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1418&h=top1.html&t=80&s=twcc
DAB(CIV) 02/27/06 - 1417 - Amable de los Reyes Aguiluz vs. The Inspector General:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1417&h=top1.html&t=80&s=twcc
DAB(CIV) 02/23/06 - 1416 - Peggy A. Bisig aka Peggy A. Fritz vs. The Inspector General:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1416&h=top1.html&t=80&s=twcc
DAB(CIV) 02/24/06 - 1415 - Timothy Wayne Hensley vs. The Inspector General:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1415&h=top1.html&t=80&s=twcc
DAB(CIV) 02/22/06 - 1413 - Richmond Health and Rehabilitation Complex-Kenwood vs. Centers for Medicare & Medicaid Services:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1413&h=top1.html&t=80&s=twcc
DAB(CIV) 02/21/06 - 1412 - Manuel Roque Carranto vs. The Inspector General:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1412&h=top1.html&t=80&s=twcc
DAB(CIV) 02/17/06 - 1411 - Amboy Care Center vs. Centers for Medicare & Medicaid Services:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1411&h=top1.html&t=80&s=twcc
DAB(CIV) 02/13/06 - 1410 - Russell Mark Posner vs. The Inspector General:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1410&h=top1.html&t=80&s=twcc
DAB(CIV) 02/09/06 - 1409 - In re CMS LCD Complaint: Local Medical Review Policy Title Ambulatory Service.:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1409&h=top1.html&t=80&s=twcc
DAB(CIV) 02/09/06 - 1408 - Patricia Taylor vs. The Inspector General:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1408&h=top1.html&t=80&s=twcc
DAB(CIV) 02/09/06 - 1407 - Anicia Villafria, M.D., Ramon Villafria, M.D., and Villafria Family Practice vs. The Inspector General:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1407&h=top1.html&t=80&s=twcc
DAB(CIV) 02/03/06 - 1406 - Scott D. Augustine vs. The Inspector General.:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1406&h=top1.html&t=80&s=twcc
DAB(CIV) 02/03/06 - 1405 - James Randall Benham vs. The Inspector General.:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1405&h=top1.html&t=80&s=twcc
DAB(CIV) 02/03/06 - 1404 - Robert D. Powers, D.C. vs. The Inspector Genereal:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1404&h=top1.html&t=80&s=twcc
DAB(CIV) 01/31/06 - 1403 - Yvette Greaves vs. The Inspector General:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1403&h=top1.html&t=80&s=twcc
DAB(CIV) 01/30/06 - 1402 - James G. Morgan, D.O., Laboratory Director vs. Centers for Medicare & Medicaid Services:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1402&h=top1.html&t=80&s=twcc
DAB(CIV) 01/30/06 - 1401 - Heron Pointe Health and Rehabilitation vs. Centers for Medicare & Medicaid Services:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1401&h=top1.html&t=80&s=twcc
DAB(CIV) 01/26/06 - 1400 - Home Health Agency vs. Centers for Medicare & Medicaid Services:
http://twcc.mediregs.com/cgi-bin/_trial/efgn?c=mms_dec_dabcr&u=CR1400&h=top1.html&t=80&s=twcc
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From the OIG
Audit Reports
Audit of the Kentucky Medicaid Agency's Buy-In of Medicare Parts A and B
http://oig.hhs.gov/oas/reports/region4/40503003.htm
Review of Medicaid Support for Graduate Medical Education in Minnesota During Fiscal Year 2000
http://oig.hhs.gov/oas/reports/region5/50400071.htm
Graduate Medical Education for Dental Residents Claimed by University of California at San Francisco Medical Center for Fiscal Years 2000 Through 2002
http://oig.hhs.gov/oas/reports/region4/40406012.htm
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This Week’s Links:
Recent OIG Criminal Enforcement Actions
http://oig.hhs.gov/fraud/enforcement/criminal/06/0506.html
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Acronym Library
| MIG | Medicare Insured Group |
| MIH | Maternal & Infant Health Initiative |
| MIM | Medicare Intermediary Manual |
For more from CMS Acronyms: http://www.cms.hhs.gov/acronyms/listall.asp
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Visit HCCA's Web site, http://www.hcca-info.org
NOTE: HCCA Members please contact April Kiel at april.kiel@hcca-info.org
if you have not received your password. This new
Web site allows members and visitors to register for conferences, order
products, or join HCCA online. HCCA Members can
update membership information and search for compliance resources
online in a secure environment, without faxing, emailing and other time-consuming
activities.HCCA's Web site
also offers E-Communities, which allow regional and
industry specific information to be shared through a discussion forum
and list-serve. Members can view and respond to documents,
tools, forms, policies and other information posted by Regional and Compliance
Focus Group leaders!
Visit http://www.hcca-info.org
and see for yourself.
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HCCA Headquarters
- Contact Information Your HCCA Office
is located at:
6500 Barrie Road, Suite 250
Minneapolis, MN 55435
The HCCA Toll-Free
888/580-8373,
Fax number - (952)
988-0146
MN telephone number-
(952) 988-0141
Email - info@hcca-info.org Contact: Margaret
Dragon, Editor
This Week in Corporate Compliance (781) 593-4924
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