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Atlantic Mobile Imaging Services, Inc. agrees to pay more than $320,000 - Brentwood-based pain clinic network under federal investigation - Second doctor in federal addiction clinic case admits to doling out suboxone scripts for cash - And More

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WFTS: “Local doctor paying millions after the federal government accused him off submitting false claims”

 

 

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Atlantic Mobile Imaging Services, Inc. agrees to pay more than $320,000

Brentwood-based pain clinic network under federal investigation

Second doctor in federal addiction clinic case admits to doling out suboxone scripts for cash

Dayton doctor sent to prison for pill mill operation

Georgia doctor accused of bilking Medicare of $1.5 million

Saratoga (CA) doctor sentenced to 5 years in prison for health care fraud

Co-owners of Miami pain management clinic plead guilty

ETMC, Paramedics Plus, Oklahoma agency agree to $21 million settlement

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Atlantic Mobile Imaging Services, Inc. agrees to pay more than $320,000

On August 29, 2018, U.S. Attorney for the Middle District of Florida Maria Chapa Lopez announced, “Atlantic Mobile Imaging Services, Inc. has agreed to pay the United States $321,388.50 to resolve allegations that it violated the False Claims Act by knowingly billing the government for services while it was unlicensed.”

 

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Brentwood-based pain clinic network under federal investigation

On August 29, 2018, Nashville Public Radio reported, “A Brentwood-based chain of pain clinics — whose former CEO was indicted earlier this year — is also part of an ongoing federal investigation, according to court transcripts obtained by The Tennessean. The revelation partially explains why Comprehensive Pain Specialists abruptly shut down most locations this summer.”

 

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Second doctor in federal addiction clinic case admits to doling out suboxone scripts for cash

On August 29, 2018, Pittsburgh Post-Gazette reported, “A Sewickley doctor on Wednesday admitted to doling out suboxone for cash at an addiction clinic, the second physician of five charged in the case to plead guilty.

“Michael Bummer, 38, admitted to three counts related to conspiring to distribute controlled substances and health care fraud while working at Redirections Treatment Advocates, based in Washington, Pa.”

 

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Dayton doctor sent to prison for pill mill operation

On August 29, 2018, Dayton Business Journal reported, “A Dayton doctor will spend almost six years in prison for running a pill mill in the area.

 

“David Kirkwood, 62, of Dayton was sentenced today, Aug. 29, in U.S. District Court to 70 months in prison and five years of supervised release. This news was announced by Ohio Attorney General Mike DeWine, who was also joined by U.S. Attorney for the Southern District of Ohio Benjamin Glassman and other officials.”

 

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Georgia doctor accused of bilking Medicare of $1.5 million

On August 29, 2018, The Atlanta Journal-Constitution reported, “A Ringgold doctor falsely diagnosed patients as suffering from heavy metal poisoning and then billed Medicare for their treatment, federal prosecutors allege in a Medicare fraud lawsuit filed Tuesday in U.S. district court in Atlanta.

“Dr. Charles C. Adams perpetrated the scheme in Georgia for seven years, the government alleges, submitting some 4,500 claims and collecting about $1.5 million for what the lawsuit calls medically unnecessary chelation therapy.”

 

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Saratoga (CA) doctor sentenced to 5 years in prison for health care fraud

On August 28, 2018, The Mercury News reported, “A 47-year-old doctor from Saratoga has been sentenced to more than five years in prison for health care fraud and making false statements related to a health care benefits program, the U.S. Attorney’s Office said.

 

“Vilasini Ganesh, a family practitioner, and her 56-year-old husband, orthopedic surgeon Gary Belcher, were indicted in July 2017 on one count of conspiracy to commit health care fraud, one count of conspiracy to commit money laundering, multiple counts of health care fraud and making a false statement relating to health care matters.”

 

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Co-owners of Miami pain management clinic plead guilty

On August 28, 2018, U.S. Department of Justice announced, “The husband and wife co-owners of a Miami pain management clinic and a patient recruiter pleaded guilty today to conspiracy to distribute controlled substances for their participation in a scheme to unlawfully distribute thousands of pills of oxycodone.”

 

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ETMC, Paramedics Plus, Oklahoma agency agree to $21 million settlement

On August 27, 2018, Tyler Morning Telegraph reported, “A Tyler hospital, an affiliated ambulance company and an Oklahoma agency have agreed to pay about $21 million to settle a federal kickbacks lawsuit, according to the U.S. Department of Justice.

 

“The former East Texas Medical Center, its former subsidiary Paramedics Plus and the Oklahoma agency Emergency Medical Services Authority agreed to settlements totaling $20,949,000, according to the federal government.”

 

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CMS Update

 

Provider Compliance: Provider Minute: Laboratory and Diagnostic Services Billing Video

Why are proper physician orders important to you and your patients? Watch the “Provider Minute: Physician Orders/Intent to Order Laboratory Services and Other Diagnostic Services” video and find out how they affect patient care/services, claim payment, and medical review. Learn about:

  • Importance of legible signed orders
  • Signed orders versus intent to order services
  • Documentation of medical necessity

 

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From the OIG

 

Updated Corporate Integrity Agreement List

 

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HIPAA Training Handbook, 3rd Edition

 

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Research Compliance Professional's Handbook, 2nd Edition

 

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Questions/Feedback?

Please feel free to contact Margaret Dragon, editor of Compliance Weekly News.

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Health Care Compliance Library
HCCA offers members and registered guests access to an extensive library of articles. Information provided covers topics in corporate compliance and ethics in healthcare organizations. Contributing authors include attorneys, chief compliance officers, providers of auditing, monitoring, coding, billing and technology services, and other members of our compliance community.