Well this is a start tocombat the fraud, howweverwhat about all the money that was stolen HCA over the years?
Just the money that HCA settled 'out of court' for was a FRACTION, a FRACTION of what they STOLE! And were still allowed to continue UNINTERRUPTED BUSINESS as USUAL!
mentored by Rixchard Rainwater and friends!
How about HCA paying ALL of the money,that was stolen mind you, back to the people, not just the fraction the government settled for, buit ALL OF the LOOT BACK!
Man charged with TennCare fraud
NASHVILLE — A Rutherford County man is charged with using the TennCare medical benefits of another individual in order to get health-care treatment he would otherwise have to pay for.
The Office of Inspector General (OIG) and the Rutherford County Sheriff’s Department today announced the arrest of Steven M. Barrett, 19, of Murfreesboro.
An indictment charges Barrett with one count of TennCare fraud and using someone’s TennCare card in order to obtain treatment at a health-care provider’s office in Rutherford County.
“Health-care benefits are not transferable to another person — even in the private sector — and it’s especially egregious for someone to steal the benefits of a person who legitimately qualifies for TennCare,” Inspector General Deborah Y. Faulkner said.
Illegally obtaining TennCare medical benefits is a Class E felony that carries a maximum penalty of two years in prison per charge. District Attorney William Whitesell Jr. will prosecute.
The OIG, a law enforcement agency separate from TennCare, began full operation in February 2005 and has worked cases leading to the arrest of more than 760 individuals for TennCare fraud, with nearly $1 million paid in restitution to TennCare, and total estimated cost avoidance in TennCare of over $122 million, according to latest figures.
Through the OIG Cash for Tips Program established by the Legislature, Tennesseans can get cash rewards for TennCare fraud tips that lead to convictions. “Anyone can report suspected TennCare fraud by calling 1-800-433-3982 toll-free from anywhere in Tennessee, or log on to www.tncarefraud.tennessee.gov and follow the prompts that read “Report TennCare Fraud.”
Showing posts with label palin. Show all posts
Showing posts with label palin. Show all posts
Friday, September 12, 2008
Friday, September 5, 2008
Banks Are Uniquely Positioned to Prevent Health Care Fraud
How about Banks assist with Health Care Fraud? Perfect example is NCFE missing the Founder and CEO and also an "Executive" James K Happ.....the person who assisted GW Bush's ex-partner Richard Rainwater in the "PONZI SCHEME" as noted by Federal Prosecutors involved in the case they would like to to reference as "an end to an era".
Not so fast.....so much more to KNOW! James K Happ....(Smoking GUN)
Banks Are Uniquely Positioned to Prevent Health Care Fraud
By Matt Squire
Bank compliance professionals are in a prime position to uncover health care fraud if they are aware of the tell-tale signs and report the related suspicious activity to law enforcement, say fraud investigators.
Health care fraud accounts for around 10 percent or $100 billion of the $1 trillion spent annually in the health care industry, according to the U.S. Government Accountability Office.
Not so fast.....so much more to KNOW! James K Happ....(Smoking GUN)
Banks Are Uniquely Positioned to Prevent Health Care Fraud
By Matt Squire
Bank compliance professionals are in a prime position to uncover health care fraud if they are aware of the tell-tale signs and report the related suspicious activity to law enforcement, say fraud investigators.
Health care fraud accounts for around 10 percent or $100 billion of the $1 trillion spent annually in the health care industry, according to the U.S. Government Accountability Office.
Healthfirst largest health plan for Medicaid beneficiaries pay $35 million FRAUD
Health plan settles fraud charges with state
A related indictment accuses a former Healthfirst executive of concealing a practice of paying employees based on productivity, which is prohibited to protect consumers from aggressive sales tactics.
Healthfirst, New York state’s largest health plan for Medicaid beneficiaries, agreed to pay $35 million to settle charges by the attorney general that it had submitted false marketing plans.
A former senior executive of Healthfirst was also indicted earlier this year on related charges, the attorney general’s office said.
Last November, the state Department of Health temporarily shut down enrollment in all but Healthfirst’s Medicare plans after the attorney general’s investigation was revealed. The company, which has about $1 billion in annual premium revenues, provides coverage for about 500,000 people in New York and New Jersey.
In the wake of the shutdown, which ended in March, Healthfirst’s chief executive and founder, Paul Dickstein, and chief operating officer James Boothe stepped down.
It was Mr. Boothe who was indicted in May for first degree insurance fraud, a felony.
The indictment alleges that Mr. Boothe caused Healthfirst to submit false marketing plans to the state and to local government agencies, and concealed the information that Healthfirst paid its marketing representatives based on their productivity, which is prohibited. According to the indictment, the payment plan violated the company’s contract with the state from 1999 through 2003. Healthfirst management reported the violations to the state, and the company cooperated with the attorney general’s investigation.
The rules governing the marketing of Medicaid plans are designed to protect people from aggressive sales tactics.
In January, Patricia Wang, then a senior vice president at Greater New York Hospital Association, was named Mr. Dickstein’s successor.
“None of the conduct involved relates to current practices of Healthfirst, and the company is in complete compliance with all relevant regulatory requirements,” said a spokesman for Healthfirst, whose owners include Beth Israel Medical Center, Mount Sinai Medical Center and The New York City Health and Hospitals Corp.
A related indictment accuses a former Healthfirst executive of concealing a practice of paying employees based on productivity, which is prohibited to protect consumers from aggressive sales tactics.
Healthfirst, New York state’s largest health plan for Medicaid beneficiaries, agreed to pay $35 million to settle charges by the attorney general that it had submitted false marketing plans.
A former senior executive of Healthfirst was also indicted earlier this year on related charges, the attorney general’s office said.
Last November, the state Department of Health temporarily shut down enrollment in all but Healthfirst’s Medicare plans after the attorney general’s investigation was revealed. The company, which has about $1 billion in annual premium revenues, provides coverage for about 500,000 people in New York and New Jersey.
In the wake of the shutdown, which ended in March, Healthfirst’s chief executive and founder, Paul Dickstein, and chief operating officer James Boothe stepped down.
It was Mr. Boothe who was indicted in May for first degree insurance fraud, a felony.
The indictment alleges that Mr. Boothe caused Healthfirst to submit false marketing plans to the state and to local government agencies, and concealed the information that Healthfirst paid its marketing representatives based on their productivity, which is prohibited. According to the indictment, the payment plan violated the company’s contract with the state from 1999 through 2003. Healthfirst management reported the violations to the state, and the company cooperated with the attorney general’s investigation.
The rules governing the marketing of Medicaid plans are designed to protect people from aggressive sales tactics.
In January, Patricia Wang, then a senior vice president at Greater New York Hospital Association, was named Mr. Dickstein’s successor.
“None of the conduct involved relates to current practices of Healthfirst, and the company is in complete compliance with all relevant regulatory requirements,” said a spokesman for Healthfirst, whose owners include Beth Israel Medical Center, Mount Sinai Medical Center and The New York City Health and Hospitals Corp.
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