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April 2018 Archives

2 key lessons from Hudson Valley doctor's arrest for fraud

A former orthopedic surgeon, is facing up to 32 years of prison and $500,000 in fines. The criminal complaint states the physician stole the identity of an orthopedic surgeon and used this identity to receive payment for the review of over $860,000 in Workers' Compensation cases.

Treatment battle leads to accusations of criminal activity

Medicare and private insurance companies rarely cover new treatments. Treatment provider Trina Health is currently attempting to navigate this common issue. Trina claims the treatment meets the criteria for a current billing code covered by insurance. As such, the clinic has been using this code to receive payment.

NY Senator demands info on VA physician for alleged crimes

A doctor at a Veterans Affairs (VA) hospital in New York faces multiple criminal charges for alleged criminal conduct in 2016. Doctor Jerome F. Cuyler worked with service members that were part of the Integrated Disability Evaluation System during the time of the accusations.

HHS completes largest healthcare fraud enforcement in history

The Department of Justice and the United States Department of Health and Human Services (HHS) have made it clear that the government is cracking down on healthcare fraud. To help illustrate this point, the agencies conducted the largest healthcare fraud enforcement action in history.

Three tips to avoid health care fraud allegations in NY

The current administration is working hard to combat health care fraud. Health care providers can reduce the risk of becoming the subject of an investigation into this type of crime by avoiding what are referred to as the common “badges of fraud.”

NY doctor accused of drug theft, faces criminal charges

A 59 year-old cardiologist faces larceny and criminal possession of a controlled substance charges in New York. Local police and the Medicaid Fraud Control Unit investigated the physician and accuse him of stealing hydrocodone pills and other medications from patients.

NY health care provider accused of fraud, pays $10M to settle

Allegations of health care fraud can cause serious harm to a health care provider’s reputation. As such, it is not surprising that those who find themselves the subject of an investigation or face accusations of this form of fraud seriously consider accepting a settlement agreement in the hopes that they can move on with business and put the whole ordeal in the past.

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