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Fraud and Abuse
United States v. Greber -- 3rd Circuit, 1985
Facts:
Dr. Greber's company, Cardio-Med, supplied Holter monitors, a device worn by patients that records heartbeats for later interpretation. Investigations showed that Cardio-Med billed Medicare and gave a portion of each payment to the prescribing physician, under the heading, "interpretation fees," even when Dr. Greber actually did the interpretation of the data. It was found that the fixed percentage paid to the referring physicians was more than Medicare allowed for such services. Further, Medicare requires that the device be used eight hours or more to qualify for payment. Cardio-Med and Dr. Greber reported longer operation times than the patients actually used their monitors.
In 1977,...
Greber.
Issues:
1. Did Dr. Greber make claims for services or equipment that weren't needed or used at all?
2. Did Dr. Greber pay money from Medicare payments back to doctors who used his equipment?
3. Did Dr. Greber mis-report the amount of time his equipment was used?
4. Did Dr. Greber make payments to other physicians for services he provided?
5.…
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