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JO - Health Care Compliance Association

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FYI ...continued from page 22<br />

Sterritt denied any impropriety in a letter<br />

to Gov. Jon S. Corzine, in which he said<br />

he was resigning immediately.” For more:<br />

http://www.newsday.com/news/local/wire/<br />

newjersey/ny-bc-nj--umdnj-trusteeresi-<br />

0729jul29,0,3946144.story?coll=ny-region-apnewjersey<br />

Massachusetts PT Pleads Guilty to <strong>Health</strong><br />

<strong>Care</strong> Fraud<br />

On July 22, Medical News Today reported<br />

“A physical therapist pleaded guilty earlier<br />

this week in federal court to a charge of<br />

health care fraud in connection with her causing<br />

Medicare to be billed for at least $55,000<br />

worth of physical therapy she either did not<br />

provide or provided incompletely to patients.<br />

“United States Attorney Michael J. Sullivan<br />

and Joseph C. Moraski, Special Agent in<br />

Charge of the Department of <strong>Health</strong> and<br />

Human Services, Office of the Inspector<br />

General for New England, announced that<br />

Ho Ling Lai, age 38, of Framingham, Massachusetts,<br />

pleaded guilty on Tuesday, July 18,<br />

2006 before U.S. District Judge Reginald C.<br />

Lindsay to a one-count Information charging<br />

her with knowingly and willfully committing<br />

health care fraud.” For more: http://www.<br />

medicalnewstoday.com/medicalnews.<br />

php?newsid=47876<br />

Massachusetts Man and His Three<br />

Companies Charged with Fraud<br />

According to a July 28 report in the Metro<br />

West Daily News “A Westborough, Massachusetts<br />

resident and three companies that<br />

he owned were charged yesterday with federal<br />

health care fraud.<br />

“James Taylor, 67, over-billed Medicare and<br />

Blue Cross/Blue Shield for equipment, according<br />

to the U.S. attorney’s office. In some<br />

cases, according to a statement from the U.S.<br />

attorney, he charged for respiratory equipment<br />

that was never delivered.<br />

“The three companies that Taylor owned—<br />

Vejay Oxygen, Inc., West Suburban Medical<br />

Rental, Inc., and Westborough Home <strong>Health</strong>,<br />

Inc.—allegedly defrauded Medicare and Massachusetts<br />

Blue Cross/Blue Shield of more<br />

than $915,000 from 1993 to 2003.<br />

“Taylor could face a maximum 10 years in<br />

prison and a fine up to $250,000. Each of<br />

the Westborough-based companies could face<br />

fines of up to 1.6 times the loss to Medicare<br />

and Blue Cross/Blue Shield.” For more:<br />

http://www.metrowestdailynews.com/local-<br />

Regional/view.bg?articleid=136578 n<br />

&<br />

Present<br />

IMPROVING GOVERNANCE PRACTICES<br />

Audit<br />

&<br />

<strong>Compliance</strong><br />

Committee<br />

Academy<br />

September 20 - 22, 2006<br />

Orlando World Center Marriott Resort | Orlando, FL<br />

<strong>Health</strong> <strong>Care</strong> <strong>Compliance</strong> <strong>Association</strong> • 888-580-8373 • www.hcca-info.org<br />

September 2006<br />

43

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