The United States Attorney's Office for the Southern District of Texas announced in a recent publication the conviction of a CEO of a physical therapy business. The office succeeded in the conviction of the CEO for conspiracy, health care fraud, wire fraud and money laundering. Various government agencies worked together to gather evidence to support the charges against the CEO. This included agencies ranging from the United States Postal Service to the United States Department of Homeland Security and United States Department of Labor.
The 65-year-old physician's history with the Texas Medical Board goes all the way back to 1990. The Fort Worth doctor has been disciplined more than once for "inappropriate prescribing practices," a recent news report stated.
A registered nurse has taken three different hospitals to court for False Claims Act violations. The woman is listed as a registered nurse in Texas dating back to 1990. She has also earned a law degree and served in high level management positions in various hospitals.
The Department of Justice (DOJ) has accused a hospice facility executive of overdosing patients to hasten their death in an attempt to increase profits. The United States Attorney's Office for the Northern District of Texas stated the exec faces a number of criminal charges including charges of conspiracy to commit health care fraud.
The United States Drug Enforcement Administration (DEA) recently suspended the license of a pharmaceutical company amidst allegations of suspicious orders for controlled substances. The DEA stated that the suspension was due to a determination that continued operation of the business would “constitute a substantial likelihood of imminent danger to public health and safety.”
SightLine Health LLC, a Texas radiotherapy center, recently took steps to end an ongoing investigation by the Department of Justice (DOJ). The DOJ was looking into allegations that the practice violated the Anti-Kickback Statute when it offered financial incentives to other medical practitioners in exchange for patient referrals.
Emergency Medical Services Alliance (EMSA) recently agreed to settle a claim based on allegations of Medicare fraud. Federal officials claimed that the ambulance service provider was submitting false claims for compensation from Medicare and Medicaid. This allegedly resulted in over $109 million in fraudulent payments.
A family operation faced accusations of healthcare fraud in Dallas. The operation, Anderson Optical & Hearing Aids Center, allegedly defrauded Blue Cross Blue Shield of Texas of over $16.7 million. A father and son run the facility. The father was convicted on 15 counts for healthcare fraud and identity theft. The son, 13 counts for the same crimes.
It is understandable that health care professionals and health care providers are under constant scrutiny for the service and work they provide. Medical care is highly specialized, and any mistake or issue that may arise could lead to serious complications for patients. But at the same time, medical professionals need to be protected from frivolous or otherwise unnecessary claims of malpractice, substandard care, or other violations of the law.
The Nursing Home Reform Law of 1987 states that a nursing home facility is not allowed to transfer or discharge a resident unless it can establish certain criteria. This law was passed as a result of complaints by residents throughout the country about evictions.