The Agency for Persons with Disabilities referred the case to the MFCU
after an audit found that Leace regularly submitted identical receipts for reimbursement.
"I had the good fortune to work in almost every department at MFCU
," she said.
also houses a Patient Abuse, Neglect and Exploitation Unit that investigates cases where elderly, ill and disabled residents are abused in nursing homes, facilities for the mentally and physically disabled and assisted care living facilities.
There is no room here to review, even in summary form, the egregious fraud, statistical fabrications, and gross incompetence by the MFCU
, which was apparently determined to find some fraud at any cost.
performs both criminal and civil investigations of reimbursement fraud and criminal investigations regarding alleged patient abuse, neglect, and exploitation.
The agencies that investigate health care fraud and abuse include the OIG, MFCU
, the Federal Bureau of Investigations (FBI), the Internal Revenue Service (IRS), the Postal Inspection Service, the Department of Defense (DOD), and State Insurance Departments (DOI).
Joel Pecoraro, vice president and director of property administration for MFCU
, wanted a comprehensive security program to ensure that the new corporate headquarters, which had cost $25 million, was protected at every point of entry.
In contrast, MFCU
investigations of many of the 11 referrals found the homes negligent in caring for decedents, and the MFCU
reached settlements with the owners of several homes.
Following a separate investigation by the MFCU
, Stanley and Judith Dicker, owners of nursing homes in Queens and the Hudson Valley, have agreed to repay more than $11 million, including interest, for Medicaid overpayments occurring between 1996 and 2001.
Local law enforcement is rarely involved in nursing home abuse cases because reporting is so inconsistent, and state Medicaid Fraud Control Units (MFCUs
) (usually part of the attorney general's office), which investigate abuse allegations if they involve criminal activity in the Medicare/Medicaid program, have to rely on cases referred by state survey agencies, which restrict what is reported.
Ranzini was an Assistant Professor of Clinical Obstetrics and Gynecology at the University of Medicine and Dentistry of New Jersey (UMDNJ), who was assigned to the Maternal Fetal Care Unit (MFCU
) at the hospital.
For example, the Illinois Medical Fraud Control Unit (MFCU
) found that incentive payments to physicians were common in HMOs, with practitioners receiving a portion of the funds that had not been used for hospital stays or for surgery (National Association of MFCU