Category Archives: Advanced

Advanced Pain Management Agreed to Pay $24k for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Non-Covered Services

Medical Fraud Exposed  

On October 13, 2020, Advanced Pain Management Specialists, P.A., (Advanced Pain), Fort Myers, Florida, entered into a $24,921.96 settlement agreement with OIG. The settlement agreement resolves allegations that Advanced Pain submitted claims to Medicare for specimen validity testing (SVT) in conjunction with claims for urine drug testing when SVT was a non-covered service. OIG’s Office of Audit Services and Office of Counsel to the Inspector General, represented by Senior Counsels Andrea Treese Berlin and Gregory Becker with the assistance of Paralegal Specialist Jennifer Hilton, collaborated to achieve this resolution.  Source

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Short Dr. Visit – Is this Cheating?

Medical Fraud Exposed

I go to see the Physician, wait in the waiting room for quite a long time.  Dr. comes in and does not sit down and stood at the door with his hand on doorknob as if he was getting ready to open the door and leave, making it a short visit. I made it a point to not stand and tried to have a discussion.  After a few minutes I stand which signaled to him that the session was over and he open the door and left. This doctor charged Medicare $450 for the session.  He turned in code 99214 … Read More

FBI News and Multimedia

Medical Fraud Exposed

Florida Man Sentenced to 22 Months’ Imprisonment for Conspiracy to Pay and Receive Healthcare Kickbacks Two West Covina Women Arrested on Indictment Alleging $4.8 Million Hospice Services Scheme to Defraud Medicare Former CEO of Silver State Health Services and Real Estate Investor Indicted for Embezzling Over $2 Million in Federal Grant Money Sovereign Health Group Founder and Ex-CEO Arrested on Indictment Alleging Long-Running, Massive Fraud Against Health Insurers Pharmacist Sentenced to Prison for False Medicaid Claims South Carolina Man Charged in Maryland for Multimillion-Dollar Medicare Fraud and Ponzi Schemes Chula Vista Man Pleads Guilty in $51 Million Medicare Fraud Scheme … Read More