claims

Medicare Database Reveals Top-Paid Doctors

Posted on 04/9/2014 by | General News | Comments

Bulletin TodayBy Ricardo Alonso-Zaldivar and Serdar Tumgoren, Associated Press WASHINGTON (AP) — Medicare paid a tiny group of doctors $3 million or more apiece in 2012. One got nearly $21 million. Those are among the findings of an Associated Press analysis of physician data released Wednesday by the Obama administration, part of a move to open the books on health care financing. Topping Medicare’s list was Florida ophthalmologist Salomon Melgen, whose relationship with Sen. Robert Menendez (D-N.J.), made headlines last year …

EEOC Making Do With Less

Posted on 12/19/2013 by | Legal Grounds | Comments

Bulletin Today2013 was a rough year for the Equal Employment Opportunity Commission. First there was the sequester, which cut the agency’s budget by 5 percent and forced the agency to furlough employees for up to 40 hours. Then there was the 16-day government shutdown, during which only 5 percent of the EEOC’s employees were allowed to work, making it impossible for its lawyers there to review claims, litigate them or mediate them. Even so, the EEOC recovered more money for victims …

Medicare Fraud: A Son Blows the Whistle on Dad’s Company

Posted on 07/31/2013 by | Legal Grounds | Comments

Bulletin TodayWithin the gigantic Medicare system lurk plenty of fraudsters. They falsify or inflate claims and hope they slip through the billing and documentation cracks. At the same time, federal prosecutors try to sniff out such deception. And occasionally they get a little help from inside. Earlier this month, the U.S. Justice Department closed such a case when Park Avenue Medical Associates of White Plains, N.Y., agreed to pay $1 million to settle charges that it had fraudulently billed the Medicare …