Owner of Rose's Houston Healthcare Clinic pleads guilty to insurance fraud: 5 notes

Owner of Rose's Houston Healthcare Clinic Rosemary Phelan pled guilty to insurance fraud charges, Insurance Business reports.

Here's what you should know.

1. Ms. Phelan is required to pay $88,000 in restitution and received seven years deferred adjudication.

2. An ex-physician of the clinic contacted Texas Mutual Insurance Company saying he stopped working there in June 2012. Pharmacy records had several prescriptions in his name through October 2012.

3. Texas Mutual investigated the claims and discovered the clinic was seeing several patients while having no licensed medical providers on staff.

4. Ms. Phelan's staff consisted of foreign medical professionals not licensed to practice in the U.S. In turn, she was using the credentials of former part-time physicians to bill the insurer for reimbursement.

5. Ms. Phelan also "unlawfully operated a pain management clinic," according to the report.

More articles on coding, billing and collections:
President Obama calls for honesty, continues to defend health law — 6 things to know
Top 10 highest & lowest states for Medicare participation amongst physicians
Obama administration forecasts 9% surge in ACA enrollment: 5 observations 

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Articles We Think You'll Like

 

Featured Whitepapers

Featured Webinars