Are Your Employees And Contractors Properly Licensed To Provide Services?
Posted by donna@healthlawcenterplc.com in Jan, 2020
Twenty felony charges for Medicaid Fraud have been filed against a social worker who owns the EDM Treatment Center in Saginaw. The felony counts arose out of a prior employee at the treatment center who was not licensed to provide counseling services to clients in the clinic. The criminal complaint alleged that the social worker […]
Category: Medicaid, Mental Health, News & Updates
Post Tagged with Donna Craig, Fraud & Abuse, Licensure, Professional Counselor, The Health Law Center In Separate Cases Physician And Home Health Care Owner Charged With Medicaid Fraud
Posted by donna@healthlawcenterplc.com in Sep, 2019
In just a week’s time, the Michigan Attorney General, in totally separate cases, has charged a Farmington physician and a home health care owner of Medicaid Fraud. In the first case, Dr. Ban Mechael was charged with Medicaid Fraud and falsifying medical records based on allegations, that between 2016 and 2017 she submitted claims for […]
Category: Medicaid, News & Updates
Psychologist Sentenced for Criminal Sexual Conduct, Delivery of Controlled Substance and Health Care Fraud
Posted by donna@healthlawcenterplc.com in Jul, 2019
An Upper Peninsula psychologist was sentenced last week to 54 months to 15 years in prison on three felony counts of second degree criminal sexual conduct and 282 days each on seven other felony charges. The psychologist will also be required to pay $427,558 in restitution for Medicaid and health care fraud. The psychologist’s limited […]
Category: Medicaid, News & Updates, Opioid Epidemic
New Michigan Medicaid Enrollment and Billing Requirements for Nurse Practitioners and Certified Nurse Specialists
Posted by donna@healthlawcenterplc.com in Jun, 2019
The Michigan Department of Health & Human Services recently published new enrollment and billing requirements for nurse practitioners (NP) and clinical nurse specialists (CNS) who participate in Michigan’s Medicaid program. These new guidelines were effective June 1, 2019 and require: Enrollment Requirements for Clinical Nurse Specialists – Enroll in the Medicaid Program with a collaborating […]
Post Tagged with Advance Practice Registered Nurse, Certified Nurse Specialist, Donna Craig, Medicaid, The Health Law Center Could A Sweetheart Contract Or Lease Turn Sour?
Posted by donna@healthlawcenterplc.com in Aug, 2018
Last week the United States Department of Justice announced a settlement agreement with William Beaumont Hospital, located in the Detroit area, based on allegations Beaumont made false claims to the Medicare, Medicaid, and TRICARE programs. The allegations are based on improper relationships with eight referring physicians. Under the settlement agreement, Beaumont is required to pay […]
Post Tagged with Donna Craig, False Claims Act, Fraud & Abuse, Medicare, Physician, Stark Law, The Health Law Center Now’s Your Chance To Tell CMS How You Feel About The Stark Law!
Posted by donna@healthlawcenterplc.com in Jul, 2018
The Centers for Medicare & Medicaid Services (“CMS”) is seeking public input on how the Stark Law may be impeding patient care coordination. CMS issued a “Request for Information” seeking comments from providers that participate in alternative payment models (value based programs vs. fee for service) that may require the need to revise or […]
Category: Medicaid, Medicare, News & Updates
Post Tagged with Centers for Medicare & Medicaid Services, Donna Craig, Medicare, Stark Law, The Health Law Center Texas Supreme Court Finds Xerox, Not Dentists, Responsible For Fraudulent Medicaid Dental Payments
Posted by donna@healthlawcenterplc.com in Jul, 2018
The Texas Supreme Court recently upheld a Texas Court of Appeals ruling that Xerox was responsible for the $1 billion in fraudulent Medicaid dental payments. The state found that Texas Medicaid and Healthcare Partnership, a subsidiary of Xerox, allowed workers with limited expertise to approve dental claims for the state’s Medicaid program. Xerox, which was […]
Category: Anti-Kickback Statute, Medicaid, News & Updates
