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A federal jury convicted a New York ENT doctor for defrauding Medicare and Medicaid by causing the submission of false and fraudulent claims for surgical procedures that were not performed. Specifically, between January 2014 and February 2018, the doctor billed Medicare and Medicaid approximately $585,000 and was paid approximately $191,000.
This month, fraud in the medical industry has been making headlines fairly frequently. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. Each charge also comes with five years probation, while the fraud charge includes 18 months of house arrest.
The lawsuit alleged more than a decade of illegal compensation to doctors, violating the federal Stark Law, and Medicare fraud. According to the Orlando Sentinel, on March 3, 2014, Halifax and the US Department of Justice (DOJ) reached the tentative agreement just as jury selection was set to begin. Indest III, J.D.,
Board Certified by The Florida Bar in Health Law A Virginia dermatologist, revered by several publications as one of the top doctors in the nation for several years running, was recently acquitted of more than 40 counts of health care fraud following an unusually lengthy 16-day trial. Indest III, J.D.,
Asante, an Oregon-based health system with three hospitals and more than 30 primary care facilities, has started notifying certain patients that their medical records have been accessed by a local doctor who had no treatment relationship with the patients.
Many of the hacking incidents between 2014 and 2018 occurred many months – and in some cases years – before they were detected. Josephs Medical Center $80,000 Settlement 2023 Doctors Management Services $100,000 Settlement 2023 L.A. NY Health Plan 9,358,891 Hacking/IT Incident 10 2023 Perry Johnson & Associates, Inc.
Board Certified by The Florida Bar in Health Law Talk about cracking down on Medicare fraud. On May 14, 2014, a Brevard County radiation oncologist received his final judgment in a whistleblower Medicare fraud case. The doctor was charged with defrauding Medicare under the False Claims Act. Indest III, J.D.,
On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud. According to the U.S.
Alaska’s top doctor on living with COVID in the post-restriction era. Fraud plagues California’s hospice industry, audit finds. over MassHealth fraud. Montana Named Fourth Best State for Doctors. How Many Doctors Have Left Mission? UPMC begins payments to 66,000 employees affected by 2014 data breach.
Shkreli was ultimately convicted on securities fraud (not related to the Draprim pricing strategy). 10 – Medical staffing companies cut doctors’ pay while spending millions on political ads. #9- 8 – These towns trusted a doctor to set up COVID testing; sample patient fee = #1,944. #7 a pill to $750 a pill.
Plaintiff had surgery in 2014 in which the clips were used. Plaintiff was missing any “indicia of fraud, wrongdoing, domination, misuse, or subversion of corporate formalities. Shortly thereafter she began experiencing several adverse symptoms, including pain. In 2021, a CT scan revealed the clips had migrated.
Taking the good doctor first, In re Philips Recalled CPAP, Bi-Level Pap, & Mechanical Ventilator Products Litigation , 2023 WL 7019667 (Sp. Basically, CPAP II purported to do precisely what Buckman itself prohibited: using express preemption to limit the “ordinary working” of implied preemption of fraud on the FDA claims.
What’s worse, the fraud on the FDA claim, if brought under state law, would be preempted by Buckman Co. 2014) (both complete with diagrams). Fourth, similar factual problems were shoved under the rug with respect to the purported “pattern of racketeering activity” – allegations of “mail fraud and wire fraud.” 341 (2001).
Opposing attempts to use False Claims Act litigation to adjudicate scientific debate, here , in 2014. Scientific literature about the risks and benefits of prescription medical products does not – at least in the absence of academic fraud such as the actual falsification of data (see, here ) – subject the speaker to tort liability.
West Virginia mesh MDL in 2014. The plaintiff had her pelvic mesh removed by a doctor who does many such removals and shows up in many such lawsuits. In addition, the fraud/fraudulent concealment claims in King flunked the specificity requirement of Fed. The King complaint was initially filed in the S.D.
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