Hundreds of companies in the U.S. are selling unproven stem cell treatments, study says

http://www.latimes.com/science/sciencenow/la-sci-sn-unapproved-stem-cell-treatments-20160630-snap-story.html?utm_campaign=CHL%3A+Daily+Edition&utm_source=hs_email&utm_medium=email&utm_content=31233055&_hsenc=p2ANqtz-8svW-TMtAyJFwmvKzoDjfSTTtMgsgUedtyaYE4wt_o_C_TfMcpXDmfnnRYA2UDkrCnoabntZCBkmKkB9YYl0RLteiYnA&_hsmi=31233055

Self-described stem cell clinics in the U.S.

From coast to coast, at least 351 businesses at 570 locations are marketing stem cell therapies that have not been fully vetted by medical researchers or blessed by the U.S. Food and Drug Administration, according to a study published Thursday in the journal Cell Stem Cell.

Paul Knoepfler, a bona fide stem cell researcher at UC Davis with a doctorate in molecular pathology, and Leigh Turner, a bioethicist at the University of Minnesota who studies the ramifications of medical tourism, scoured the Internet to find companies advertising all sorts of stem cell treatments directly to patients and their families. They used nearly 100 search terms to identify as many websites as they possibly could — and turned up a lot more than they thought they would.

Justice Department joins lawsuit against Prime Healthcare

http://www.healthcaredive.com/news/justice-department-joins-lawsuit-against-prime-healthcare/419849/

Judges Gavel

The U.S. Justice Department recently filed notice in U.S. District Court in Los Angeles that it is partly intervening in a whistle-blower case against Prime Healthcare Services. The whistle-blower lawsuit alleges that Prime Healthcare fraudulently billed Medicare for beneficiaries admitted as inpatients instead of treating them as outpatients.

http://www.healthcaredive.com/news/doj-accuses-prime-of-driving-up-medicare-admissions/421800/

301 people charged in massive $900 million false billings Medicare fraud

http://www.healthcarefinancenews.com/news/301-people-charged-massive-900-million-false-billings-medicare-fraud

More than 60 of the defendants arrested are charged with fraud related to the Medicare prescription drug benefit program known as Part D.

Healthcare CEO gets 10 years for fraud that led to 2 patient deaths

http://www.beckershospitalreview.com/legal-regulatory-issues/healthcare-ceo-gets-10-years-for-fraud-that-led-to-2-patient-deaths.html

Fraud2

81-year-old former pediatrician pleads guilty to fraud

http://www.beckershospitalreview.com/legal-regulatory-issues/81-year-old-former-pediatrician-pleads-guilty-to-fraud.html

Physician Fraud and Abuse

According to his plea agreement, Nicola Tauraso, MD, practiced as a pediatrician between 1972 and 2007. In 2009 he opened a pain management practice in Frederick, Md. Dr. Tauraso saw an excessive number of patients at his clinic — typically about 80 per eight-hour day — and wrote prescriptions for Oxycodone and Ocycontine without determining if a medical need existed for the prescriptions.

Former Pacific Hospital CEO and son guilty in $600M fraud scheme

http://www.beckershospitalreview.com/legal-regulatory-issues/former-pacific-hospital-ceo-and-son-guilty-in-600m-fraud-scheme.html

Healthcare Corruption

Owner, CFO of Louisiana healthcare company get prison time for fraud

http://www.beckershospitalreview.com/legal-regulatory-issues/owner-cfo-of-louisiana-healthcare-company-get-time-for-fraud.html

Fraud

Barbara Sadler, the 63-year-old owner of Extraordinary Care Network, a Baton Rouge, La.-area attendant care services company, has been sentenced to 44 months in prison for her role in a scheme to defraud the Louisiana Medicaid program of more than $1 million, according to the Department of Justice.

The company’s CFO Sedric C. Blakes, 42, has been ordered to spend three years behind bars for his role in the scheme.

Consulting firm president gets 5-year prison term for role in kickback scheme

http://www.beckershospitalreview.com/legal-regulatory-issues/consulting-firm-president-gets-5-year-prison-term-for-role-in-kickback-scheme.html

Fraud2

According to evidence presented at trial, Mr. Nerey referred Medicare beneficiaries to two home healthcare companies in return for kickbacks. Some of the patients he referred did not qualify for home healthcare services. Mr. Nerey was involved in the kickback scheme from October 2014 to September 2015, according to the DOJ.

In addition to his prison term, Mr. Nerey was ordered to pay more than $2.3 million in restitution.

Biggest healthcare frauds in 2016: Running list

http://www.healthcarefinancenews.com/slideshow/biggest-healthcare-frauds-2016-running-list?p=0

Lazy Image

Healthcare fraud is not new to the pages of Healthcare Finance. In a $3 trillion industry, Medicare, payer and patient fraud is bound to happen and the responsible parties are also bound to be caught.

Former healthcare CFO charged with bribery, fraud

http://www.beckershospitalreview.com/legal-regulatory-issues/former-healthcare-cfo-charged-with-bribery-fraud.html

Fraud

A federal grand jury returned a 47-count indictment Tuesday against the former CFO of a Medicaid-funded behavioral health system in North Carolina, according to the Department of Justice.

The indictment charged William Canupp, former CFO of Beulaville, N.C.-based Eastpointe Human Services, with conspiracy, bribery, organization fraud, wire fraud and money laundering. Eastpointe manages the public sector behavioral health system for several counties in Eastern North Carolina.