SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Send us your Comments

Never Miss a Story

Sign up for email alerts

 

More Industry Headlines

Dealing with staff addicts in the workplace New York radiologist allegedly wrote 280 illegal prescriptions

MWA 2015: Assessing the risk of pandemics and the promise of 3-D printing The show kicks off in ten days. What can visitors expect?

Illinois Health and Science to acquire IBA Molecular North America, Inc. IBAM NA will work with Zevacor to produce radionuclides

Mallinckrodt acquires Ikaria for $2.3 billion Deal expands their neonatal critical care footprint

Study calls whole-body MRI ‘promising’ for enthesitis A recently published study calls whole body magnetic resonance imaging (wbMRI) a “promising” new imaging modality for evaluating enthesitis in patients with psoriatic arthritis and axial spondyloarthritis.

Major amyloid imaging trial launched by ACR, Alzheimer’s Association The American College of Radiology and the Alzheimer's Association have launched a new four-year study on beta-amyloid imaging in diagnosing and treating Alzheimer’s and other dementias

Thousands of NYC RNs picket, claim 'staffing levels not safe' They will converge in Albany next week to lobby for legislation

HIMSS 2015: Cloud data puts health care on cyber risk frontline Hackers were on the mind of many attendees this year

CMS changes to Meaningful Use program mostly welcome A proposed rule released Friday by the Centers for Medicare and Medicaid Services (CMS) aims to make it easier for hospitals and physician practices to achieve meaningful use of electronic health records

HIMSS 2015: Three big data innovators you need to know Breakthrough analytical insights for unexpected market segments

DOJ settlement
with visiting physicians

Visiting Physicians Association to Settle False Claim Act Violations

by Astrid Fiano , DOTmed News Writer
The U.S. Department of Justice (DOJ) reports that Visiting Physicians Association (VPA), based in Farmington Hills, MI, will pay the United States and the state of Michigan $9.5 million to settle allegations of False Claims Act violations.

The settlements will resolve four qui tam (brought by whistleblowers, known as "relators") lawsuits under the False Claims Act. The federal statute allows relators on fraudulent claims to initiate a lawsuit under the act on behalf of the United States. The plaintiff-relators may also share in any recovery. The plaintiffs in this case will collectively receive approximately $1.7 million, the DOJ says.

Story Continues Below Advertisement

VIP Medical, Inc. - A Reputation For Quality!!! Visit www.vipmedinc.com

Our primary focus is International wholesale distribution of Pre-owned Medical Equipment. We specialize in Respiratory Equipment, primarily adult and infant ventilators. All major OEMs supported. Call 703-589-0369. DOTmed Certified



The VPA is alleged to have submitted false claims to Medicare, TRICARE (the health care program for active duty service members, reserves, retirees and dependents) and the Michigan Medicaid program. Visiting Physicians Association provides in-home physician services (including diagnostic and laboratory testing) for home-bound and disabled patients in the states of Michigan, Ohio, Georgia and Wisconsin. Medicare-qualified patients have such services billed through VPA for Medicare reimbursement.

Based on details from the publicly available qui tam complaints, the Visiting Physicians Association is alleged to have: improperly certified patients as homebound; required "upcoding" visits for laboratory fees and echocardiograms in order to obtain the maximum charge reimbursable by Medicare; required physicians hired by VPA to routinely see patients and order medical tests or procedures that were unnecessary; required physicians to visit patients more than medically necessary; required upcoding for moderate to high problems and high intensity visits when the patients did not meet the criteria; self-referrals of tests, medical goods and services to entities owned, controlled or associated with the defendants; and termination of employees after the employees complained of fraudulent practices.

"This settlement illustrates the government's commitment to pursuing those who defraud Medicare and other important programs and drive up the costs of health care," said Tony West, Assistant Attorney General for the Civil Division of the DOJ, on the agency's website. "The Justice Department will continue to work with our federal and state partners to ensure that taxpayer dollars are spent on health care services for patients, not wasted on fraud and abuse."

Adapted in part from a DOJ press release.

The DOJ release: http://www.justice.gov/opa/pr/2009/December/09-civ-1377.html

Back to DOTmed News
  Pages: 1

Related:


Interested in Medical Industry News? Subscribe to DOTmed's weekly news email and always be informed. Click here, it takes just 30 seconds.
Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2015 DOTmed.com, Inc.
ALL RIGHTS RESERVED