Below, is a few examples of Medicaid fraud schemes where individuals are employed who were not eligible because they had been previously busted for Medicaid fraud.
Of all the years in existence, the U.S. Department of Health and Human Services Office of Inspector General has never, ever, ever brought forth violations of the
Civil Monetary Penalties Law against any child welfare entity.
Never.
Not only that,
no one from the child welfare industry has been placed on the
OIG Exclusionary Database.
The reason it is never enforced is because it would shut down the entire child welfare system.
08-09-2011
After it self-disclosed conduct to the OIG, Kmart Corporation (Kmart), Indiana, agreed to pay $945,021.19 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Kmart employed four individuals that it knew or should have known were excluded from participation in Federal health care programs
07-22-2011
After it self-disclosed conduct to the OIG, Health Management Services, Inc. (HMS), Louisiana, agreed to pay $6,545.61 for allegedly violating the Civil Monetary Penalties Law. Specifically, HMS disclosed the alteration of continuous positive airway pressure downloads for patients by two individuals at HMS in order to obtain Federal health care program reimbursement.
06-06-2011
After it self-disclosed conduct to the OIG, University of North Texas Health Science Center at Fort Worth (UNTHSC), Texas, agreed to pay $859,500 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that UNTHSC submitted claims for physicians' services provided to beneficiaries of Federal health care programs using the provider identification numbers of 103 physicians who neither furnished the service nor personally supervised the services rendered.
08-30-2010
After it self-disclosed conduct to the OIG, Catholic Healthcare West, Bakersfield Memorial Hospital, and Community Hospital of San Bernardino (collectively CHW), CA, agreed to pay $243,819.28 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that CHW employed five individuals that it knew or should have known were excluded from participation in Federal health care programs.
Stop Child Medicaid Fraud
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