Hot Topics – 2/13/2015

FRAUD/ABUSE


1. Resident Abuse – An employee of Texas nursing home was arrested and accused of beating resident as a result of video taken by hidden camera placed in the room by resident’s family member with permission of facility. Resident’s family member had noticed several “unexplained injuries” and had taken those concerns to the management who agreed to having a hidden camera installed in resident’s room. Subsequent video taken by the hidden camera showed the arrested employee hitting the resident in her face and pulling resident out of the shower by her arm.

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Hot Topics – 2/02/2015

FRAUD


1. Fraudulent Billing – Long Term Care Podiatric Services – Podiatrist, as sole practitioner and independent contractor for Preferred Podiatry Group, Inc. (PPG) pleads guilty to felony health care fraud for false billing for incision and drainage of abscesses and hematomas on occasions when he only clipped toenails. Podiatrist agreed to judgment of $999,170 representing the amount of reimbursement he received for false claims.

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