Former office manager indicted for health care fraud

Woman, 54, believed to have caused more than $100,000 in excessive billings.
Norwalk Reflector Staff
Feb 22, 2014

Ohio Attorney General Mike DeWine and U.S. Attorney for the Southern District of Ohio Carter Stewart announced that the former office manager for the Cincinnati and Northern Kentucky office of Compass Healthcare, Inc., has been charged with four counts of Health Care Fraud.

A federal grand jury indicted Beth Stein, 54, of Amelia, on the charges. The suspect is believed to have caused more than $100,000 in excessive billings to Medicare, Medicaid and other healthcare benefit providers.

"Deceiving Medicare, Medicaid and private health insurers by overbilling for services contributes to the rising costs of healthcare,” DeWine said. "In this case, investigators found that the defendant manipulated the insurance reimbursement process in order to receive higher payments and instructed her employees to do the same in order to maximize revenue."

"We will continue to work closely with other federal and state agencies to ferret out fraud against the health care programs designed to help Ohioans receive quality care,” said Carter M. Stewart, U.S. Attorney for the Southern District of Ohio.

Compass Healthcare, which operates a regional office in Montgomery, Ohio, is a medical equipment supply company which sells various products, including prescription compression stockings used to improve blood flow.

According to the indictment, Stein fraudulently obtained reimbursement for the products between 2005 and 2012 by:

    Billing for a larger quantity of stocking than was actually given to the patient
    Providing a lower-grade level of stocking to the patient but billing the insurer for a higher-grade of stocking or custom product
    Forging or creating fake prescriptions or Certificates of Medical Necessity from physicians to support a bill for a higher-grade or custom stocking

The case was investigated by agents with the Ohio Attorney General's Health Care Fraud Section, the U.S. Department of Health and Human Services, Office of the Inspector General, and the U.S. Department of Defense, Defense Criminal Investigative Service. The case is being prosecuted jointly by attorneys with DeWine's and Stewart's offices.

Comments

Contango

Re: "The suspect is believed to have caused more than $100,000 in excessive billings to Medicare, Medicaid and other healthcare benefit providers."

The govt. won't tell us, but it's been estimated that Medicare and Medicaid lose between $60-100 BILLION annually through waste, fraud and abuse.

And the lefty progressive-socialist fruitcakes LOVE Obam☭are and are drooling over the future prospect of single payer.

Perhaps someday, the govt. can LOSE $1 TRILLION annually in medical payments due to waste, fraud and abuse?

In my opinon

I am sure this info came from the Washington based Examiner.com. I could find a site I am sure that would boast my views also. You should be as outraged at the wasteful spending of the federal governments money for the Sandy storm relief by Chris Christie. There are always two sides to every story. And who estimated it, if the government doesn't tell anyone? Glad I don't believe everything I read on here. I was taught to think for myself.

Contango

Re: "info came from"

More like the "National Bipartisan Commission on the Future of Medicare" co-chaired by Sen Breaux (D-LA).

Have the GAO do an audit of every agency and dept. and THEN the people 'might' know where their tax dollars go.

Bleeding Turnips

Who do you report suspicious and excessive billings to right here in Erie / Huron County? I'm pretty sure this is happening right here with some of our local hospital services and doctors.

kURTje

Bleeding T. contact either county's prosecuting attorney.

Dr. Information

…..And, the liberals keep saying there is hardly any theft/abuse in the Medicaid/Medicare sector.

JACKEL

Gee, just like Dr.Death that used to be here at FTMC .He ruined my life and killed several people I knew well. In case you don't remember him his morgue was on Rt.4 near Sandusky. He also along with his wife were indicted for same !The last I knew he was still in practice on Milan Ave. in Sandusky.

Really are you ...

Sure stinks that it happens in healthcare businesses around here also. High costs for healthcare and over billing, nice! Dewine should look into college loan practices also. There is some shady stuff going on there too.