Houston Hospital Official Guilty in $116 Million Medicare Fraud Scheme
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
Login to read the full story or Subscribe now!
Other Recent Stories
During this year’s Medicare Advantage Open Enrollment, which started Oct. 15 and runs until Dec. 7, seniors enrolling in Medicare Advantage have seen average monthly premiums drop by 6%, and CMS is proposing changes to continue to drive affordable options for Medicare beneficiaries that meet their unique health needs.
Focus areas include hunger relief: comprehensive hunger relief organizations and nonprofit food distribution centers are eligible.
AARP, the nation’s largest advocacy organization representing the interests of older Americans, is wasting no time voicing its dissatisfaction with the tax reform measure. The organization estimates the House version, HR 1, will raise taxes on 1.2 million seniors next year alone. “Millions more older Americans will see tax increases in the future, or at best, no tax relief at all,” says Nancy LeaMond, the organization’s top lobbyist.
In the U.S. study of more than 6,000 white, African-American and Hispanic women ages 63 to 99, researchers reported significantly lower risk of death in those who were active at levels only slightly higher than what defines being sedentary.
The Justice Department has reached a settlement agreement with the Louisiana Department of Public Safety and Corrections, under Title II of the Americans with Disabilities Act of 1990 (ADA). Under the agreement the Louisiana State Penitentiary (LSP), also known as Angola, will remove barriers to access for inmates, employees, and visitors with disabilities.
President Donald Trump has nominated attorney Alex Azar to replace recently ousted Tom Price as secretary of the Health and Human Services (HHS) Department. Azar, 50, is a former George W. Bush administration official who served as deputy secretary of HHS before spending nearly a decade as a senior executive at pharmaceuticals giant Eli Lilly & Co.
The most comprehensive data on US donor-advised funds (DAFs) reveals grants from DAFs to qualified non-profits grew 16.9 percent to a record $15.07 billion. DAFs remain the fastest-growing giving vehicle in the US with 285,000 individual donor-advised fund accounts, a 2.6 percent increase from the prior year.
The U.S. health care system lacks the capacity to rapidly move a treatment for Alzheimer’s disease from approval into wide clinical use, a shortcoming that could leave millions of people without access to transformative care if such a breakthrough occurs, according to a new RAND Corporation study.