The government collected over $1.8 billion in Medicare and Medicaid fraud cases in 2017. The government collected these funds through a combination of criminal convictions and settlements. Medicare fraud settlements with the government accounted for over $27 million....
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Should criminal allegations lead to loss of hospital privileges?
A pediatric surgeon facing allegations of cybersnooping on his now ex-girlfriend is in the midst a national debate over when a physician should lose his or her hospital privileges. Should the hospital consider a physician accused of a crime innocent until proven...
New York psychiatric center blamed for death of child
A 14-year-old patient at a New York psychiatric center suffered cardiac arrest due to a severe case of constipation and bowel obstruction. The center transferred the girl to a university hospital. She died within 24-hours of the transfer. The psychiatric center...
New York lawmakers consider Medical Aid in Dying Act
New York state lawmakers are currently considering a new law. The law would allow terminally ill patients to request and use medication for to aid in dying.How would medical aid in dying work? The Medical Aid in Dying Act requires the patient be mentally competent and...
Healthcare fraud charges – not just for medical professionals
A former football star is facing allegations for healthcare fraud. The government claims the accused illegally used his role as a marketer to bring in potential clients for treatment.Healthcare fraud charges are generally associated with medical professionals....
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'...
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...
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...
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...
Medical provider accused of kickbacks, settles for $3M
Two anesthesia providers and two orthopedic surgery providers agreed to settle with the Department of Justice over claims of illegal kickbacks and submission of false claims to Medicare.The investigation into the claims was the result of a whistleblower case. The...

