Medicare and Medicaid fraud

<body bgcolor="white"> <div align="left"><table border="0" cellpadding="0" cellspacing="0" width="500"> <tr> <td colspan="2" valign="top"><p align="center"><a href="AF_frm.htm" target="_top">About the Firm</a> | <a href="fca_f.htm" target="_top">The False Claims Act</a> | <a href="wr_f.htm" target="_top">Whistleblower's reward</a> | <a href="caintr_f.htm" target="_top">Have a case?</a><a href="story_f.htm" target="_top"><br> Whistleblowers' stories</a> | <a href="resman_f.htm" target="_top">Resources</a> | <a href="what_f.htm" target="_top">What's new</a> </td> </tr> <tr> <td><font size="4" color="#333366">Health care fraud</font> </td> <td valign="top"><img src="../../GIF/PC_url.GIF" width="143" height="14" align="right"></td> </tr> <tr> <td colspan="2"><br> <ul> <li>"Move to protect hospitals may be ailing," Naftali Bendavid, <i>The Orlando Sentinel</i>, 6/28/98. </li> <li>"U.S. to ease up on suspected Medicare fraud," Laurie McGinley, <i>The Wall Street Journal, </i>4/9/98. </li> <li>"Medicare fraud probes net 3,000 in 97," Larry Wheeler, <i>USA Today</i>, 12/30/97. </li> <li>"Whistleblowers: No easy job, but more workers vie for the title," Deanna Bellandi,<i> Modern Healthcare</i>, 12/22/97. </li> <li>"Report finds false claims by ambulances," Robert Pear, <i>The New York Times</i>, 11/9/97. </li> <li>"Bold scams bilk Medicare of billions," David S. Hilzenrath, <i>The Washington Post</i>, 8/8/97. </li> <li>"Investigators say a Medicare option is rife with fraud; violations in home care," Robert Pear, <i>The New York Times</i>, 7/27/97. </li> <li>"Audit of Medicare finds $23 billion in overpayments," Robert Pear, <i>The New York Times</i>, 7/17/97. </li> <li>"Those who get caught say its just too easy: Home health care an industry with all the components for disaster, " Peter Eisler, <i>USA Today</i>, 11/12/96. </li> <li>"Amid health-care debate, fraud siphons billions from system," R.A. Zaldivar, <i>The Philadelphia Inquirer</i>, 10/19/95. </li> </ul> <p><b>Health and Human Services Departments PATH (Physicians at Teaching Hospitals) project:</b> <i>The federal government is investigating teaching hospitals to determine whether they are complying with Medicare billing regulations regarding medical services provided by resident physicians in training. HHS initiated the project after it settled false claims charges in December 1995 with the Clinical Practices of the University of Pennsylvania for inappropriately billing the government for the treatment of patients by senior doctors when residents actually did the work. </i><ul> <li>"Investigation of hospitals will proceed," Kurt Eichenwald, <i>New York Times</i>, 7/16/97. </li> <li>"Some in Congress seek to curb inquiry into fraudulent billing by teaching hospitals," Kurt Eichenwald, <i>New York Times</i>, 7/3/97. </li> <li>"Penn case sign of new battles on health costs," Marian Uhlman and Susan FitzGerald, <i>The Philadelphia Inquirer</i>, 12/17/95. </li> <li>"Oh, Penns aching back; state auditors plan own probe," Jim Nolan and Mary Flannery, <i>The Philadelphia Daily News</i>, 12/14/95. </li> <li>"University agrees to pay in settlement on Medicare," David Johnston, <i>The New York Times</i>, 12/13/95. </li> <li>"U.S. assesses Penn doctors $30 million," Marian Uhlman, L. Stuart Ditzen, and Susan FitzGerald, <i>The Philadelphia Inquirer</i>, 12/113/95. </li> <li>"A bitter pill for Penn; hospitals docs must pay $30m for Medicare billings," William Bunch and Mary Flannery, <i>The Philadelphia Daily News</i>, 12/13/95. </li> </ul> <p><br> <br> <br> </p> <p align="center"><font size="1">© 1998 Phillips and Cohen. All rights reserved<br> <a href="cred_f.htm" target="_top">Credits</a></font> </td> </tr> </table> </div> </body>