CrimeDivas

Female White-Collar Crime Divas-Mordern Day Thieves

Corporate Crime Week!?! – $41 Million

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     After doing a little research I found that there were many corporations under the eye of the law and thought we would make this Corporate Crime Week to bring everyone’s attention to how widespread white-collar crimes are, though our focus is on women.  We need to see the bigger picture.

The following is another post from the Department of Justice and again we find ourselves dealing with those in the medical profession. These corporations and companies are not imbecile, so I wonder if their calculated risk is based on the knowledge that there will only be a fine and the financial gain outweighs any loses.

Stay informed and read a free CrimeDiva’s story!

King’s Daughters Medical Center to Pay

Nearly $41 Million to Resolve Allegations

of False Billing for Unnecessary Cardiac Procedures and Kickbacks

Ashland Hospital Corp. d/b/a King’s Daughters Medical Center (KDMC) has agreed to pay $40.9 million to resolve allegations that it submitted false claims to the Medicare and Kentucky Medicaid programs for medically unnecessary coronary stents and diagnostic catheterization and had prohibited financial relationships with physicians referring patients to the hospital, the Justice Department announced today.

Assistant Attorney General Stuart F. Delery of the Justice Department’s Civil Division, U.S. Attorney Kerry Harvey for the Eastern District of Kentucky and Special Agent in Charge Derrick L. Jackson at the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) Kentucky region made the announcement.

“Hospitals that place their financial interests above the well-being of their patients will be held accountable,” said Assistant Attorney General Delery.   “ The Department of Justice will not tolerate those who abuse federal health care programs and put the beneficiaries of these programs at risk by providing medically unnecessary care.”

The government alleged that, between 2006 and 2011, KDMC billed for numerous unnecessary coronary stents and diagnostic catheterization performed by KDMC physicians on Medicare and Medicaid patients who did not need them.   The government also alleged that the physicians falsified medical records in order to justify these unnecessary procedures, which allegedly generated millions of dollars in Medicare and Kentucky Medicaid reimbursements for KDMC.

“The conduct alleged in this matter is unacceptable, victimizing both taxpayers and patients,” said U.S. Attorney Harvey.   “Treatment decisions motivated by financial gain undermine public confidence in our health care system and threaten vital federal programs upon which so many of our citizens rely.   We will not relent in our efforts to protect the public from the sort of systematic misconduct alleged in this case.”

The settlement also resolves allegations that KDMC violated the Stark Law by paying certain cardiologists salaries that were unreasonably high and in excess of fair market value.   The Stark Law is designed to limit the influence of money on physicians’ medical decision-making by prohibiting financial relationships between hospitals and referring physicians, unless these relationships meet certain designated exceptions.

In connection with this settlement, KDMC has agreed to enter into a Corporate Integrity Agreement with HHS-OIG, which obligates the hospital to undertake substantial internal compliance reforms and to commit to a third-party review of its claims to federal health care programs for the next five years.

“Medically unnecessary procedures can cause serious health issues, cost the taxpayers millions of dollars each year and drain the Medicare Trust Fund,” said Special Agent in Charge Jackson.   “The OIG will continue to protect beneficiaries and hold health care providers accountable for improper claims.”

“This type of alleged conduct deceives individuals when they are seeking medical treatment and are vulnerable,” said Special Agent in Charge Perrye K. Turner of the FBI’s Louisville Field Division.  “The level of funds involved in this matter is staggering.   This money has been stolen from the patients and the taxpayers.”

The Commonwealth of Kentucky will receive approximately $1,018,380, which represents the state’s share of the recovered Medicaid funds.   The Medicaid program is funded jointly by the federal and state governments.

This settlement illustrates the government’s emphasis on combating health care fraud and marks another achievement for the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative, which was announced in May 2009 by Attorney General Eric Holder and Secretary of Health and Human Services Kathleen Sebelius.  The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation.  One of the most powerful tools in this effort is the False Claims Act.  Since January 2009, the Justice Department has recovered a total of more than $19 billion through False Claims Act cases, with more than $13.4 billion of that amount recovered in cases involving fraud against federal health care programs.

The investigation was conducted by the FBI, the HHS-OIG, the Kentucky Office of Attorney General, Medicaid Fraud and Abuse Control Unit, the Commercial Litigation Branch of the Department of Justice’s Civil Division and the U.S. Attorney’s Office for the Eastern District of Kentucky.   The claims settled by this agreement are allegations only, and there has been no determination of liability. 

__________________________________________________________________________________

 Ever wondered how it happened ?

Read their stories!


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In addition to this blog, we have several true crime stories that are must read. These stories help you understand how some of this women in trouble got in trouble in the first place. Some by their own greed and bad decision, but some by pure bad luck.  Two of these short stories are “free” to Kindle Prime Member or only $0.99 to others eBook readers. These two stories will be available in one book soon.

The first crime story, The Check, a true story of an illiterate, elderly woman whose husband suddenly dies and leaves her to take care of business as usual. But, taking care of business as usual will end her in a legal mess. Find out if the help of family and the close-knit community of friends will keep her from going to prison. Click on the book cover to read more.

Check picture     If you have teenagers, or know a teenager, this true short story, Password, is a must read. Becky is an average high webPaswaorschool student who has a passion for computer games and getting through firewalls. Becky becomes irresponsible during her first year of college and finds herself deep in debt. She makes a very bad decision and taps into a bank’s computer system. Will she get caught? Is the law far behind? Will she bring shame and disgrace to her family? Will her life be ruined? Click on the book cover to learn more. 

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Check-pointDecember 31st, 2016
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