Owner of MD Practices Settles Fraud Charges for $3.07 Million
Case: Individual physicians implicated in frauds committed by the practices and clinics they own is a predominant theme in recent cases. Leading off is the MD owner of a pair of medical practices in Delaware and Maryland doing business as Got-A-Doc Walk-In for alleged false billing of Medicare and Medicaid for lab services, including services: Not medically necessary; Not performed by an eligible provider; Not provided at all; and Not properly documented. Significance: As part of the settlement, the doctor has agreed to surrender his medical licenses. And the doctor’s misery is just beginning insofar as the settlement covers only the civil charges and not his potential criminal liability stemming from the scheme.
Case: Individual physicians implicated in frauds committed by the practices and clinics they own is a predominant theme in recent cases. Leading off is the MD owner of a pair of medical practices in Delaware and Maryland doing business as Got-A-Doc Walk-In for alleged false billing of Medicare and Medicaid for lab services, including services:
- Not medically necessary;
- Not performed by an eligible provider;
- Not provided at all; and
- Not properly documented.
Significance: As part of the settlement, the doctor has agreed to surrender his medical licenses. And the doctor’s misery is just beginning insofar as the settlement covers only the civil charges and not his potential criminal liability stemming from the scheme.
Subscribe to view Essential
Start a Free Trial for immediate access to this article