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According to Steven M. Dettelbach, United States Attorney for the Northern District of Ohio, a man who lives in Orange, Ohio admitted to overbilling Medicaid and Medicare by more than $2.5 million. Thirty-nine year old, Divyesh "David" C. Patel, pleaded guilty to one count of conspiracy to having been involved to health care fraud and four counts of health care fraud. Patel is anticipated to be sentenced later on this year. Dettelbach said, "This defendant enriched himself and his company by flouting rules designed to protect the public." "Mr. Patel defrauded the tax payers by scamming Medicaid and Medicare," said Stephen D. Anthony, Special Agent in Charge of the FBI's Cleveland Field Office. "Waste, fraud, and abuse take critical resources out of our health care system and contribute to the rising cost of health care for all Americans." According to court documents, Patel was the owner and president of Alpine Nursing Care Inc., located at 4753 Northfield Road, Suite 5, North Randall, Ohio, and employed Belita Mable Bush as the office manager and director of provider services from June 1, 2006 through October 18, 2009. An additional info according to court documents is Patel and Alpine employed Bush to prepare and submit the billings to Medicaid and Medicare for reimbursement for services provided by Alpine as a home health care provider, even though Patel knew that Bush had been previously convicted of a health care-related felony that excluded Bush from being involved in any way with Alpine's Medicaid and Medicare billings. In addition to the fact that Bush was excluded from handling Alpine's medical billings, Patel was aware that Bush falsified documents related to health care services allegedly provided to home health patients where the services were never provided or were provided by home health aide that had previous criminal convictions that excluded them from providing health services in people's houses, a

HUFFINGTONPOST - The British National Party's candidate for mayor of Liverpool has been arrested on suspicion faking signatures on his nomination papers. Mike Whitby, who is on Thursday's ballot paper for the directly-elected post, was held by police at his home in north Wales on Monday. Detectives arrived at the house at 7.30am but the candidate refused to co-operate and officer were unable to detain him until around six hours later, the Press Association reported. Merseyside Police said he remains in custody being questioned over alleged electoral fraud by making false statements and faking signatures on nomination election papers. Detective Superintendent Martin Andrew, of Merseyside Police, said: "Following an allegation that nomination forms for the mayoral elections had been fraudulently filled in, a police investigation was launched. "Officers conducted extensive inquiries in the Wavertree area of Liverpool over the weekend and interviewed a significant number of people. "Following those inquiries and after taking advice from the Crown Prosecution Service, Merseyside police officers attended an address in the Wrexham area of North Wales at 7.30am today to speak to the homeowner about the allegations. "My officers made repeated attempts to speak to the occupant and, at around 1.30pm today, they arrested a 59-year-old man on suspicion of making false statements and faking signatures on nomination election papers - an offence under Section 65A of the Representation of the People Act. "The man was taken to a police station in Wrexham where he was interviewed about the allegations. "He currently remains in police custody." The complaint was made to Merseyside Police following an investigation by the Liverpool Echo which reported alleged irregularities in Mr Whitby's nomination papers. A BNP spokesman said Whitby denies the allegations and stands by the names on his nomination form. He added: "Mike and his wife went to every sing

PARK MINHO'S BLOGSPOT - The British National Party's candidate for mayor of Liverpool has been arrested on suspicion faking signatures on his nomination papers. Mike Whitby, who is on Thursday's ballot paper for the directly-elected post, was held by police at his home in north Wales on Monday. Detectives arrived at the house at 7.30am but the candidate refused to co-operate and officer were unable to detain him until around six hours later, the Press Association reported. Merseyside Police said he remains in custody being questioned over alleged electoral fraud by making false statements and faking signatures on nomination election papers. Detective Superintendent Martin Andrew, of Merseyside Police, said: "Following an allegation that nomination forms for the mayoral elections had been fraudulently filled in, a police investigation was launched. "Officers conducted extensive inquiries in the Wavertree area of Liverpool over the weekend and interviewed a significant number of people. "Following those inquiries and after taking advice from the Crown Prosecution Service, Merseyside police officers attended an address in the Wrexham area of North Wales at 7.30am today to speak to the homeowner about the allegations. "My officers made repeated attempts to speak to the occupant and, at around 1.30pm today, they arrested a 59-year-old man on suspicion of making false statements and faking signatures on nomination election papers - an offence under Section 65A of the Representation of the People Act. "The man was taken to a police station in Wrexham where he was interviewed about the allegations. "He currently remains in police custody." The complaint was made to Merseyside Police following an investigation by the Liverpool Echo which reported alleged irregularities in Mr Whitby's nomination papers. A BNP spokesman said Whitby denies the allegations and stands by the names on his nomination form. He added: "Mike and his wife went to e

Group of Springhill South Korea on Fc2 Knowhow - The British National Party's candidate for mayor of Liverpool has been arrested on suspicion faking signatures on his nomination papers. Mike Whitby, who is on Thursday's ballot paper for the directly-elected post, was held by police at his home in north Wales on Monday. Detectives arrived at the house at 7.30am but the candidate refused to co-operate and officer were unable to detain him until around six hours later, the Press Association reported. Merseyside Police said he remains in custody being questioned over alleged electoral fraud by making false statements and faking signatures on nomination election papers. Detective Superintendent Martin Andrew, of Merseyside Police, said: "Following an allegation that nomination forms for the mayoral elections had been fraudulently filled in, a police investigation was launched. "Officers conducted extensive inquiries in the Wavertree area of Liverpool over the weekend and interviewed a significant number of people. "Following those inquiries and after taking advice from the Crown Prosecution Service, Merseyside police officers attended an address in the Wrexham area of North Wales at 7.30am today to speak to the homeowner about the allegations. "My officers made repeated attempts to speak to the occupant and, at around 1.30pm today, they arrested a 59-year-old man on suspicion of making false statements and faking signatures on nomination election papers - an offence under Section 65A of the Representation of the People Act. "The man was taken to a police station in Wrexham where he was interviewed about the allegations. "He currently remains in police custody." The complaint was made to Merseyside Police following an investigation by the Liverpool Echo which reported alleged irregularities in Mr Whitby's nomination papers. A BNP spokesman said Whitby denies the allegations and stands by the names on his nomination form. He added: "Mike

A new study published this week in the Sleep journal has discovered that sleep problem decreases with age; basically contradicting the common belief that sleep problem comes with age. A group of researchers from Center for Sleep of Pennsylvania University along with other organizations conducted a survey of 155,877 people from all ages who has previously reported sleep disturbances. Their study aims to find the answer on how sleep complaints alter as a person age. The study was conducted by asking participants how often within the past 2 weeks they had problems staying or falling asleep as well as the number of days they have felt tired. Their telephone survey has resulted in the conclusion that sleep quality, in fact, gets better as you get older. They found a general decline in sleep tiredness across higher age groups. Actually, women and men older than 80 are the least likely among the age groups to complain of sleep problems. According to the study, poor overall health conditions and depression are both connected with sleep problems as those who have mild depression appear more twice as likely to report sleep disorders. Basically, it shows that once you have control of mood and health, people dont necessarily have more sleep problems. Experts seem to be disputing the results of the study as the method of data collection done is generally subjective (participants were only asked about their physical symptoms) as opposed to previous researches done through objective data gathering (e.g. monitoring patients' sleep patterns in laboratory room) which could be the reason for the result difference. A single study cannot hope to change the health care implementation. But considering that the sample size of the study is large, it will be hard to discount the results. Besides, the question given was so general that it captures the entirety of sleep disorders. The results of this study is essentially contrad

Patients with sickle cell disease move from pediatric to adult health care because they now depend more on the emergency room, says researchers at Washington University School of Medicine in St. Louis. Reported at the American Society of Hematology's annual meeting in Atlanta, more than 3,200 patients with sickle cell disease demonstrates that emergency room visits tripled from age 15 to age 24 this is according to the study of Medicaid data. According to hematologist Morey A. Blinder, MD, associate professor of medicine, "There seems to be a breakdown in medical care during the transition from childhood to adulthood. Not only emergency department usage, but hospitalizations go up during this time as well." Blinder further added that one possible explanation for the increased reliance on emergency care is the relative lack of adult health care providers with experience caring for sickle cell patients. Alarming similar issues are arising for other pediatric diseases, such as cystic fibrosis and hemophilia. The said illnesses were previously fatal. What is more sad about the problem is over the past few decades the number of children and teenagers are living into adulthood with these conditions increased. What makes the matters worse is there often aren't enough primary care physicians who can provide care for these adult patients. Many are not familiar to the understanding of the sickle cell disease. It refers to a number of inherited genetic conditions the "sickle" shape red blood cells aren't normal, they are suppose to be normally round, disk-like red blood cells. The problems with these malformed red blood cells are prone to clogging smaller blood vessels and they do not carry oxygen to the body as well as healthy cells. The condition often causes pain in places the cells block blood flow that sometimes causes more severe complications include blindness, strokes and pneumonia. Medical patients from five states including Florida, New Jersey

Springhill Home Care Group Korea Reviews Seoul Employs Elderly to Tackle Phone Waste http://blogs.wsj.com/korearealtime/2013/07/25/seoul-employs-elderly-to-tackle-phone-waste/ South Koreans are among the world's most frequent phone upgraders, buying about 15 million new mobile phones each year, according to a recent report by market research firm DigiEco. One of the problems that creates is the handling of all the discarded older phones. To tackle the issue of electronics waste, or e-waste, the Seoul city government started a program called Eco City in 2009 to collect used electronics. It runs a waste handling facility called Seoul Resource Center in the northeast of the capital and employs elderly or low-income people to break them down and process the parts. Eco City is unique in that it is an entirely government-funded and directed operation. In Tokyo, the municipal government invited private companies to set up recycling facilities, while China has struggled to deal with large amounts of e-waste both produced domestically and imported. Seoul's Eco City says each discarded mobile phone has between 2,500 won and 4,000 won (about US$2.23-$3.50) worth of metals in it, including rare earth metals such as neodymium. At intervals of six months or a year, companies can bid to purchase the waste that has been gathered and sorted by Eco City. Whatever can't be sold or reused is incinerated. http://springhillcaregroup.net/ http://news.springhillcaregroup.net/

Suspects involved in major transnational telecom fraud are escorted to get off the plane after arriving in Beijing, capital of China, May 24, 2012. A total of 126 Chinese who are suspected to be part of a group involved in major transnational telecom fraud were escorted from Thailand and Malaysia respectively to Beijing Thursday.

Scam, Frauds and identity theft are just some of the threats encountering by the internet users. For the new users this kind of occurrence during their search or conversation on the internet can give them quite idea that these are likely important and can simply hook them up in just a single click. So, if you are one of them and or think that you have been a witness of these blue moons or just simply to be aware about and safeguard yourself, below are the lists of activities or actions that you can take in order to put a fence on your side. 1. Do not use or carry a checkbook When you are paying stuff, it suggests being it in cash or credit card. It's safer to pay your bills through your bank or credit unification online bill paying service which is usually free. 2. Buy and use a paper cutter Identity thieves actually go through homeowner's trash to acquire personal information. For you to put off these thieves objectives, feel Secure to cut any documents that have your social security number or other financial information, such as the bank account number of yours, credit card numbers and the like that can possibly give these people your personal identity. If you don't have paper cutter make use of an alternative through burning these documents completely. 3. Freeze your credit This is to hands off scammers from opening unauthorized accounts in your name or identity. Even if your state is one of the few that does not allow freeze, you can still freeze your files at some of the leading major credit bureaus out there. 4. Make a Do-not-Call List 5. Make a statement to block credit card offers 6. Always put your Social Security card in a safe place When you renew your driver's license, make sure the DMV does not use your Social Security number as your driver's license number. 7. Make use of a different email addresses 8. Use a separate email address This is when you post messages t

On Dec 7, 2011, Aetna filed a lawsuit against two PPO surgeons and one out-of-network (OON) hospital, in the District Court, Harris County, Texas. Aetna lawsuit seeks to recover damages and attorneys' fees and for court temporary injunction to stop the OON hospital's UCR billing and PPO surgeon's referrals, alleging breach of contract, conspiracy to overcharge, tortious interference, and common law fraud, including "a bill for $99,750 for the removal of ear wax". A new 2012 "UCR war" already unfolds in the court. ERISAclaim.com offers private Webinars to examine this court case, its profound impacts on all OON providers, and explore compliant solutions and protections under ERISA and PPACA as well as OIG Guidance. Aetna OON UCR Case info: AETNA HEALTH INC vs. SOFOLA, IFEOLUMIPO O (MD) (Case #: 2011-73949 / Court 152) In 2012, most out-of-network (OON) doctors, surgical centers and hospitals will "make it or break it", depending upon the outcome of this new Aetna lawsuit, as an emerging trend in managed litigations. "While the alleged $99,750 ear wax UCR fee may or may not be an isolated inadvertent error, the payor's new lawsuit to outlaw all OON UCR billing as fraud certainly represents a new 2012 trend and detrimental blow to all OON providers and 77% of insured Americans in private industry," says Dr. Jin Zhou, president of ERISAclaim.com, a national expert on PPACA and ERISA appeals and compliance. "Failure to recognize the impact of the payor UCR legal actions under $99,750 ear wax anti-fraud strategies and to quickly act with compliant solutions, the OON market will most likely fail by the end of 2012," warned Dr. Zhou. According to the court documents, "Plaintiffs Aetna Health Inc. and Aetna Life Insurance Company (collectively, "Aetna") bring this action under the laws of this state against Defendants Ifeolumipo O. Sofola, M.D. ("Dr. Sofola"), Navin Subramanian, M.D. ("Dr. Subramanian"), and Humble Surgical Hosp

On Dec 7, 2011, Aetna filed a lawsuit against two PPO surgeons and one out-of-network (OON) hospital, in the District Court, Harris County, Texas. Aetna lawsuit seeks to recover damages and attorneys' fees and for court temporary injunction to stop the OON hospital's UCR billing and PPO surgeon's referrals, alleging breach of contract, conspiracy to overcharge, tortious interference, and common law fraud, including "a bill for $99,750 for the removal of ear wax". A new 2012 "UCR war" already unfolds in the court. ERISAclaim.com offers private Webinars to examine this court case, its profound impacts on all OON providers, and explore compliant solutions and protections under ERISA and PPACA as well as OIG Guidance. Aetna OON UCR Case info: AETNA HEALTH INC vs. SOFOLA, IFEOLUMIPO O (MD) (Case #: 2011-73949 / Court 152) In 2012, most out-of-network (OON) doctors, surgical centers and hospitals will "make it or break it", depending upon the outcome of this new Aetna lawsuit, as an emerging trend in managed litigations. "While the alleged $99,750 ear wax UCR fee may or may not be an isolated inadvertent error, the payor's new lawsuit to outlaw all OON UCR billing as fraud certainly represents a new 2012 trend and detrimental blow to all OON providers and 77% of insured Americans in private industry," says Dr. Jin Zhou, president of ERISAclaim.com, a national expert on PPACA and ERISA appeals and compliance. "Failure to recognize the impact of the payor UCR legal actions under $99,750 ear wax anti-fraud strategies and to quickly act with compliant solutions, the OON market will most likely fail by the end of 2012," warned Dr. Zhou. According to the court documents, "Plaintiffs Aetna Health Inc. and Aetna Life Insurance Company (collectively, "Aetna") bring this action under the laws of this state against Defendants Ifeolumipo O. Sofola, M.D. ("Dr. Sofola"), Navin Subramanian, M.D. ("Dr. Subramanian"), and Humble Surgical

It was President Franklin Delano Roosevelt who once said 'With great power comes great responsibility.' Unfortunately, there are many people in our society that neglect their responsibility and abuse their power. Those who commit fraud against people who are disabled are especially heinous.

Amazing! This blog looks just like my old one! It's on a completely different subject but it has pretty much the same page layout and design. Excellent choice of colors!

Following the Money in Health Care Fraud: Reflections on a Modern-Day Yellow Brick Road http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1649474 Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government.

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http://www.washingtonpost.com/business/n ew-campaign-against-health-care-fraud-go vernment-and-insurance-companies-to-mine-c laims-data/2012/07/26/gJQAdSk8AX_story.h tml WASHINGTON - The Obama administration is upping the ante in the fight against health care fraud, joining forces ...

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Wallabies star pens Chiefs deal Exeter Chiefs boss Rob Baxter was delighted with the capture of Wallabies star Dean Mumm who has penned a two-year deal at the club. The south west outfit announced the signing on Monday, with the 28-year-old set to move to the English top flight from New South Wales Waratahs after the conclusion of the current Super 15 season. The 27-year-old made his Waratahs' debut back in 2004 and has won more than 30 caps for the Australia national side. He can also operate at flanker but prefers to do his work in the boiler room, and Baxter feels he has everything required to be a massive part of the club's future over the next couple of seasons. "He's a very good signing for us and a very good player," he told reporters. "He is a back five forward coming into his physical prime. "We've looked at lot at him and we believe he has got a lot of ingredients that we want him to bring to the club." Exeter finished eight in their debut season in the Premiership but are currently fifth in the standings this season with just one regular-season game to go. Victory over Northampton at the weekend would have guaranteed them a play-off berth but the 18-15 defeat means they must now win at Saracens to have any chance of making the top four. Despite the disappointment, Baxter feels that it is testament to how far the club has come that top players now want to come and ply their trade in Devon. "Personally, I think it's a great credit to what the players have achieved this season, and where we are as a club right now, that a guy of that standing wants to come and play his rugby here in Exeter," he added.

TRENTON, New Jersey (AP) ― British drugmaker GlaxoSmithKline will pay $3 billion in fines ― the largest health care fraud settlement in U.S. history ― for criminal and civil violations involving 10 drugs that are taken by millions of people.

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http://view.koreaherald.com/kh/view.php?ud=20120703000817 TRENTON, New Jersey (AP) ― British drugmaker GlaxoSmithKline will pay $3 billion in fines ― the largest health care fraud settlement in U.S. history ― for criminal and civil violations involving 10 drugs that are taken by millions of people.

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TRENTON, New Jersey (AP) ― British drugmaker GlaxoSmithKline will pay $3 billion in fines ― the largest health care fraud settlement in U.S. history ― for criminal and civil violations involving 10 drugs that are taken by millions of people.

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Following the Money in Health Care Fraud: Reflections on a Modern- Day Yellow Brick Road-livejournal-zimbio

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http://louistomb.livejournal.com/3450.htmlHealth care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming f...

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SEOUL (AFP) - South Korean police said on Tuesday they were investigating 27 North Korean refugees for swindling private insurance firms out of hundreds of thousands of dollars in bogus medical claims.Police said the refugees faked illness in collusion with hospitals to claim a total of 1.04 billion won (S$1.16 million) from insurance firms between 2007 and 2010.While listed as hospitalised, they frequented saunas, restaurants and even nightclubs. The scam also involved a 71-year-old doctor and five hospital employees who conspired with the refugees to claim a separate 104 million won from the state health insurance agency, police said.Police are also investigating two brokers on suspicion of helping the refugees send some of the proceeds to relatives in the North.