So, now that you are out of the hospital, you notice that the Medicare tracking advisories you're getting in your mailbox reflect some odd -- if not altogether unrelated -- billing for services purportedly provided by the hospital. What's going on, you wonder. Why is your Medicare account being billed for services you never received?
Perhaps it's just an administrative error, something easily fixed. Then again, maybe what you're seeing is a red flag warning of possible fraud.
Consider the case of Mohammad Khan.
A 62-year old assistant administrator of a Houston hospital, Kahn just pleaded guilty to charges steeming from his role in a $116 million Medicare fraud scheme involving false claims for mental health treatment.
Mohammad Khan pleaded guilty Wednesday (Feb. 22) before U.S. District Judge Sim Lake in the Southern District of Texas to one count of conspiracy to commit health care fraud, one count of conspiracy to defraud the United States and to pay and receive illegal health care kickbacks, and five counts of paying or offering to pay health care kickbacks.
Khan was arrested on Feb. 8. In his plea, he admitted that, from January 2008 until the time of his arrest, he caused the submission of $116 million worth of fraudulent claims to Medicare for partial hospitalization program (PHP) services purportedly provided by the hospital. A PHP is a form of intensive outpatient treatment for severe mental illness.
Info: For complete details of the case, please go to http://tinyurl.com/7l4rhfy