The Manhattan U.S. Attorney recently announced civil and criminal health care fraud cases against a vascular surgeon out of Manhattan. According to the prosecution, the doctor fraudulently billed Medicare for vascular surgeries involving end-stage renal disease (ESRD)...
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Can doctors attend Zoom court hearings from work?
The state medical board is investigating a surgeon who attended a Zoom traffic court meeting while in the operating room. A courtroom clerk asked the physician if he was in an operating room and the physician confirmed. He stated that he was available for trial, as...
What happens if my business is accused of a Medicare overpayment?
The United States Department of Justice (DOJ) recently accused New York health service company Cigna of over $1 billion in Medicare overpayments from 2012 through 2017. The feds state the insurance provider intentionally misrepresented health conditions to justify...
Can a doctor’s mistake lead to criminal manslaughter charges?
The New York Attorney General’s office recently announced that a local physician was facing criminal charges in connection to the overdose death of a patient. The prosecution claims the physician prescribed a mix of opioids even though he was aware the patient had...
New Jersey lawmakers push for hospice care reform
Lawmakers in New Jersey are working to reform the regulations surrounding hospice care in the state. Governor Phil Murphy has already singed one proposal into law and two additional proposals are currently under consideration. Lawmakers point to the fact that New...
Can a doctor sue a hospital for libel after medical board report?
New York state law requires health facilities to report disciplinary action taken against medical professionals to New York State Health Department’s Office of Professional Medical Conduct (OPMC) and the state Board for Professional Medical Conduct (board). However,...
Whistleblower wins millions in FCA case
The False Claims Act (FCA) allows others to initiate a claim on behalf of the government. If the claim moves forward, the government may choose to join. If it leads to a settlement or award, the individual who initiated the case gets a portion of the award. As a...
Three tips for pharmacy owners looking to sell in ‘21
Those who have built not just a profession as a pharmacist, the business of the pharmacy as well will likely treat retirement differently compared to pharmacists who have chosen to work for a hospital or retail chain. Those who own their own pharmacy must also look to...
Feds accuse owner of home health center of fraud
The United States Department of Justice (DOJ) recently announced criminal charges against the owner of a home health services business of over $100 million in healthcare fraud. The charges include money laundering, health care fraud and conspiracy to pay and receive...
NJ doc gets almost 3 years imprisonment for healthcare fraud
The United States Department of Justice (DOJ) recently announced the sentencing of a New Jersey doctor in connection to a healthcare fraud scheme. The agency stated in a press release that the court sentenced the physician to 33 months imprisonment after he plead...

