The last quarter of 2011 was most active for the Office of Inspector General at Health & Human Services with fines levied.  http://www.oig.hhs.gov/ 

In the first three quarters of 2011 fines approximated to $1,000,000.

In the last quarter of 2011 fines approximated to $1,500,000.  Making the 2011 total at $2,500,000 for medical employers employing  individuals that were sanctioned from being  employed.

Have you checked the list lately ? 

The OIG HHS regulations state all employees must be checked against the sanctions list “Periodically.”

Call BestHire today. We can help.  Telephone 800-539-0055   or   860-872-0055.

www.BestHire.com

__________________________________________________________________________

11-17-2011

After it self-disclosed conduct to the OIG, Pitt County Memorial Hospital (PCMH), North Carolina, agreed to pay $68,479.04 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that PCMH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

11-14-2011

After it self-disclosed conduct to the OIG, Providence Hospital, Alabama, agreed to pay $5,938.54 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Providence Hospital employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

11-02-2011

After it self-disclosed conduct to the OIG, Sonoma Healthcare Center (SHC), California, agreed to pay $106,650.11 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that SHC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

10-26-2011

After it self-disclosed conduct to the OIG, New York City Health and Hospital Corporation (HHC), New York, agreed to pay $442,909.35 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that HHC employed eight individuals that it knew or should have known were excluded from participation in Federal health care programs.

10-26-2011

After it self-disclosed conduct to the OIG, Conestoga View Nursing, L.P. d/b/a Conestoga View, Pennsylvania, agreed to pay $264,879.84 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Conestoga View employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

10-06-2011

After it self-disclosed conduct to the OIG, Blue Hill Memorial Hospital (BHMH), Maine, agreed to pay $40,000 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that BHMH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

 

09-20-2011

After it self-disclosed conduct to the OIG, Maine Coast Memorial Hospital (MCMH), Maine, agreed to pay $186,398.71 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that MCMH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

09-15-2011

Jenq-Sheng Liu, Jenq-Sheng Liu, M.D., P.S.C. d/b/a Blue Grass Women’s Clinic, and Su-Mei Liu, (defendants), Kentucky, agreed to pay $58,952.57 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that the defendants fraudulently billed Medicaid for six different Current Procedural Terminology codes. Su-Mei Liu agreed to a five-year period of exclusion from all Federal health care programs.

09-06-2011

After it self-disclosed conduct to the OIG, Cape Cod Hospital (CCH) a subsidiary of Cape Cod Healthcare, Inc., Massachusetts, agreed to pay $115,605.36 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that CCH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

09-06-2011

After it self-disclosed conduct to the OIG, Visiting Nurse Association of Cape Cod (VNA) a subsidiary of Cape Cod Healthcare, Inc., Massachusetts, agreed to pay $278,169.84 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that VNA employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

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Updated 2011

The Health and Human Services Office of Inspector has released the 2011

news regarding  fines impacting our health care community.

The Social Security Act requires all 

recipients’ of Medicare and Medicaid payments to

“Periodically” monitor  HHS OIG sanctions against it employees and contractors.

This includes hospitals, physicians, ambulance services, pharmacies and any other type of medical service that recieves payments from MediCare programs.

Without having a monitoring program the health care employer can not detect

employees that have violated US Code and sanctioned by the HHS.

The Civil Monetary Penalities Law can range in the thousands

and hundreds of thousands of dollars.

Here are examples of the 2011 activity.

08-30-2011

After it self-disclosed conduct to the OIG, St. Joseph Health Services of Rhode Island (St. Joseph), Rhode Island, agreed to pay $123,032 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that St. Joseph employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

08-19-2011

After it self-disclosed conduct to the OIG, Hospice of the Finger Lakes (HFL), New York, agreed to pay $35,831.70 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that HFL employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

07-22-2011

After it self-disclosed conduct to the OIG, Margaret R. Pardee Memorial Hospital (Pardee), North Carolina, agreed to pay $94,729 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Pardee employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

06-10-2011

After it self-disclosed conduct to the OIG, Valley Obstetrics and Gynecology (VOG), Washington, agreed to pay $72,439.62 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that VOG employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

06-10-2011

After it self-disclosed conduct to the OIG, WellStar Cobb Hospital (WCH), Georgia, agreed to pay $9,216.73 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that WCH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

05-13-2011

After it self-disclosed conduct to the OIG, Internal Medicine Associates (IMA), Indiana, agreed to pay $58,573.55 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that IMA employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

04-06-2011

After it self-disclosed conduct to the OIG, Calvin Community, Iowa, agreed to pay $56,663 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Calvin Community employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

03-11-2011

Deaconess Hospital (Deaconess), Indiana, agreed to pay $76,592.52 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Deaconess employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

02-07-2011

Logan Emergency Ambulance Service Authority (Logan), West Virginia, agreed to pay $79,176 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Logan employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

Source: 

 US Security Administration,  Health & Human Services Office of Inspector General.

 

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www.BestHire.com

 

 

Mark Twain House employee embezzled $1 million

 LA TIMES August 9, 2011

 Church official faces third theft charge

 Record Journal Feb 23, 2011

Cop arraigned on charges of stealing $19,000 from youth programs–

JI December 18, 2008

     Alarming headlines?  You bet!  Confident that headlines like these can’t possibly happen to your nonprofit organization?  Think again.  Unfortunately, they are becoming more and more prevalent as people affected by the downturn of the economy are taking drastic measures to keep themselves financially afloat.  In other cases of embezzlement, some individuals are driven by just plain greed. Nonprofits are being slammed in more than one direction as generous benefactors are tightening their belts with their donations, interest and dividend income on assets is evaporating, and with headlines like the above being broadcast, what benefactor feels absolutely confident that their generous donation won’t be foolishly squandered?

      Thank you for letting me introduce myself to you and the other prominent people affiliated your organization.  I am a the owner of a local business,  BestHire, LLC, a company established more than 15 years ago, specializing in background checks for employers only.  We have provided background checks to hundreds of companies, dozens of them being nonprofits profits just like yours!  I am also a co-chair for  a nonprofit organization right here in Vernon and am well aware of the climate in which nonprofits are trying hard to succeed.   

      Perhaps you are confident that you have been diligent in your past hiring because you have run criminal background checks with no results found.  Well, did you know that a credit report run on an individual handling your cash might turn up credit problems?  One of the individuals responsible for stealing hundreds of thousands of dollars had outstanding tax liens that likely would not have surfaced on a standard criminal background check.   Does your organization have signed releases by your employees allowing for ongoing procurement?  This allows for employers to regularly monitor key staff on an annual basis or when you might be you suspecting issues in the future.  

      Wondering which direction your organization might be headed?  With much uncertainty about future revenue, you may feel that you can’t afford to be as diligent as you’d like, or maybe you’re just unsure as to the most beneficial and cost effective avenue in which to do it?  We would be happy to discuss the tools which other nonprofits are using to insure that your generous benefactors know their money is safe in your hands.

     I can be reached at my office in Vernon, CT at 860-872-0055. I would be happy to attend a board meeting to answer questions your management may have. I can supply references upon request and look forward to working with you.

 Carl Slicer, owner, BestHire, LLC

PO Box 842, Vernon, CT 06066

 www.BestHire.com                        Tel. 860-872-0055 

Hire Right the First time!

Where did we go wrong as a society ?

Government can only do so much for us. Government cannot be our conscience.

I am a Christian and I believe the term “Inactive Christian” is an oxymoron. The older we get, the wiser we are because we have reviewed the terms and better understand the outcome.
Recently I was testing a Key Report that we use at BestHire.com. This report is called the “National Crime Index” and is our best selling report as it reports much more information than a one dimension criminal report . My point is I was testing this report for a new client that has an office in Tennessee.

So I looked for a 2-3 year crime in the news to test this report.

I found Gerrard Robinson, age 31, from the Montgomery County, TN. Mr. Robinson was arrested February 2009 after he was accused of murdering his girlfriend, Natalie Vullo, age 30, and her two children, an 8 year old girl and a 3 year old boy.

Our report shows Mr. Robinson had at least 15 years as a felon prior to this gravest event. #1) He was convicted of a felony in 1996, in TN, and placed on probation. #2) Robinson was convicted in 1996 for possession of cocaine & sentenced to four months jail. #3) In 1997 Robinson was convicted for possession of cocaine and sentenced to 3 years jail time. #4) In 1998 Robinson was convicted of rape and sentenced to thirteen years in jail. #5) While on probation Robinson tested positive for cocaine on Aug 2009 while on lifetime supervision for being a registered sex offender. Probation sanctioned him for violation of the cocaine charge and recommendation was immediate “Substance abuse education”.

The Tennessee Sex Offender register listed Robinson as a Rapist and under the section of violence it is indicated as 100%.

On February 2009, Natalie told Robinson she was leaving him and was going back to an old boyfriend and father to the 3 year old boy. Robinson became enraged and strangled Natalie. Robinson then proceeded to kill her two children.

The report BestHire processed on Gerrard Robinson does not list the triple murder convictions he (Robinson) had confessed to. The reason why is because Robinson committed suicide while awaiting trial in Tennessee.

Why would a mother let her two children be exposed to this bad situation that seems to get worse as time moved on ? Didn’t the fathers care about the welfare of their children either ? Where were the grandparents and the rest of the family ?

Carl Slicer, owner, Besthire.com

http://www.TheLeafChronicle.com/article/20100330/NEWS01/3300316

02-07-2011

–

Logan Emergency Ambulance Service Authority (Logan), West Virginia, agreed to pay $79,176 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Logan employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

–

11-22-2010

Long Term Care, Inc. (LTC), North Carolina, agreed to pay $170,000 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that LTC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

Office of Inspector General News – For Immediate Release

December 6, 2010

Phone: 202-619-1343

Office of Inspector General, Dept. of Health and Human Services

330 Independence Avenue Washington, DC 20201

                                OIG Enters Into $376,000 Civil Monetary Penalty Settlement With Nursing and Rehabilitative Care Entity Washington, DC –

 The Office of Inspector General (OIG) for the Department of Health & Human Services today entered into a Civil Monetary Penalty (CMP) settlement agreement with American Senior Communities, LLC (ASC), a nursing and rehabilitative care entity based in Indianapolis, Indiana. OIG alleged that ASC employed seven individuals who ASC knew or should have known were excluded from participation in Federal health care programs.

 These employees furnished items and services for which ASC was paid by Federal health care programs. Therefore, ASC was subject to CMP liability. To resolve the allegations, ASC will pay $376,432. “Providers self-disclosing such violations will ultimately pay lower settlement amounts,” said Lewis Morris, Chief Counsel to the Inspector General of the U.S. Department of Health & Human Services. “But in cases initiated by the government — such as this one — providers will, as a matter of course, be required to pay more to resolve the matter.”

 “This case illustrates yet again that OIG will pursue CMPs when providers have employed an excluded person for the furnishing of items or services paid for by Federal health care programs,” Morris noted. This matter was referred to the OIG for investigation by the Indiana Medicaid Fraud Control Unit (MFCU). ASC certified that it now has in place policies and procedures to prevent the hiring or contracting with any excluded individual or entity. In resolving this matter through a settlement agreement, ASC denied any liability.

Come November 4,  2010, Massachusetts will no longer allow employers to ask potential interview candidates to indicate on a preliminary written job application whether they have a criminal record. The new regulation comes as part of anti-crime reform package signed early this month by Gov. Deval Patrick.

Beyond restricting employers from inquiring about prior criminal convictions during the written (pre-interview) application process, the law will reform the state’s Criminal Offender Record Information (CORI) system and allow employers to query CORI’s online database to do their due dilligence on prospective hires.

The only employers excluded from the regulation are those that are barred by federal or state law from hiring an employee with a criminal conviction or filling a certain position with an ex-convict.

Carl Slicer, http://www.BestHire.com

The Office of Inspector General release this report recently.

Category: False & Fraudulent Claims

09-30-2010

After it self-disclosed conduct to the OIG, Pocahontas Community Hospital (PCH), Iowa, agreed to pay $6,001.15 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that PCH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

08-30-2010

After it self-disclosed conduct to the OIG, Catholic Healthcare West, Bakersfield Memorial Hospital, and Community Hospital of San Bernardino (collectively CHW), CA, agreed to pay $243,819.28 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that CHW employed five individuals that it knew or should have known were excluded from participation in Federal health care programs.

08-19-2010

Hackley Professional Pharmacy, Inc. (Hackley), Michigan, agreed to pay $158,565.97 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Hackley employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

08-18-2010

After it self-disclosed conduct to the OIG, Beaches Open MRI of Tamarac, LLC (Beaches MRI), Florida, agreed to pay $48,384.10 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Beaches MRI employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

08-03-2010

After it self-disclosed conduct to the OIG, Middle Tennessee Medical Center, Inc. (MTMC), Tennessee, agreed to pay $19,830.94 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that MTMC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

The Office of Inspector General released this report recently.

07-09-2010

Beechwood Rehabilitation and Nursing Center (BRNC), Connecticut, agreed to pay $42,203 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that BRNC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-25-2010

After it self-disclosed conduct to the OIG, South Pasadena Convalescent Hospital (SPCH), California, agreed to pay $142,731.56 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that SPCH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

After it self-disclosed conduct to the OIG, Highland Park Skilled Nursing & Wellness Centre (Highland), California, agreed to pay $10,640.81 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Highland employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-14-2010

Lake Region Lutheran Home d/b/a Heartland Care Center (Heartland), North Dakota, agreed to pay $133,973.28 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Heartland employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-29-2010

After it self-disclosed conduct to the OIG, New Vista Health Services (NVHS), California, agreed to pay $86,967 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that NVHS submitted false claims to the United States for blood glucose monitoring and wound care products.

06-28-1020

After it self-disclosed conduct to the OIG, Adventist Health System d/b/a Huguley Memorial Medical Center (Adventist), Texas, agreed to pay $68,831.82 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Adventist employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-22-2010

After it self-disclosed conduct to the OIG, East Boston Neighborhood Health Center (EBNHC), Massachusetts, agreed to pay $200,962 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that EBNHC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-11-2010

After it self-disclosed conduct to the OIG, AdCare Hospital of Worcester (AHW), Massachusetts, agreed to pay $254,820 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that AHW employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-10-2010

After it self-disclosed conduct to the OIG, University of Arkansas for Medical Sciences (UAMS), Arkansas, agreed to pay $201,689.98 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that UAMS employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-04-2010

After it self-disclosed conduct to the OIG, Providence Health System – Southern California (PHS) agreed to pay $105,219.49 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that PHS employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-03-2010

After it self-disclosed conduct to the OIG, New York Downtown Hospital (NYDH) agreed to pay $220,000 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that NYDH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

05-26-2010

After it self-disclosed conduct to the OIG, Beth Israel Deaconess Medical Center (BIDMC), Massachusetts, agreed to pay $99,787.75 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that BIDMC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

June 16, 2010

The Office of Inspector General with the Health & Human Services Federal Agency updated it “Civil Monetary Penalties” “CMP” dialogue of efforts to enforce US Federal law.

Patient Dumping   (Emergency Medical Treatment and Active Labor Act)

04-27-2010

Olive View UCLA Medical Center (Olive View), California, agreed to pay $25,000 to resolve its liability for Civil Monetary Penalties under the patient dumping statute. The OIG alleged that Olive View’s emergency department (ED) did not provide an appropriate medical screening examination (MSE) or stabilizing treatment to a patient that presented to its ED. The liability stems from a 33-year-old patient who presented to Olive View’s ED complaining of chest pains. After waiting for over three hours without receiving a MSE, the patient exited the ED, collapsed outside of the building, and despite attempts to resuscitate him, was pronounced dead within minutes.

Kickback and Physician Self-Referral

05-11-2010

After it self-disclosed conduct to the OIG, Surgical Specialty Center of Baton Rouge, LLC (provider), Louisiana, agreed to pay $51,300 for allegedly violating the Civil Monetary Penalties Law provisions applicable to the Stark Law. The OIG alleged that the provider entered into several types of financial arrangements with referring physicians without the requisite written agreements in place as required by the Stark Law.

05-03-2010

After it self-disclosed conduct to the OIG, Colorado West HealthCare System d/b/a Community Hospital and its subsidiary, Doctor’s Clinic Building, Inc. (Colorado West), Colorado, agreed to pay $420,175 for allegedly violating the Civil Monetary Penalties Law provisions applicable to kickbacks and physician self-referrals. The OIG alleged that Colorado West entered into six categories of contractual arrangements (i.e., medical director arrangements, emergency room services, office leases, on-call physician arrangements, continuing medical education services, and diagnostic test interpretations) that violated the Stark Law and, in some instances, implicated the Anti-Kickback Statute in connection with physicians’ referrals of Medicare beneficiaries to Colorado West.

04-20-2010

After it self-disclosed conduct to the OIG, St. Elizabeth Hospital andMercy Medical Center of Oshkosh, Inc. (hospitals), Wisconsin, both part of the Affinity Health System , agreed to pay $54,124 for allegedly violating the Civil Monetary Penalties Law provisions applicable to the Stark Law. The OIG alleged that the hospitals disclosed payments to three independent psychiatrists who provided behavioral health services at the hospitals’ emergency rooms. Specifically, the on-call coverage arrangements between the psychiatrists and hospitals failed to comply with Stark Law requirements.

03-31-2010

After it self-disclosed conduct to the OIG, St. James Healthcare(SJH), Montana, agreed to pay $275,000 for allegedly violating the Civil Monetary Penalties Law provisions applicable to the Stark Law. The OIG alleged that SJH entered into a space lease, an employee lease, and a medical services arrangement with an entity partly owned by SJH that failed to meet Stark Law requirements because they were not set forth in writing and signed.

03-01-2010

After it self-disclosed conduct to the OIG, Liberty HealthCare Systems, Inc. (Liberty), New Jersey, agreed to pay $225,000 to resolve its liability for allegedly violating the Civil Monetary Penalties Law provisions applicable to the Stark Law. The OIG alleged that Liberty made an improper bonus payment to an employee physician based, in part, on the volume and value of referrals made by the physician.

02-16-2010

Harvey Montijo, M.D., Florida, agreed to pay $650,000 for allegedly violating the Civil Monetary Penalties Law provisions applicable to kickbacks. The OIG alleged that Dr. Montijo solicited and received remuneration in the form of consulting payments from two medical device manufactures in exchange for using their orthopedic hip and knee products.

02-08-2010

Garden State Imaging (GSI), New Jersey, agreed to pay $83,000 for allegedly violating the Civil Monetary Penalties Law provisions applicable to kickbacks. The OIG alleged that GSI entered into a verbal agreement with two owners of a medical center. Under the terms of the verbal agreement, GSI agreed to provide mobile diagnostic imaging and related services to the medical center’s patients and to split with the medical center 50% of the net proceeds that were generated.

01-22-2010

After it self-disclosed conduct to the OIG, St. Mary Medical Center – Long Beach (St. Mary), California, agreed to pay $494,374 for allegedly violating the Civil Monetary Penalties Law provisions applicable to kickbacks. The OIG alleged that St. Mary paid remuneration to a medical group and its owner in the form of administrative services from a St. Mary’s employee and paid remuneration through leased space and a medical director agreement.

01-06-2010

After it self-disclosed conduct to the OIG, Inland Imaging, LLC(Inland), Washington, agreed to pay $155,000 for allegedly violating the Civil Monetary Penalties Law provisions applicable to the Stark Law. The OIG alleged that Inland provided certain outpatient radiology services to Medicare beneficiaries based on orders written by physicians who were immediate family members of three individuals who held indirect ownership interests in Inland.

False & Fraudulent Claims

05-25-2010

After it self-disclosed conduct to the OIG, South Lincoln Hospital District d/b/a South Lincoln Medical Center (SLMC), Wyoming, agreed to pay $37,736.72 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that SLMC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

05-20-2010

Elder Service Plan of the North Shore (ESPNS) agreed to pay $308,709.00 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that ESPNS contracted with a dentist that ESPNS should have known was excluded from participation in Federal health care programs. ESPNS participates in the Program of All-Inclusive Care for the Elderly (PACE), which receives funding from the Medicare and Medicaid programs.

05-17-2010

After it self-disclosed conduct to the OIG, State University of New York Upstate Medical University Hospital (SUNY), New York, agreed to pay $11,799.29 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that SUNY employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

04-29-2010

After it self-disclosed conduct to the OIG, LRG Healthcare d/b/a Lakes Region General Hospital (LRGH), New Hampshire, agreed to pay $42,900.75 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that LRGH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

04-14-2010

After it self-disclosed conduct to the OIG, Kinney Drugs (Kinney), New York, agreed to pay $8,002.95 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that a Kinney pharmacist filled unauthorized telephone prescriptions and submitted claims for those prescriptions to Medicare.

04-01-2010

Robert J. Kramer and Kramer Physical Therapy Associates, Inc. (KPTA), Massachusetts, agreed to pay $122,474 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Kramer and KPTA improperly billed Medicare for physical therapy services that were not properly supervised by a licensed physical therapist.

01-13-2010

After they self-disclosed conduct to the OIG, Bel Pre Leasing Co, LLC, Liberty Leasing Co, LLC, Marlboro Leasing Co, LLC, Fayette Leasing Co, LLC, RMNH EMP, LLC, CHSI EMP, LLC, Communicare of Columbus, Inc., Prime Care Four, LLC, Regency Leasing Co, LLC, and Resident Care Consulting, LLC, Ohio, agreed to pay $135,000 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that the entities employed two individuals that they knew or should have known were excluded from participation in Federal health care programs.

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