This is good to see some progress being made. Technology will eventually help recognize some of these patterns too with running reports and queries to look for items that fall outside the normal realms. One example in this article shows one doctor making $6 million on hemorrhoid surgeries...
Posted to
The Medical Quack .... by Barbara Duck
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The Medical Quack
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Fri, Feb 18 2011
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, medical billing, Fraud, Doctors, Investigation, FBI, Algorithms, nurses, DOJ, crime
This is pretty hot stuff and is updated as to when the folks on the list get captured. There’s even a place on the site where you can report information about any of those listed on the “Most Wanted List” for healthcare fraud. To report one can either fill in the form on the website or call...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Sat, Feb 5 2011
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Filed under: Medically Related, Technology, HHS, Fraud, FBI, DOJ, healthcare reform, websites, report, Medicare fraud, Office of the Inspector General, tips, hotline
The company will be monitored for 5 years as the case revolved around the use of consultants they hired to sell their products. The article states they have agreed to amend their ways of business to ensure kick back situations do not arise in the future. They are not the first knee and hip...
Posted to
The Medical Quack .... by Barbara Duck
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The Medical Quack
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Thu, Sep 30 2010
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Filed under: Medically Related, Pharma/FDA News, Other Items of Interest, Surgery, healthcare, Medical Devices, Lawsuit, FDA, Knee replacement, DOJ, hip replacement, Write Medical
The government is scheduled to file their complaint by the end of August after interviewing additional individuals relative to the case. The recent case in California probably didn’t help matters much with being the public eye. The California case is interesting and worth a read and also...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Sun, Aug 8 2010
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Filed under: Medically Related, Pharma/FDA News, Surgery, healthcare, Medical Devices, Lawsuit, Cardiology, St. Jude, defibrillator, Profits, WhistleBlower, DOJ, US Attorney General, Kickbacks, Boston Scientific, payments, Defibrillators, cardiac care, St Jude
First of all finding fake store fronts is a good idea and something has never been researched to any large degree. Florida is a huge area for fraud. Crooks are better billers so you can’t rely on electronic monitoring only as all their data looks perfect as they have one focus of fraud and...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Tue, Jul 20 2010
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Filed under: Medically Related, Insurance, healthcare, Social Security, identity theft, Seniors, Coding, Nightline, DOJ, healthcare reform, billing, Medicare fraud, Do Not Pay
Not too long ago the Department of Justice was looking at how hospital contracts worked in the state of Massachusetts and Blue Cross is now looking to find some relief. Some of the insurers in the state are non-profit, different than how it functions in many states with for profits leading the...
Posted to
The Medical Quack .... by Barbara Duck
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The Medical Quack
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Mon, May 24 2010
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Filed under: Medically Related, Insurance, health insurance, Hospitals, Blue Cross, Boston, Insurance premiums, DOJ, Tufts University, heatlhcare reform, Harvard Pilgrim Healthcare
When it comes to healthcare news, Partners is no stranger. Recently in the news the Department of Justice opened an inquiry as to how they were able to substantiate larger compensation contracts compared to other hospitals in the Boston area. How Does Partners HealthCare Negotiate Those Higher...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Sat, May 15 2010
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Filed under: Medically Related, Insurance, Physicians, Hospitals, Blue Cross, Massachusetts, Boston, Department of Justice, DOJ, healthcare reform, Partners Health CareHealthcare
This is not a new topic by any means as it has been in the news quite a bit about how Partners gets paid at higher rates than some of the other hospitals in the Boston area. The link below is from last year, January 2009 for a little history. One area of difference when comparing Massachusetts...
Posted to
The Medical Quack .... by Barbara Duck
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The Medical Quack
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Thu, Apr 29 2010
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Filed under: Medically Related, Insurance, Physicians, Hospitals, Blue Cross, Massachusetts, Boston, Department of Justice, DOJ, healthcare reform, Partners Health CareHealthcare
I posted this last October in 2008 and little did I know how true it would really play out to be as time moved on, those 2 items right there are what seems to make the dollars and profits in healthcare today. The DOJ certainly has been helped with the efforts of whistle blowers and there’s money...
It doesn’t appear that any pharma company has not been involved in a lawsuit over Off Label Marketing and now it’s J and J’s turn. Recent settlements have generated some large sums of money of late. Algorithms and whistleblowers still continue to be the two Hot Words in Healthcare. ...
Posted to
The Medical Quack .... by Barbara Duck
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The Medical Quack
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Mon, Feb 23 2009
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Filed under: Medically Related, Pharma/FDA News, healthcare, Pharma, FDA, Johnson and Johnson, Lawsuits, Off Label Drug use, Whistleblowers, DOJ