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Home » Fraud

Fighting Fraud Continues

Submitted by on October 28, 2020 – 2:02 am
Fighting Fraud Continues

After a federal lawsuit charging fraudulent billing to Medicare, Medicaid, TRICARE and other federal health care programs, Michael Doyle and Christopher Toepke and their businesses, Logan Laboratories Inc. and Tampa Pain Relief Centers Inc., have agreed to pay $41 million. This all too familiar topic was brought to us by the Tampa Observer in their article, “Health care executives to pay $41M in fraud settlement.”

According to the Department of Justice, whistleblowers brought the alleged Medicare fraud, which occurred between 2010 and 2017, to the attention of the government.

The charges were centered around Doyle and Toepke developing and implementing a policy and practice of automatically ordering urine drug testing for all patients at every visit, without any physician making an individualized determination that tests were medically necessary for the particular patients for whom the tests were ordered.

There are many types of healthcare fraud behavior, and this is just one. Medicare fraud results in higher health care costs and taxes for everyone.

Melody K. Smith

Sponsored by Access Integrity, delivering advanced technology solutions for full and complete compliant processing of medical transactions to the healthcare industry.

Photo, https://pixabay.com/photos/blood-test-urine-test-medical-527617/

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