Articles Posted in Healthcare executive fraud

Revelations concerning healthcare executives involved in healthcare fraud and kickbacks has been increasing in recent months. The wrongdoings includes sales frauds to upcoding to kickbacks some concerning Medicare FRaud.

 Daniel K. Lane Jr. was vice president and CFO of Compass Healthcare Inc., a medical equipment company headquartered in St. Louis. After pleading guilty to one count of conspiracy to commit healthcare fraud. Lane was sentenced to one year and six months in federal prison, the FBI said. He set up Compass Healthcare’s billing system to charge insurers automatically in most cases for top-of-the-line compression stockings regardless of what kind of stockings customers received, the FBI noted. Further, Lane conspired with an office manager to hide the inflated billing and applied blanket diagnostic codes to claims to justify payment. Lane and others altered documentation to make it appear that high-cost compression stockings were prescribed, the FBI added.

Christopher Gabel took part in the filing of more than $67 million in fraudulent Medicare claims by Hollywood Pavilion LLC.And in Florida, the former chief operating officer of a state-licensed psychiatric hospital pleaded guilty to one count of conspiracy to commit healthcare fraud and one count of conspiracy to defraud the United States and pay and receive healthcare kickbacks, said a Department of Justice announcement. The hospital claimed payment for services that were not medically necessary or never provided. Gabel admitted rounding up patients nationwide by paying bribes and kickbacks to brokers, the Justice Department announced.