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HRD-84-30 1 (1984-01-30)

handle is hein.gao/gaobabngs0001 and id is 1 raw text is: RFS11 rT,,n t~q rp'o-.t ut the General Accourting G'-. te c- -AkNis 0% bPezfIc approva by the 011100 of CongrcsIVna l Relations. UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D.C. 2048 RELEASED HUMAN RrSOURCrS January 30, 1984 DIVISION The Honorable Howard M. Metzenbaum 123505 United States Senate Dear Senator Metzenbaum: Subject: Information on Medicare's Administrative Sanction Process as it Relates to a Practitioner (GAO/HRD-84-30) You asked us to review the medical and billing practices of Dr. Alan Weiner, Family Foot Care Associates, Incorporated, and Americare. Specifically, you asked five questions dealing with Dr. Weiner and his associations with the two podiatrist groups. We found that extensive reviews of the billing practices of Dr. Weiner and his associates had been done beginning in 1969 or were ongoing in January 1984, by (1) the Department of Health and Human Services' (HHS') Health Care Financing Administration (HCFA), Chicago Region; (2) HHS' Office of Inspector General, Chicago Region; (3) Federal Bureau of Investigation (FBI), Cleve- land Office; and (4) Nationwide Mutual Insurance Company, the Medicare Part B claims processing agent for Ohio. We did not independently review Medicare claims submitted by Dr. Weiner and his associates because of these other investigations. Rather, we reviewed the results of those investigations. Based on the in- formation we obtained, it appears that Dr. Weiner is no longer involved with the Medicare program. Each of your questions is addressed below. QUESTION 1 Is Dr. Alan Weiner, either directly or indirectly, receiving any Medicare funds through the billings of other podiatrists at the Family Foot Care Center or Americare? Dr. Weiner has not received Medicare payments directly since he was excluded from the Medicare program in 1981. Dr. Weiner had been under continual investigation since 1969 for his Medi- care billing practices, and on October 2, 1981, he was excluded from participating in the program for 15 years. He was excluded for providing services that substantially exceeded his patients' needs and professionally recognized standards of health care. g q 1 (106247)

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