Improper Medical Personnel Archives - Page 7 of 12

New York Announces Indictment of Unlicensed Plastic Surgeon Charged with Illegally Performing Over 60 Plastic Surgeries

Posted 11/17/17

By the C|C Whistleblower Lawyer Team New York Attorney General Eric Schneiderman’s office announced the arrests of unlicensed plastic surgeon Brad Jacobs and physician Nicholas Sewell on charges they engaged in a four-year scheme to illegally perform plastic surgeries on over 60 patients, including causing permanent disfigurement to one patient. Jacobs was licensed to practice medicine in 1988 and practiced...

Tagged in: Improper Medical Personnel, Provider Fraud,

November 16th, 2017

New York announced the arrests of unlicensed plastic surgeon Brad Jacobs, 56, of Westbury, NY, and licensed physician Nicholas Sewell, 74, of Jackson Heights, NY, on charges they engaged in a four-year scheme to illegally perform plastic surgeries on over 60 patients, including causing permanent disfigurement to one patient. Jacobs, a former plastic surgeon, surrendered his New York medical license in 2007 after the New York State Department of Health charged him with 29 specifications of Professional Medical Misconduct. From September 2012 to June 2016, Jacobs and Sewell allegedly defrauded patients undergoing costly cosmetic surgery procedures – each averaging between $8,000 and $10,000 – by falsely representing that Jacobs was authorized to practice medicine. NY

Tagged in: Healthcare Fraud, Improper Medical Personnel,

DOJ Catch of the Week -- AnMed Health

Posted 09/29/17

By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to AnMed Health. On Wednesday, the South Carolina-based hospital agreed to pay more than $7 million to resolve allegations it violated the False Claims Act by submitting false Medicare claims for a variety of services, including radiation oncology services, emergency department services, and clinic services. See DOJ...

Tagged in: Catch of the Week, FCA Federal, Hospital Fraud, Improper Medical Personnel, Medical Billing Fraud, Retaliation, Whistleblower Case, Whistleblower Rewards,

June 13, 2017

New Jersey doctor Robert Claude McGrath and his chiropractor son Robert Christopher McGrath admitted to conspiring to defraud Medicare by using unqualified people to give physical therapy to Medicare recipients. Together with their practice, the Atlantic Spine & Joint Institute, they also agreed to pay $1.78 million to resolve allegations they violated the False Claims Act through the illegal billings. The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act by Linda Stevens, a former billing manager at Atlantic Spine. She will receive a whistleblower award of roughly $338,200 from the proceeds of the government's recovery. DOJ (DNJ)

Tagged in: Chiropractic, Healthcare Fraud, Improper Medical Personnel, Medicare, Whistleblower Case, Whistleblower Rewards,

May 23, 2017

New York endocrinologist Dr. Michael Esposito agreed to pay $100,000 to settle charges of violating the False Claims Act for billing Medicare despite his exclusion from all federal health care programs. DOJ (NDNY)

Tagged in: FCA Federal, Improper Medical Personnel,

April 11, 2017

Norman Regional Hospital Authority (d/b/a Norman Regional Health System) and certain employees and physicians of Norman Regional agreed to pay roughly $1.6 million to settle charges of violating the False Claims Act by submitting false claims to Medicare for radiological services performed without the proper supervision by a physician. The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act by former Norman Regional radiologist Dr. Lance Garber. He will receive a yet-to-be-identified whistleblower award from the proceeds of the government's recovery. DOJ (WDOK)

Tagged in: FCA Federal, Hospital Fraud, Improper Medical Personnel, Whistleblower Case, Whistleblower Rewards,

March 3, 2017

Rex Duruji, an unlicensed medical professional posing as a physician, was convicted for his participation in a $1.3 million Medicare fraud scheme. The evidence presented at trial showed that Duruji posed as a physician to induce Medicare beneficiaries to sign up for fraudulent home-health services with Koby Home Health that were not actually provided and paid illegal cash kickbacks to the beneficiaries for those claims. DOJ

Tagged in: Home Health and Hospice, Improper Medical Personnel, Medicare,

March 16, 2017

Northern California Record discusses Constantine Cannon’s matter against Bay Sleep Clinic. Click here to read its article: Government settles $2.6 M whistleblower suit against sleep clinics.

Tagged in: Anti-Kickback and Stark, Improper Medical Facility, Improper Medical Personnel, Medicare, Whistleblower Case, Whistleblower Rewards,

January 27, 2017

Brooklyn residents Olga Proskurovsky, Yuriy Omelchenko and Isak Aharanov pleaded guilty in connection with a health care fraud scheme involving two Brooklyn clinics that caused approximately $55 million in false claims to Medicare and Medicaid. They agreed to forfeiture money judgments in the amount of roughly $17 million. Proskurovsky served as a medical biller and Omelchenko worked as a therapist manager at Prime Care on the Bay LLC and Bensonhurst Mega Medical Care P.C. where they assisted in a scheme to defraud the Medicare and Medicaid programs in which patients subjected themselves to medically unnecessary health services, including physical and occupational therapy, provided by unlicensed staff. DOJ

Tagged in: Improper Medical Personnel, Lack of Medical Necessity, Medicaid, Medicare,

January 12, 2017

Connecticut home healthcare provider Family Care Visiting Nurse and Home Care Agency, LLC and its owners David A. Krett and Rita C. Krett agreed to pay roughly $5.25 million to resolve allegations they violated the False Claims Act by billing for services which under Medicaid required a registered nurse when in fact a registered nurse did not provide the services. The government further alleged the company submitted claims to Medicaid for patients who were or may have been dually eligible for Medicare and Medicaid without first following required procedures for submitting claims to Medicare. DOJ (DCT)

Tagged in: Healthcare Fraud, Improper Medical Personnel, Medicaid, Medical Billing Fraud,

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