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New York Health Care Law Blog

NY pharmacy owner sentenced to prison time for health care fraud

New York State's Attorney General Eric T. Schneiderman recently announced the arrest of a local pharmacy owner. The government has accused the pharmacy owner of defrauding millions from the New York State Medicaid program.

Government agencies list accusations

The agencies have accused the business owner of billing Medicaid for the distribution of cancer medications that were never given to patients. The government then states the pharmacy owner hid these funds in shell companies. The pharmacy owner was also allegedly part of a kickback scheme with a hospital employee. According to the government's allegations, the pharmacy owner would pay the employee a monthly referral fee in exchange for the employee "steer[ing] expensive cancer prescriptions" to the pharmacy owner's business.

New York doctor's medical license application answer redacted

A New York doctor was accused of stealing medications from patients when he practiced in North Carolina. When he applied for a New York medical license, the form asked if his license had been in the past suspended in another state.

Syracuse.com got a copy of the doctor's application through a Freedom of Information Law request, but his response was redacted by the state Education Department. The news site adds that the department denied its appeal to see the blacked-out response, arguing that it was improperly redacted.

NY physician convicted for murder in overdose deaths

A jury in New York recently found a doctor guilty for two oxycodone overdose deaths of former patients.

History of the case: The Department of Justice (DOJ) indicted the physician in connection to these alleged crimes in June of 2017. The indictment included two counts of the illegal distribution of a medication containing oxycodone that led to the death of two patients.

New York medical transportation company charged with fraud

New York is cracking down on medical transport fraud throughout the state. The Inspector General has stated that the medical transportation industry in the state is “plagued with corruption,” and that law enforcement is working to send “a clear message that those who abuse Medicaid and workers compensation systems for illicit gains will be relentlessly pursued and prosecuted.”

The agency highlighted this focus recently after an ongoing investigative effort led to the arrest of 12.

Physician faces $5 million fine for prescription and health care fraud

The Department of Justice (DOJ) continues its fight against the opioid crisis in the United States. As part of this fight, Attorney General Jeff Sessions has sent a dozen top federal prosecutors to scour the country for medical professionals that allegedly abuse the system. More specifically, these agents are looking for physicians that subscribe opioid medications in questionable situations.

The group is known as the Opioid Fraud Abuse and Detection Unit (OFADU).

NY nurse faces 15 years in jail for Medicaid fraud

The Attorney General’s office announced charges against a local nurse for allegedly defrauding Medicaid of over $30,000. The office has also accused the woman of various tax crimes in New York in connection to these allegations.

If convicted, the nurse could face up to 15 years in prison.

Feds join NY in lawsuits against doctors for kickbacks violations

New York enforcement officers arrested five doctors in March based on allegations of kickback violations and the illegal acceptance of bribes. The doctors maintained their innocence and pled not guilty before a federal court in Manhattan.

The case originally involved the local, state attorney general. Additional evidence gathered from six whistleblowers within the pharmaceutical company has led to the expansion of the case. Six additional states and the Department of Justice (DOJ) have joined the case since this evidence became available.

NY urgent care chain to pay over $6M in False Claims settlement

A group of 88 Urgent Care centers throughout New York agreed to settle a claim with the government for over $6 million dollars.

What were the accusations against the medical services provider? The government’s claim involved allegations the medical facility violated the False Claims Act. These violations were allegedly the result of filing claims for payment from Medicare for “more expensive and complex services than were actually provided to patients,” according to the Department of Justice (DOJ).  

DOJ accuses 3 more physicians in drug testing lab kickback scheme

The Department of Justice (DOJ) has accused three physicians in three different states of Stark Act violations. The violations are in connection to use of a drug testing lab in Pennsylvania.

This is the second wave of accusations connected to the drug testing facility.

Nurse accused of exposing patients to Hepatitis C

Authorities have accused a nurse of stealing narcotics and exposing patients to Hepatitis C. The allegations against the nurse are connected to two reports of Hepatitis C reported to the local health department.

What triggered the public health department to investigate? The public health department will generally investigate any new case of Hepatitis C. The agency confirmed two new cases of Hepatitis C. The investigations of these two cases resulted in the discovery that both patients received an injectable narcotic from the same nurse.

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