Lawsuits can have a national impact. These two cases provide examples of lawsuits that could work their way up the system to the Supreme Court of the United States (SCOTUS) and change the application of health care law throughout the country.
Hurricane Florence struck the Southeast coast just days ago. Local hospitals took proactive steps to prepare for the storm, and the efforts paid off. Just days after the storm hit hospitals were able to resume normal operations.
The Department of Justice (DOJ) recently announced the sentencing of a Houston Psychiatrist for his role in a Medicare fraud scheme. The scheme allegedly involved false and fraudulent claims to Medicare for psychiatric services.
The government has increased its pursuit of hospice fraud cases throughout the country. Recent examples include a group that agreed to pay $2.5 million to settle a case involving allegation of False Claims Act (FCA) violations, another $1.2 million and still a third agreed to pay over $75 million to resolve similar claims.
Estimates of losses due to healthcare fraud crimes range from $20 to $105 billion. As noted in a publication by the National Association of Criminal Defense Lawyers, these high financial stakes have translated to federal and state prosecutors giving priority to healthcare fraud investigations.
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.”