Health Insurance Fraud

Here, the executive vice president of an insurance brokerage firm pleaded guilty to his role in a scheme to submit fraudulent applications to enroll individuals in ACA plans. The purpose of the scheme was to obtain millions of dollars in commission payments from the insurance company that operated the ACA plans, according to an April…

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Accusations of domestic violence can damage a medical career

Domestic violence accusations can result from conflicts between intimate partners or longstanding issues within a family. Even an altercation with a roommate could potentially constitute domestic violence. Acts of violence that could lead to assault charges can constitute domestic violence when there is a familial, sexual or household connection between the people involved. Anyone accused…

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OIG Debarment Letters — What To Do!

Did you receive an OIG debarment letter? Are you a nurse prosecuted because of Operation Nightingale? If you are in healthcare, you need to be able to participate in medicare and medicaid to work! I respond on behalf of my clients to any and every the Office of Inspector General’s prospective letter seeking to exclude…

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Addiction Center Fraud — Improper Prescribing and DEA Violations

3 convicted in $8M addiction treatment fraud scheme –…. Creativity rules the day here!. Court documents and trial evidence show that Dr. José Alzadon, Michael Bregenzer, and Barbie Vanhoose, orchestrated their health care fraud scheme through Kentucky Addiction Centers (KAC), which operated in multiple locations. Alzadon, KAC’s medical director, improperly prescribed Suboxone as set forth…

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Facts Always Matter

Click the link inside the opinion to read the judge’s full opinion on the factual allegations versus the factual record.  If your attorney represents you like this, get a new attorney.

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HOSPITAL CEO PLEADS GUILTY TO FRAUD WHILE FINANCIAL OFFICER AT PRIOR JOB

Its amazing the creativity and gall of people in control of the bank accounts and bill paying mechanism at corporations.  “Prosecutors say Mr. MacGregor defrauded his former employer, which is identified in the documents as a company that “provided medical laboratory directorship and pathology services to hospitals and clinics and operated an independent lab.” He…

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DO NOT CALL IN A PRESCRIPTION IF YOU ARE NOT A PHYSICIAN

Samrat Mukherjee, a paramedic, admitted to posing as a physician and fabricating credentials, including a fake medical degree and residency match letter.  He then called in prescriptions to pharmacies for himself and others. Using the identities of two physicians, for their licensing numbers, he claimed to have the authority to write prescriptions. He caused the…

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Act 53 of 2020…. Time for Reinstatement

We all know that a felony Drug Act conviction requires the healthcare boards in Pennsylvania to suspend a license for 10 years.  https://phila-criminal-lawyer.com/drug-act-issues/felony-drug-convictions/ However, in 2020, a new law came into effect.  Act 53 of 2020 provides that “the addition of [Section 3113] … shall apply to official acts and matters, including disciplinary matters, related…

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ER health care providers’ payroll delayed

WOW….. “East Ohio Regional Hospital, a 140-bed facility in Martins Ferry, has notified employees that their pay would be delayed.”   Dr. Johnson also told employees the message comes after “exhausting all possibilities for immediate release of funding” on March 7, and that he hopes paychecks will be provided to workers on March 11. He…

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