News

Policy & Practice


 

Doctors Bilked in Insurance Scam

The U.S. Department of Justice has frozen over $500 million in bank and investment accounts that department officials say represent booty from a fraudulent tax avoidance scheme. The department issued a temporary restraining order against xélan Inc. and related entities. Federal officials alleged that the company, based in San Diego, advised thousands of doctors and other medical professionals to place their income in various tax schemes involving supposed “supplemental insurance products” or improper charitable deductions. The Internal Revenue Service estimates that the 4,000 doctors who participated may owe as much as $420 million in taxes, interest, and penalties. A temporary receiver has been named to guard assets and handle claims; doctors who want to file a claim or get information on the case should contact the receiver, William “Biff” Leonard, at biffer@sprynet.com or by calling 702-262-9322.

Group Pays $1.8 Million Settlement

Temple University Physicians has agreed to pay almost $1.9 million to settle civil charges arising from an investigation into the group's Medicare Part B billing practices. HHS audited Medicare Part B claims submitted by the group between July 1995 and July 1996 and concluded that the group lacked sufficient documentation to support some claims, and that some of the claims represented a greater level of service than was actually provided. “Through this settlement we are protecting the integrity of the Medicare system on which our senior citizens depend for their critical health care coverage,” Patrick Meehan, U.S. Attorney for the Eastern District of Pennsylvania, said in a statement on behalf of HHS. Temple University Physicians denies both the government's allegations and any liability relating to them.

Pages

Recommended Reading

AMA Lends Hand to Drug Importation
MDedge Internal Medicine
Data Watch
MDedge Internal Medicine
New Zealand Offers No-Fault Insurance Model
MDedge Internal Medicine
Policy & Practice
MDedge Internal Medicine
Medical Errors More Likely In Frequently Seen Patients
MDedge Internal Medicine
Insurance Not a Barrier for Most Patients in ED
MDedge Internal Medicine
Resources Offer Medicare Help
MDedge Internal Medicine
Few Residents Choose Pulmonary/Critical Care
MDedge Internal Medicine