Sunday, July 29, 2012

Feds: Crestwood chiropractic center padded patient bills-livejournal

http://seanmarley.livejournal.com/3864.html


In new effort to tackle health care fraud, government and insurers to scrutinize claims data

http://seanmarley.livejournal.com/4258.html


Saturday, July 21, 2012

Medicare Fraud in Florida

http://www.homehealthcareagencies.com/blog/general/medicare-fraud-florida/


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.
Recently, the state of Florida has had to deal with an overwhelming amount of Medicare fraud. The estimated cost of the most recently interrupted scheme of illegal billings is around $200 million dollars, and it was perpetrated by at least ten different offenders. So far, they have all either pled guilty or been convicted of crimes ranging from money laundering to conspiracy to commit health care fraud. There were several different companies involved in the scheme, which involved falsifying records and intentional misreporting of facts to Medicare.

Essentially what these criminals were doing was incorrectly reporting that some patients qualified for home health care when, in fact, they did not. Once these falsified certifications were sent to Medicare, the defendants would then bill Medicare for services that were not only unnecessary, but we usually not even provided.
The scheme went even further into the health care industry when perpetrators began contacting legitimate medical facilities and providers and offered them compensation for help in falsifying documents. These providers, which even included some doctors, would receive kick-backs for giving personal information to the defendants.
So far, ten people have been convicted of Medicare fraud as a result of this scheme in the last year. Those convicted of money laundering crimes have been sentenced or will be given sentences of at least three years in prison. Those convicted of more serious crimes will receive stiffer sentences. All of those sentenced and facing sentencing will be responsible for repaying the money that they essentially stole from the state. Any personnel working as care givers will also have their state certifications revoked and will no longer be allowed to practice once they have served their sentences.
Florida has vowed to arrest and punish all of those responsible for defrauding the state of its tax dollars. With every state in the union in a financial crunch, those dollars are needed now more than ever. Florida has made press statements recently that it has recovered over $125 million in fraudulent Medicare claims in the last year, and is making promises to recover as much as it possibly can in the next.

A FAMILY MEMBER HOMECARE

http://www.afamilymemberhomecare.com/news/hollywood-miramar-and-sunrise-florida-home-health-aide-private-duty-agency-family-member-homeca


Hollywood, Miramar and Sunrise, Florida Home Health Aide Private Duty Agency, A Family Member HomeCare, Notes U.S. Health and Human Services, Department of Justice highlight Obama Administration efforts, Health Reform tools to combat Medicare fraud
HHS Secretary and Attorney General host seventh Regional Health Care Fraud Prevention Summit in Chicago (April 4, 2012)--At a Chicago summit highlighting a new high-tech war against health care fraud, Health and Human Services (HHS) Secretary Kathleen Sebelius and Attorney General Eric Holder today discussed how the Affordable Care Act and the Obama administration’s Health Care Fraud Prevention and Enforcement Action Team (HEAT) are helping fight Medicare fraud.  The Chicago summit is the seventh regional health care fraud prevention summit hosted by the Department of Justice and HHS.
The regional summits bring together a wide array of public and private partners, and are part of the HEAT partnership between HHS and the Department of Justice to prevent and combat health care fraud.  The Obama administration’s HEAT efforts have resulted in record-breaking health care fraud recoveries.  In fiscal year 2011, for the second year in a row, the departments’ anti-fraud activities resulted in more than $4 billion in recoveries, an all-time high.
“We have a simple message to criminals thinking about committing Medicare fraud: don’t even try,” said Secretary Sebelius. “Thanks to health reform and our administration’s work, we have new tools and resources to catch criminals and stop Medicare fraud before it happens.”
“This Administration continues to move aggressively in protecting patients and consumers and bringing health care fraud criminals to justice,” said Attorney General Holder.  “Through HEAT, we have achieved unprecedented, record-breaking successes in combating health care fraud and as a result of the Affordable Care Act, we have additional critical resources, tools and authorities to continue this great success.”
New tools provided by the Affordable Care Act are strengthening the Obama administration’s efforts to fight health care fraud.  As a result of Affordable Care Act provisions:
Criminals face tougher sentences for health care fraud, 20-50 percent longer for crimes that involve more than $1 million in losses;
Contractors that police Medicare for waste, fraud, and abuse will expand their work to Medicaid, Medicare Advantage, and Medicare Part D programs;
Government entities, including states, the Centers for Medicare & Medicaid Services (CMS), and law enforcement partners at the Office of the Inspector General (OIG) and DOJ, have greater abilities to work together and share information so that CMS can prevent money from going to bad actors by using its authority to suspend payments to providers and suppliers engaged in suspected fraudulent activity.
Increased collaboration has yielded significant results through the HEAT partnership.  Since the creation of HEAT in 2009, the Medicare Fraud Strike Force operations have expanded from two to nine locations throughout the United States, including Chicago.  Strike Force operations expanded to Chicago in February 2011 and since that time, charges have been filed against more than 35 defendants in the Northern District of Illinois for offenses related to health care fraud.  Overall, in fiscal year 2011, strike force operations in nine locations charged a total of more than 320 defendants for allegedly billing more than $1 billion in false claims.
In February, as a result of HEAT and strike force actions, a Dallas-area physician and the office manager of his medical practice, along with five owners of home health agencies, were arrested on charges related to their alleged participation in a nearly $375 million health care scheme involving fraudulent claims for home health services.  In conjunction with this action, CMS imposed payment suspensions against 78 home health agencies in the Dallas area.
Today, the Obama administration also announced more progress from its anti-fraud efforts, beyond the nearly $4.1 billion recovered last year:
In the early phase of revalidating the enrollment of providers in Medicare, 234 providers were removed from the program because they were deceased, debarred or excluded by other federal agencies, or were found to be in false storefronts or otherwise invalid business locations;
In 2011, HHS revoked 4,850 Medicaid providers and suppliers and deactivated 56,733 Medicare providers and suppliers as it took steps to close vulnerabilities in Medicare;
In 2011, HHS saved $208 million through pre-payment edits that stop implausible claims before they are paid;
Prosecutions are up: the number of individuals charged with fraud increased from 797 in fiscal year 2008 to 1,430 in fiscal 2011 – nearly a 75 percent increase;
In the first few weeks of enhanced site visits required under the ACA screening requirements, HHS found 15 providers and suppliers whose business locations were non-operational and terminated their billing privileges;
Through outreach and engagement efforts more than 49,000 complaints of fraud from seniors and people with disabilities reported to 1-800-MEDICARE were referred for further evaluation;
A recent re-design of the quarterly Medicare Summary Notices received by Medicare beneficiaries makes it easier to spot and report fraud.
See this fact sheet for additional details about the Obama administration’s efforts to combat health care fraud.

Saturday, July 14, 2012

SOUTH GROUP SPRINGHILL KOREA: China, Korea linked to pill scam | Bangkok Post: news | Dropjack-livejournal


http://seanmarley.livejournal.com/3011.html
The move came after the Department of Special Investigation (DSI) obtained information that a Thai company had struck a deal to buy 10 billion pseudoephedrine-based cold tablets from a Chinese firm. 

Previously, the DSI obtained information that the firm also signed a deal to buy 850 million tablets, or 40 tonnes of the medicine, from South Korea. 

The DSI found that 87 million cold tablets were transported into Thailand from South Korea by plane on nine occasions since 2010. 

They had false air cargo manifests to avoid attracting attention from the authorities. 

The DSI suspected the medicines were smuggled in from South Korea. 

The DSI is investigating two companies suspected of being involved in the smuggling of the pills from overseas. 

The companies are UTAC Thai Co Ltd, a supplier of integrated circuits, and TVR Group Co Ltd, a car dealer and vehicle hire firm. 

Some information relating to the drug purchases was uncovered at the companies during recent searches of their premises but the firms denied any involvement. 

Mr Tarit said yesterday DSI officials also discovered a contract to buy 10 billion pseudoephedrine-based cold tablets from China during the search at UTAC Thai Co Ltd. 

Under the contract, the first batch of 2 million tablets was to have been shipped to Thailand on July 31, 2009. 

He said the DSI also found a photo showing a man collecting the pills from Suvarnabhumi airport cargo warehouse. 

The cold tablets from China and South Korea have the same brand name of COLCOLCO, he said. 

Mr Tarit said DSI officials also searched the company’s factory but there was nothing amiss. 

However, it was found that the company had three South Korean executives and one Thai executive, Mr Tarit said. 

He said the Korean Food and Drug Administration recently sent information regarding the nine shipments of pills which showed the contract to buy the cold tablets from South Korean was signed by UTAC Thai Co. 

Mr Tarit said the DSI’s special case committee had decided to take up the inquiry into the pseudoephedrine smuggling case. 

The committee had also agreed to investigate call centre scams involving criminal gangs duping people into transferring money to their accounts via ATMs. 

Mr Tarit said he would head the inquiry into the smuggling of the cold tablets and lead an investigation team to travel to South Korea to seek more information about the contract. 

Mr Tarit said shipping companies that were paid to import the pills would face prosecution for supporting the alleged smuggling of the medicine and for making false declarations, even if the tablets went through proper customs procedures before being shipped to Thailand. 

Deputy Prime Minister Chalerm Yubamrung, who chairs the DSI’s special case committee, said he had sought help from senior authorities in China to support Thailand’s efforts to crack down on the smuggling of cold pills and they were willing to help. 

Group Of Springhill Leaders South Korea Online-livejournal



Springhill Group-Blogs 
posted by ashtonwil 61 days ago under group of springhill leaders south korea, springhill group-blogs 
Mechanical & Boiler Room Repairs — Zera Construction 
Link: http://www.zeraconstruction.com/s_mechanical.php 

Cracks and leaks in both mechanical room and boiler room concrete floors can lead to equipment damage and failure and leaking into condos below. Zera can have everything patched up before you can say "new boiler" or "screaming tenant." 

ZERA GETS IT DONE 
Whether you need cracks routed & sealed, epoxy injection, or waterproofing, Zera can do the floor & wall repairs to prevent equipment problems and leaks. If your floor looks like the picture below, give us a call. 

Contact us to learn more about mechanical & boiler room repairs to 
floors & walls 

Please note: Zera Construction does not repair boilers. 
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Upcoming auditions at the Boiler Room, Pull-Tight and more - Springhill Group - Zimbio 
posted by cainxueyen 61 days ago under group of springhill leaders south korea, group of springhill south korea, upcoming auditions at the boiler room, pull-tight and more, zimbio 
Image courtesy of the Boiler Room 
There will be an open call for theBrighton Beach Memoirs at the Boiler Room Theatre (230 Franklin Rd., Bldg Six, Franklin) on March 21st at 2 PM. Unlike their usual by-appointment audition process, all auditionees need to attend the open call at 2 PM. 

Actors will read from the script in groups; no need to prepare any audition material. Call backs will be held the same day. Bring (2) copies each of your headshot and resume. The show is scheduled to run My 7th through the 29th. 
For audition questions, call 615-794-7744. 

Auditions for Pull-Tight's Father of the Bride will be held Sunday and Monday, April 11 and 12 at 7:00 pm at the Pull-Tight Theatre. There are 13 roles available. 1 man age 40-55, 3 women age 40-55, 2 women age 18-25, 2 men age 18-25, and 2 boys age 12-15. There are additional smaller roles for men or women of any age. 
Auditions will consist of readings from the script. 
For more information, please contact director Alan Mancuso directly at 708-6288 (cell) or 794-4045 (home). 

Actors, reenactors and muscians are desired for a Performance Reading of Scathe: A Civil War Incident in Spring Hill, Tennessee. Auditions will be held Friday, March 19, 7-9 PM and Saturday, March 20, 9-11 PM. Call Backs will be held Monday 7-8:30 PM. Daytime auditions may be by appointment. 
The auditions will be held at the Heron Center, located at the Tennessee Children’s Hom... 
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Tuesday, May 15, 2012

Springhill CareGroup : Blogspot

http://springcaregroup.blogspot.com/


Springhill Group Care – Providing for all levels of care, balanced with impressive facilities and exceptional staff.
…golden age living and health care at its very best…

At Springhill Care Group, our attitude is to exceed the expectations of our residents and their friends, that offer balanced with impressive facilities and exceptional staff.

At Springhill Care Group, we firmly believe in safeguarding the interests of our clients and we pride ourselves on offering the most resident friendly environment.

IP to invest $44M to improve Bogalusa mill | Value Investing News

http://www.valueinvestingnews.com/ip-invest-44m-improve-bogalusa-mill

International Paper is investing $44 million to modernize its Bogalusa site, according to state and wire reports.
IP Bogalusa Mill Manager Todd Crutcher said the investment will help retain more than 400 jobs at the facility and save more than four times that number in related jobs in the community.
IP completed a $4.5 billion acquisition of Temple-Inland Inc. in February and became the fifth owner of the Bogalusa mill in its 106-year history. The Bogalusa jobs average more than $69,000 a year, plus benefits.
"International Paper is the largest private employer in Washington Parish and one of the top five economic drivers on the Northshore,” Gov. Bobby Jindal said in a release. “Yet this community has been concerned for many years about the facility's future. That's why our state's Business Expansion and Retention Group began regular visits with Temple-Inland staff in early 2009 and continued to work with International Paper after it acquired Temple Inland's assets through a merger. The bottom line is that we made it a top priority to retain this facility and protect the thousands of jobs in this community. Today's announcement shows our strong commitment to retaining and growing existing Louisiana businesses. This upgrade will make the mill more competitive and help secure the long-term viability of this facility in Bogalusa."
IP, headquartered in Memphis, Tenn., is a global leader in the paper and packaging industry and operates 10 facilities in this state, including locations in Shreveport, Mansfield, Minden, Campti, Springhill, Lafayette and Alexandria.
"We are extremely pleased to have the State of Louisiana partner with us in modernizing the Bogalusa mill. This combined effort will help our mill become even more competitive — which is positive for our employees, Bogalusa and the surrounding communities, and International Paper," Crutcher said.
The state's Business Expansion and Retention Group started talks with Temple-Inland staff in 2009 and worked with IP after it acquired Temple-Inland assets. The state offered IP a $2.2 million Modernization Tax Credit to assist with plant upgrades. The modernization should be completed in mid-2013.

Saturday, January 14, 2012

springhillcare - Digg | SPRINGHILL GROUP

http://digg.com/springhillcare


Springhill Group Care – Providing for all levels of care, balanced with impressive facilities and exceptional staff. …golden age living and health care at its very best…   At Springhill Care Group, our attitude is to exceed the expectations of our residents and their friends, that offer balanced with impressive facilities and exceptional staff.   At Springhill Care Group, we firmly believe in safeguarding the interests of our clients and we pride ourselves on offering the most resident friendly environment

About Us

Springhill Group look to cater to the special requirements of each person citizen and any changing circumstances that occur throughout their time living in our care. This gives families the comfort that their loved one has the support and care.

We fully understand a need to a place that residents will be proud to call their home is what they require most. All are built in attractive locations, nestled amongst existing communities, so our residents can easily retain their ties with their families.

Springhill Care offers retirees the finest in clinical care, while receiving the positive aspects of living in our cozy and comfortable community.

Email us now at info@springhillcaregroup.net

Springhill Group: Springhill Group Florida - Facebook

http://www.facebook.com/pages/Springhill-Group-Florida/186512308106513


Springhill Group Care – Providing for all levels of care, balanced with impressive facilities and exceptional staff. …golden age living and health care at its very best…   At Springhill Care Group, our attitude is to exceed the expectations of our residents and their friends, that offer balanced with impressive facilities and exceptional staff.   At Springhill Care Group, we firmly believe in safeguarding the interests of our clients and we pride ourselves on offering the most resident friendly environment

About Us

Springhill Group look to cater to the special requirements of each person citizen and any changing circumstances that occur throughout their time living in our care. This gives families the comfort that their loved one has the support and care.

We fully understand a need to a place that residents will be proud to call their home is what they require most. All are built in attractive locations, nestled amongst existing communities, so our residents can easily retain their ties with their families.

Springhill Care offers retirees the finest in clinical care, while receiving the positive aspects of living in our cozy and comfortable community.

Email us now at info@springhillcaregroup.net

News - Springhill Group Florida Home Care review at Kaboodle: Springhill Group

http://www.kaboodle.com/reviews/news--springhill-group-florida-home-care-8

Guns don’t kill people; people kill people; and people with guns kill even more people. They also save more people who would otherwise be at the mercy of the criminals. SPRINGHILL TOWNSHIP, Pa. — An 85-year-old great-grandmother in Fayette County busted a would-be burglar by pulling a gun, then forcing him to call for help while she kept him in her sights. http://www.thepittsburghchannel.com/news/17232825/detail.htm… Venus Ramey, 82, confronted a man on her farm in south-central Kentucky last week after she saw her dog run into a storage building where thieves had previously made off with old farm equipment. Ramey said the man told her he would leave. “I said, ‘Oh, no you won’t,’ and I shot their tires so they couldn’t leave,” Ramey said. She had to balance on her walker as she pulled out a snub-nosed .38-caliber handgun. “I didn’t even think twice. I just went and did it,” she said. “If they’d even dared come close to me, they’d be 6 feet under by now.” http://www.foxnews.com/story/0,2933,267540,00.html Hancock County Sheriff’s Investigator Andre Fizer said about an 84-year-old man’s decision to shoot through a house door at another man who was trying to barge into the house: “You could tell he was devastated. You could tell he was scared.” And rightfully so. Twenty-year-old Wade Ledesma made repeated attempts to break in to the house at about 5 a.m. on July 27, threatening to kill him throughout. Ledesma “tried to break through the front door and also tried to enter through a back door and a rear window of the residence. The resident called 911 and reported that the intruder was trying to force his way into the home…. [The elderly man] held himself against the door to keep [Ledesma] from entering,” reported the Sun Herald. The resident became tired from holding the door and, worded about his and his wife’s safety, asked his wife to get his pistol. He fired a shot through the door, meant to merely be a warning shot, and he hit Ledesma in the leg. http://www.accessmylibrary.com/coms2/summary_0286-35461877_I… And those are just the obvious cases. A few years ago I was at a talk by a Jewish man from Poland who survived WWII because he was able to escape his home before the Nazis rounded them up and was able to get a gun from a family friend. He said that without a weapon he would not have been able to join the partisans and remain safe. He also would not have survived his first night home after the war as some of his “neighbors” knocked on the door in the middle of the night to “invite” him to join them for a party to celebrate his return. He had his rifle with him and leveled at the men during the conversation as he explained to them that he was tired and would prefer staying home…They didn’t press the matter. But he left the next day and never returned. He heard a few days later that a friend of his was not so prepared and was killed by the “neighbors”. The movie “Defiance” is yet another reminder to Jews that weapons are not something to fear, but to have handy. Finally… In 1928, five years before the rise of Hitler, Germany’s freely elected government enacted a “Law on Firearms and Ammunition.” This law required anyone who owned a firearm, or who wanted to own a firearm, to make themselves known to the authorities. Anyone who wanted to purchase a firearm had to get a “Firearms Acquisition Permit.” If you needed ammunition, you had to get an “Ammunition Acquisition Permit.” When you wanted to go hunting, you had to get an “Annual Hunting Permit.” Every firearm that changed hands professionally had to have a serial number and the maker’s or dealers name stamped into the metal. “Proof of need” was made a condition for issuance of all licenses, not just the carry permit. Mandatory prison sentences were imposed on anyone who professionally sold or transferred a firearm or ammunition without a license. Truncheons and stabbing weapons were subject to the same licensing requirements as firearms, in terms of their manufacture and sale. As a result of the 1928 Law, all firearms and firearms owners were registered. To take firearms from anyone they distrusted, the Nazis simply did not renew permits. Under the law, their privately created law, the Nazis could now easily confiscate all firearms and ammunition from any, or all, selected groups. The gun law of 1928 had served the Nazis well. It made almost all law abiding firearms owners known to the authorities. The 1928 law on firearms and ammunition helped the Nazis to destroy democracy in Germany, by disarming the law abiding majority, whom they feared. http://famguardian.org/Subjects/GunControl/Articles/NaziGunL… A right to bear arms is the fundamental right of every law-abiding person to acquire the means to protect themselves even from their own government. One of the first things a government does when it wants to control its citizenry is to control their access to the weapons they need to defend themselves.