Experts warn doctors to be aware of new requirements in health bill's false claims act

The Miami Herald: "A longtime Miami-Dade healthcare operator and his son have been charged with bilking more than $2.8 million from Medicare in an undercover FBI case. The father has fled the country and the son is cooperating with authorities. Ernesto Angel Montaner and his son, Ernesto Montaner, are accused of operating a network of physical rehabilitation clinics in Miami-Dade that submitted millions of dollars in phony bills to the federal healthcare program for the elderly and disabled between 2003 and 2008" (Weaver, 4/24).

South Florida Business Journal: "Three South Floridians have pleaded guilty to participating in a $5.8 million Medicare fraud scheme. Maria Volero Marrero, 48; Lawrence Edward Humes, 57; and Keith Earnest Humes, 53, are alleged to have recruited beneficiaries to provide their Medicare numbers and signatures to submit false claims in an HIV/AIDS infusion scam. Marrero admitted she owned Tendercare Medical Center and that she paid kickbacks to the Humeses to recruit the patients. Medicare paid out $2.7 million in claims. The three are scheduled to be sentenced in July in Miami federal court" (4/23).

Kaiser Health NewsThis article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.

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