Articles by Evan Sweeney
Lawmakers call for SSA to do more to prevent physician-assisted fraud
Senate Finance Committee Ranking Member Orrin Hatch (R-Utah) and House Ways and Means Subcommittee on Social Security Chairman Sam Johnson (R-Texas) have calld out the discrepancies between Medicare fraud prevention efforts and the lack thereof at the Social Security Administration.
Politicians getting involved in Medicare fraud investigations
Even Medicare fraud investigations are not immune to political pressure, according to an investigative article from the Wall Street Journal. The newspaper details instances in which governors and state representatives have interjected themselves into fraud investigations, blocked payments, and prepayment reviews.
A story of redemption and the value of self-reporting
Those who read about the 11 south Florida residents charged with defrauding Medicare for more than $25 million were probably just as horrified as the FBI to learn about the details of a case that used more than 1,200 expatriates to fraudulently collect Medicare reimbursement.
New fraud prevention rule gives CMS greater discretion
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule focusing on new safeguards to reduce Medicare fraud. The new rule gives CMS the "ability to deny or revoke the enrollment of entities and individuals that pose a program integrity risk to Medicare."
Miami man pleads guilty in $238M Medicare fraud case
A Miami man who was part of an epic money laundering scheme that totaled $238 million in Medicare funding pleaded guilty to conspiring with his brother to carry out the scheme.
NHCAA president addresses foremost healthcare fraud prevention issues
In a recent interview, National Health Care Anti-Fraud Association (NHCAA) CEO Louis Saccoccio shared his thoughts on fraud prevention in 2014 and what NHCAA plans to focus on in the coming year.
Florida cracks down on fraud tied to therapy clinics
A Tampa man was sentenced to 11 years in federal prison in a false claims case involving physical and occupational therapy services, while an Orlando couple was charged with Medicare fraud at their rehab center.
Increase in Medicare payments for house calls raises fraud concerns
From 2006 to 2012, Medicare spending for home-visit services skyrocketed to $268 million--a 40 percent increase. The data has some concerned that a service intended to better assist aging patients with limited mobility is now overrun with fraud.
