Doctor Husband and Attorney Wife Accused of Healthcare Fraud
Waxahachie, TX (Law Firm Newswire) June 26, 2012 - An attorney and urologist in Texas, who are married, have been charged with a number of crimes.
Chief among the charges are healthcare fraud and conspiracy to commit healthcare fraud. The indictment says some health care benefit claims they submitted were false, going back to 2003.The following organizations were allegedly defrauded over about an eight-year period: Medicaid, Medicare, Aetna, Humana Blue Cross Blue Shield, and United Healthcare. Also, prosecutors said the doctor reported seeing 117 patients in a day and working more hours than there are in a one-day period.
At least twice, a prescription chemotherapy injection was given in his office while he was traveling in Iran. The FDA says this procedure should be supervised by a doctor, but apparently it was not. Also, the bill for it was recorded as though he administered the injection, but he did not. In some cases, medical assistants were allegedly allowed to perform functions that only a doctor should undertake, because otherwise a patient’s safety would be at risk.
“Unfortunately, these kinds of patient-endangering situations do happen on occasion,” said Texas personal injury attorney John Hale.
The couple has denied all allegations. A federal grand jury presented a three part indictment. If they are convicted, the maximum penalties are $250,000 each in fines and up to ten years in prison. They also face unrelated charges in Oregon.
According to the FBI, health care fraud costs the U.S. about eighty billion dollars a year. The FBI is the primary agency for investigating health care fraud. Some of their tips for preventing health care fraud are: never sign an insurance claim form that is blank, do not give a medical services provider blanket authorization to bill for services, and provide health insurance identification information only to medical providers and to no one else.
The Hale Law Firm
100 Executive Court, Suite 3
Waxahachie, TX 75165
View Larger Map
- Texan Government and Legal Professionals Offer Tips for Safe and Happy Driving This Holiday Season
Year after year, Texas leads the nation in traffic fatalities due to drunk driving. Add to that the still-growing spike in fatal crashes due to the energy boom, and Texans have good reason to think carefully about staying safe on the road this holiday season. Auto accidents can be financially, emotionally and physically devastating, especially during the holidays. Fortunately, it is easy to reduce the risk of being involved in a crash. Stay off the road after 1:00 a.m. Most drunk driving accidents occur between 1:00 a.m. and 3:00 a.m. Even if most people drive sober, inevitably, some will not. […]
- Stunning Breakthrough Offers Hope for Paralyzed Spinal Cord Injury Patients
An electrical stimulation implant has helped four paralyzed men regain the ability to move their legs. The device, called an epidural spine stimulator, was implanted in the men as part of a study undertaken by the University of California, Los Angeles (UCLA) and the University of Louisville. One of the patients in the study, Kent Stephenson, is from Mount Pleasant, Texas. At 21, he was involved in a motocross accident that left him without sensation or motor control from the chest down. Today, he can move his legs, stand on his own and distinguish between types of touch. In addition, […]
- Expert Links Football Players’ Concussions to Behavioral Problems, Slams NFL Settlement Deal
A brain injury expert from Boston University is speaking out for players he feels have been unfairly excluded from a settlement deal in the class action lawsuit against the NFL over the health effects of play-related brain injury. Robert Stern filed an affidavit with the court and then took his story to the press, telling The Associated Press (AP) that the compensation in the settlement may be going to the wrong people. Stern told AP reporters that behavioral problems, including domestic violence, drug addiction and suicide, can all be caused by chronic traumatic encephalopathy — also known as CTE — […]
See other news sources publishing this article. BETA | Tags: Ellis County personal injury attorney, Ellis County personal injury lawyer, Waxahachie accident attorney, Waxahachie accident lawyer, Waxahachie personal injury attorney, Waxahachie personal injury lawyer