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21. Bon Secours ASC settles Virginia negligence suit
... in hiring and credentialing physician Javaid Perwaiz, MD, who was found guilty of 52 counts of healthcare fraud and related crimes in November 2020. The plaintiff was a patient of Dr. Perwaiz in 2019 ...25 October 2024 -
22. New York physician charged with accepting kickbacks for unnecessary brain scans
A physician East Setauket, N.Y., was charged for allegedly accepting kickbacks for ordering medically unnecessary brain scans. From around June 2013 through December 2019, internist Kenneth Fishberger, ...23 October 2024 -
23. Houston man convicted in $160M Medicare fraud scheme
... including their identification number, personal health and physician information. He targeted elderly diabetic patients who are dependent on testing supplies to manage their blood sugar levels. Mr. Mokbel ...16 October 2024 -
24. 10 anesthesiologist lawsuits in 2024
Here are 10 anesthesiologist suits Becker's has reported on so far in 2024: 1. The sentencing for Raynaldo Ortiz Jr., MD, a former anesthesiologist at Baylor Scott & White Surgicare North Dallas who ...09 October 2024 -
25. Michigan physician pleads guilty to $400K insurance fraud scheme
Sylvan Lake, Mich., physician Rainna Furnari Brazil, DO, has pleaded guilty to eight felony counts of disability insurance fraud under an 11-month delayed sentence. Dr. Brazil applied for and received ...09 October 2024 -
26. 3 major false claims cases and what they mean for fraud crackdown
... filed a legal complaint against two medical centers for Stark law violations that led to physician compensation that exceeded fair market value and submitting false Medicare claims. The complaints –– ...08 October 2024 -
27. Physician assistant sentenced to 6 years for $10M fraud scheme
A physician assistant in Charlotte, N.C., was sentenced to six years in prison for his role in a $10 million genetic testing Medicare fraud scheme. In 2018 and 2019, Colby Edward Joyner worked as ...07 October 2024 -
28. Court declares qui tam whistleblower provisions unconstitutional in Florida practice's fraud case
... law.com reported Oct. 4. The lawsuit, initially filed by former physician Clarissa Zafirov, MD, accused her former employer, Ocala-based Florida Medical Associates, of submitting fraudulent claims ...04 October 2024 -
29. Indiana physician sentenced for healthcare fraud
A physician who ran an addiction treatment practice in Merrillville, Ind., has been sentenced to one year and one day in federal prison after pleading guilty to healthcare fraud. Johann Farley, MD, ...04 October 2024 -
30. Cutting Costs, Not Care: How Efficiency-Driven Anesthesia Modeling Can Optimize ASC Profitability
... has approximated a shortage of 12,500 physician anesthesiologists by 2033, with 56% of current practitioners over the age of 55. The current and projected numbers of Certified Registered Nurse Anesthetists ...25 September 2024 -
31. Physician couple sentenced for healthcare fraud
Husband and wife John Johnson, MD, and Paula Johnson, MD, of Hollidaysburg, Pa., were sentenced for conspiracy to defraud the U.S. and healthcare fraud conspiracy. In 2016, Dr. John Johnson entered ...23 September 2024 -
32. Physician charged for $32.7M fraud scheme
An Alexandria, La.-based physician has been charged for his role in a $32.7 million Medicare fraud scheme involving medically unnecessary definitive urine drug testing services. From around January ...19 September 2024 -
33. Delaware physician pays $1M+ to settle fraud claims
A Wilmington, Del., physician agreed to pay $1,080,000 to resolve allegations that he violated the False Claims Act. Between February 2018 and April 2019, Vishal Patel, MD, referred patients for more ...12 September 2024 -
34. Florida man pleads guilty for multimillion-dollar healthcare fraud, kickback scheme
... exchange for providing medical equipment companies with completed physician orders for medically unnecessary equipment, the Justice Department said in a Sep. 6 release. Mr. Vehovec used telemedicine ...09 September 2024 -
35. California physician sentenced for $2.8M fraud scheme
A California physician was sentenced to 37 months for his role in a $2.8 million fraud scheme. While serving as medical director of several hospice companies from October 2014 to March 2016, John ...29 August 2024 -
36. Oklahoma physician settles prescription fraud claims
Tuan Nguyen, MD, a physician in Oklahoma City, agreed to pay $165,000 to settle civil penalty claims that he issued invalid prescriptions for Schedule III controlled substances. The Justice Department ...28 August 2024 -
37. West Virginia physician admits to filing false tax return
David Anderson, MD, a physician in Morgantown, W.Va., admitted to filing a false tax return. Dr. Anderson filed tax returns that understated his taxable income, leading to a loss of $143,599 to the ...26 August 2024 -
38. Connecticut man pleads guilty to $7.8M DME fraud, kickback scheme
... call centers, DME suppliers, telemedicine companies and physicians to submit fraudulent claims to healthcare benefit programs, the Justice Department said in an Aug. 21 news release. Mr. Foote ran a ...26 August 2024 -
39. 4 Medicare fraud cases in August
Here are four Medicare fraud cases reported by Becker's since Aug. 1: 1. A federal court on Aug. 15 upheld a $15 million conviction for a physician for conspiracy to commit healthcare fraud. The U.S. ...22 August 2024 -
40. 4 notes on Stark law, anti-kickback compliance
Physicians often straddle the line between roles in a practice as both employees and the central drivers of income for that business. This makes conversations around investment, growth and regulatory compliance ...21 August 2024