As part of a joint effort to combat illegal Medicare activity, HHS and the Department of Justice on Monday announced charges against R&I Billing in South Florida for fraudulently billing Medicare $170 million for infusions of HIV drugs, Bloomberg/Washington Post reports.
In an e-mail statement, HHS and DOJ said, "From roughly October 2002 through April 2006, HIV clinics in South Florida serviced by this biller, Rita Campos and her company R&I Billing, allegedly provided bills to Medicare that indicated patients were being injected with excessive amounts of HIV medications." The statement added, "Based on the claims filed by Campos, Medicare paid more than $100 million for these fraudulent services" (Larkin/Marcus, Bloomberg/Washington Post, 8/21).
On Monday, federal authorities instructed Medicare beneficiaries to be on the lookout for fraudulent companies that might be billing the program for drug-infusion services that never were administered, the Newark Star-Ledger reports. The warning was issued as part of the federal crackdown on the $4.5 billion drug-infusion industry, particularly in South Florida (Stewart, Newark Star-Ledger, 8/21).
Another measure in the crackdown will require all clinics in South Florida that offer drug infusions to reapply within the next 30 days to qualify for Medicare participation, the Miami Herald reports (Dorschner, Miami Herald, 8/21).
"Reprinted with permission from kaisernetwork. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at kaisernetwork/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork, a free service of The Henry J. Kaiser Family Foundation . © 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
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