Texas MD Faces Significant Prison Time for TRICARE Fraud

A doctor is standing in the hallway of jail.

A Texas physician faces significant time behind bars after being convicted of engaging in a scheme to fraudulently bill TRICARE, for toxicology and genetic tests that were not provided as represented and/or were medically unnecessary. TRICARE is the healthcare program for uniformed service members, retirees, and their families,  Dr. Sekhar Rao, a vascular and interventional…

Read More

States Benefit from Multimillion-Dollar FCA Urine Test Lab Settlement

A person holding a plastic tube with yellow liquid in it.

Several states are now benefiting from a multimillion-dollar settlement agreement signed late last year by a Nevada clinical lab and two of its owners who were charged with submitting false claims for payment to federal healthcare programs. Nevada Attorney General Aaron D. Ford recently announced that his state would receive $335,000 of the settlement money…

Read More

Home Health Agency Settles Allegations Relating to Excluded Provider

A doctor holding a clipboard with the word excluded on it.

A Connecticut home healthcare company and its owner have agreed to pay a little more than $28,000 to settle allegations that they improperly employed a physical therapist who had been excluded from all federal healthcare programs. The U.S. Department of Health and Human Services Office of Inspector General (OIG) has the authority to exclude individuals…

Read More

OIG: CMS Overpaid Providers Millions in EHR Incentive Payments

A person holding a pair of scissors and money.

The Department of Health and Human Services’ Office of Inspector General (OIG) recently released a report finding that the Centers for Medicare & Medicaid Services (CMS) overpaid some $729 million in Medicare electronic health record (EHR) incentive payments to eligible providers who did not comply with federal meaningful use requirements. In its report, the OIG…

Read More