Alabama, Florida, Indiana, Michigan, Minnesota, New York and South Carolina–will pay a combined $9.4 million to settle a whistleblower suit by two former employees of the company responsible for the therapy–Kyphon, Inc., and now part of Medtronic Spine LLC. The Department of Justice announced the hospitals were accused of keeping patients overnight after having kyphoplasty, typically an outpatient back procedure, merely so that they could bill Medicare at a higher rate.
Read entire article from Fierce Healthcare at: http://www.fiercehealthcare.com/story/nine-hospitals-pay-9-4-million-medicare-fraud-settlements/2010-05-18?utm_medium=nl&utm_source=internal

Earlier this year, HHS and the Department of Justice created a new Health Care Fraud Preventing and Enforcement Action Team (HEAT). The program expands existing DOJ-HHS Medicare Fraud Strike Force teams that focus on data analysis to track fraud. Also new is a requirement that DME suppliers except pharmacies be certified by CMS in order to reduce fraud.

The OIG has also launched an online consumer program, http://www.StopMedicareFraud.gov/, to combat medical identity theft. The website and printed materials offer tips on how to recognize medical identity theft and what to do if it happens. Common scams include offering free services, groceries, transportation, or other items in exchange for Medicare numbers, as well as telephone surveyors or marketers who ask for Medicare numbers as an identifier.

Depart of Justice is making Health Care Fraud a top priority with settlements and judgments added up to $1.6 billion, $867 million of which came from settlements with the pharmaceutical and medical device industries.
Read more at Fierce Healthcare Daily News: http://www.fiercehealthcare.com/story/false-claims-prosecutions-focused-healthcare/2009-12-14?utm_medium=nl&utm_source=internal