Rivas Goldstein, LLP Call : 212-541-2451 | 800-758-3278

NY doctor and physical therapist convicted for health care fraud

The United States Attorney for the Southern District of New York recently announced the conviction of a medical doctor and physical therapy doctor for health care fraud. The conviction was the result of a six-week jury trial and results in a total of 15 convictions for the state stemming from this same scheme. The New York State Office of the Medicaid Inspector General’s Complex Frauds and Cybercrime Unit is handling the case.

The prosecution accused the two medical professionals of conspiring together, billing Medicare and Medicaid for medical supplies and services that were either not provided or medically unnecessary. The allegations were broken down as follows:

  • Medical doctor. The prosecution accused the doctor of posing as an owner for medical clinics. This is a violation of state law, which requires doctors own and operate medical clinics. The government also accused the physician of signing off on “stacks of false and fraudulent medical charts” and issuing referrals for patients to seek the services of the physical therapist.
  • Physical therapist. The government successfully accused the physical therapist of creating an appearance of physical therapy, when no physical therapy was actually provided. As such, the prosecution accused the physical therapist of falsely billing Medicare and Medicaid.

The case provides a valuable lesson for medical doctors: be careful what you sign. If another person asks you to review and sign a medical chart, make sure you take the time to know what you are signing. A failure to review the documents could result in allegations of health care fraud.

No Comments

Leave a comment
Comment Information
Email Us For A Response

Schedule A Consultation With An Attorney

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close

Privacy Policy

Austin Office
3345 Bee Cave Rd, Suite 104
Austin, TX 78746

Toll Free: 800-761-5190
Phone: 512-481-8000
Fax: 512-481-0022
Map & Directions

New York Office By Appointment Only
405 Lexington Ave 26th Floor
New York, NY 10174

Toll Free: 800-758-3278
Phone: 512-481-2916
Phone: 212-541-2451
New York Law Office Map

McAllen Office By Appointment Only
1100 East Jasmine Ave
Suite 105
McAllen, TX 78501

Phone: 512-481-8000
Map & Directions

Review Us