If you are a physician and you are notified that your practice is going to be audited” or subjected to any sort of forensic or accounting investigation, that is the time to contact a knowledgeable criminal defense attorney.
Before the audit begins, not afterward! Being accused of healthcare fraud is a very serious thing. Federal prosecutors have started to aggressively focus on doctors who receive payment for services which are not justified.
Prosecutors are now charging physicians with criminal offenses when they improperly prescribe medical services. Three cardiologists have now been prosecuted for over-utilization of heart stents. (Stents are metal tubes surgically inserted into a patient’s arteries in order to improve blood flow). doctors In London, Kentucky a cardiologist plead guilty to making false entries into health records and receiving payment for unnecessary heart procedures.
He will serve 30 to 37 months in prison. The hospital repaid the government $256,800 for the cardiac stent procedures. Heart stents are “medically necessary” and reimbursable only when a patient is suffering 70 percent or more blockage of an artery. The London, Kentucky cardiologist joins two other cardiologists in prison, a Louisiana cardiologist was sentenced to ten years in prison for implanting stents and defrauding Medicare and Maryland cardiologist is now serving eight years in prison.
About Martin E. Regan, Jr.
Year after year, Martin E. Regan Jr., the firm’s senior partner, has dedicated tireless efforts on behalf of the accused and produce wins for clients that a less determined advocate would have thought hopeless. Martin E. Regan Jr.’s ability to tackle and win tough criminal cases has resulted in verdicts of acquittal in many highly publicized trials.