January 31, 2007 at 2:49 am Leave a comment

Can you pick the real story?
A.     The head of a nursing agency, Home Helper, was indicted for illegally employing unlicensed nurses to work at New York State and City facilities.  The indictment alleges that several correctional facilities routinely obtained nursing services from Home Helper.  The defendant routinely sent individuals who were not licensed or registered in New York State to work at the State facilities and then submitted time sheets and invoices falsely identifying these individuals as RNs. The defendant was paid approximately $261,000 by the State for the services provided by these individuals.

B.    A company paid approximately $154,000 in kickbacks in order to ensure they would be allocated a portion of a hospital’s total contracts for purchasing telecommunications equipment and services and that no alternative vendors would be chosen for those contracts. The kickback money was paid to sham consulting companies.  A hospital employee and the telecommunications company plead guilty.

Unfortunately…. they are both true!

Every week the media publishes hundreds of new stories about healthcare fraud.  According to some estimates the impact can be as much as $100 or $200 Billion a year.  That’s right with a “B”. 

With an increased focus in preventing medicare/medicaid fraud,  government agencies, including the OIG and FDA, are investigating more incidients of potential fraud, and prosecuting these offenses when proven necessary.  As a hosptal it is best to “mind your store” and know as much about your vendors as possible.  When the feds come knocking, ignorance is not a legitimate defense.

 -Andy Monin

Entry filed under: Uncategorized.

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