January 1, 2024  Recent Legal News

Criminal

Fraud

Healthcare

HIPAA

Hospitals

Malpractice

Peer Review and Employment

Criminal

Pennsylvania v Cohen
Arrested

Dr. Amy Cohen was charged with attempted murder, arson and ethnic intimidation.  She is alleged to make antisemetic threats and setting fire to a home.  One of the granddaughters of the homes owner was dating Cohen's ex-boyfriend.  

New York v Martinis
Indicted

Dr. Francis Martinis and his wife Jessica of Fort Salonga, were indicted for allegedly obtaining falsifying business records and criminal sale of narcotics.  The state alleges that the urologist and his wife stole information about people and used that information to write prescriptions for oxycontin and have his wife go and pick up the narcotics to use and resell.

Colorado v Cooper, Cichuniec
Guilty

In what I believe is a miscarriage of justice paramedics Jeremy Cooper and Peter Cichuniec were found guilty of criminally negligent homicide in the death of a patient in their care.  At the time of the medical action the use of the term excited delirium was still in use and the administration of ketamine was the treatment.  The injection caused the patient to die and the offense was to use more than the recommended dosage.  This is usually a civil matter that falls under the realm of medical malpractice.  

Arizona v McKenzie
Indicted

Kevin McKenzie, the former CEO of Apache Behavioral Health in Whitewater, along with Corina Martinez of Tucson, have been indicted for attempting to steal millions of dollars from the federally funded Indian Health organization.  He allegedly used fake contracts to funnel money to sham companies he owned.

Georgia v Perry
Arrested

Pediatrician Dr. Melvin Perry was arrested for allegedly attacking a lab tech who was taking his blood. He was previously arrested for allegedly attacking an EMS worker.  

US v Butler
Indicted

Nickole Butler RN of Byron. Illinois, is accused for diluting a nursing home patient's morphine.

Florida v Lindsey
Arrested

Lisa Lindsey, RN of Lithia, Florida, was arrested for allegedly stealing 17 bags of fentanyl.  

Florida v Love-Robinson
Sentenced

Malachci Love-Robinson p;ead guilty of stealing $10,000 from his employer and was sentenced to 26 months in prison.  In 2016 he got notoriety for being a teenager impersonating a physician and stealing money from a patient during a house call.        Top

Fraud

US v Community Health System
Settlement

In a whistleblower case the Indiana system agreed to pay $345 million to settle allegations that they billed fed med for claims that involved kickbacks to physicians for referrals.  

US v Steward St. Elizabeth's Medical Center
Filed

The feds have filed against the Massachusetts system and hospital for violating the kickback portion of the Stark law.  The feds claim that they paid a cardiac surgeon over fair market vale plus incentive payments that took into account the number of surgeries he performed.  They claim Stewart paid him over $4 million in incentive pay and that he billed fed med over 1000 claims that were illegal.

US v Webster
Indicted

Dr. Thomas Webster of Sylvania, Ohio, was charged with fraud.  It is alleged that while he was living in Washington he was a telemed physician who falsified documents and illegally sold information to DME companies.

US v Romanowski
Guilty

Nicco Romanowski of Roswell, georgia, plead guilty of using his DME company to pressure people to agree to order DME equipment even though it was not necessary.  He als paid physicians for their false prescriptions for the DME.

US v BioTelemetry, Life Watch

The Pennsylvania corporation agreed to pay over $14.7 million to settle allegations that they inflated their billings to a higher level of remote cardiac monitoring than the physicians wanted or was medically necessary.  This is a qui tam case and they will receive money.

US v Mittal, Bansal, CareCube, New York PET Imaging
Indicted

Dr. Niranjan Mittal along with his practice manager Divanshu Bansal and the companies he owns were indicted for allegedly paying for referrals along with billing for unnecessary vascular procedures.  

US v Oladipo
Convicted

A federal jury has convicted Dr. Olarewaju Oladipo of Canton, Massachusetts, of healthcare fraud.  He billed for more complex procedures than were actually performed.  He also billed for over 60 patients a day and sometimes 90 per day and billed for a 45 minute visit for each.  

US v Ultragenyx Pharmaceuticals
Settlement

The California corporation agreed to pay $6 million to resolve allegations that they paid for testing not necessary and kickbacks to get providers to use its drug Crysvita.  The case was a qui tam case and the whistleblower will get just over $1 million.

US v Hernandez
Sentenced

Elizabeth Hernandez, NP, was sentenced to 20 years in prison for her part in a scam to get unneeded DME and genetic testing for patients.  She signed thousands of fake authorization forms.

US v United Memorial Medical Center (Doctor's Hospital 1997)
Settlement

The Houston, Texas, agreed to pay $2 million plus additional contingent payments to settle allegations that they double billed for Covid testing.  This is a qui tam and the whistleblower will get $300,000.

US v ChristianaCare

The Wilmington, Delaware, hospital system agreed to pay $47.1 million for paying kickbacks.  The provided private physicians with free nurse practitioners an physician assistants.  They then billed for the referrals these providers brought to the hospitals.

US v El-Khashab
Settlement

  Dr. Amir El-Khashab, a podiatrist in Cypress, Texas, was employed by Dr. Judith Rubin and has agreed to pay to resolve allegations that he billed for surgical implantation of neurostimulator electrodes but in reality they were not implanted and were electro-acupuncture devices.  Rubin has previously paid $865,000 to settle these allegations.

New Jersey v Johal
Arrested

Dr. Gurvindra Johal of Colonia, was originally arrested and charged with several counts of sexually molesting women.  Now he is accused of compounding that by altering his medical files and sending a false letter to the insurance company to try to prevent them from substantiating allegations against him.          Top

HIPAA

HHS v Optum Medical Care
Settlement

The New Jersey, Connecticut, medical group agreed to pay $160,000 to settle allegations that they would not release medical records to patients who requested them.        Top

Hospitals

EEOC v Scripps Clinic Medical Group
Settlement

The San Diego, California, medical group agreed to pay $6.875 million to settle allegations that they violated the anti-discrimination laws by instituting a mandatory retirement age of 75 for physicians.  Scripps agreed to rescind the policy.        Top

Malpractice

Lee v Westchester Medical Center
Decision

William Lee went to the hospital with signs of a stroke.  He had a CT scan that was reasd by a resident physician since no radiologists were on site.  The scan was read a negative and several hours later an attending radiologist read the scan as a basilar artery occlusion.  He had an arterectomy but too late.  The 41 year old had permanent brain damage.  The hospital paid the largest amount ever awarded in the county, $120 million.

Wilson v Molldrem
Filed

The patient has accused her dentist of malpractice for doing in one sitting of 5 1/2 hours four root canals, eight dental crowns, and 20 fillings.  She suffered significant problems after and need all her teeth removed and replaced by implants.

Kenly v Regional Medical Center
Settlement

The patient, a 27 year old male, was treated at the Orangeburg, South Carolina, hospital for what turned out to be diabetic ketoacidosis.  The staff put a central line into the external jugular vein and this was accidentally put into an artery.  He ended up with stroke, paralysis , seizures and a heart attack before dying.  The family won $900,000 in a  settlement.        Top

Archive

DISCLAIMER: Although this article is updated periodically, it reflects the author's point of view at the time of publication. Nothing in this article constitutes legal advice. Readers should consult with their own legal counsel before acting on any of the information presented.

        

January 1, 2024  Recent Legal News

Criminal

Fraud

Healthcare

HIPAA

Hospitals

Malpractice

Peer Review and Employment

Criminal

Pennsylvania v Cohen
Arrested

Dr. Amy Cohen was charged with attempted murder, arson and ethnic intimidation.  She is alleged to make antisemetic threats and setting fire to a home.  One of the granddaughters of the homes owner was dating Cohen's ex-boyfriend.  

New York v Martinis
Indicted

Dr. Francis Martinis and his wife Jessica of Fort Salonga, were indicted for allegedly obtaining falsifying business records and criminal sale of narcotics.  The state alleges that the urologist and his wife stole information about people and used that information to write prescriptions for oxycontin and have his wife go and pick up the narcotics to use and resell.

Colorado v Cooper, Cichuniec
Guilty

In what I believe is a miscarriage of justice paramedics Jeremy Cooper and Peter Cichuniec were found guilty of criminally negligent homicide in the death of a patient in their care.  At the time of the medical action the use of the term excited delirium was still in use and the administration of ketamine was the treatment.  The injection caused the patient to die and the offense was to use more than the recommended dosage.  This is usually a civil matter that falls under the realm of medical malpractice.  

Arizona v McKenzie
Indicted

Kevin McKenzie, the former CEO of Apache Behavioral Health in Whitewater, along with Corina Martinez of Tucson, have been indicted for attempting to steal millions of dollars from the federally funded Indian Health organization.  He allegedly used fake contracts to funnel money to sham companies he owned.

Georgia v Perry
Arrested

Pediatrician Dr. Melvin Perry was arrested for allegedly attacking a lab tech who was taking his blood. He was previously arrested for allegedly attacking an EMS worker.  

US v Butler
Indicted

Nickole Butler RN of Byron. Illinois, is accused for diluting a nursing home patient's morphine.

Florida v Lindsey
Arrested

Lisa Lindsey, RN of Lithia, Florida, was arrested for allegedly stealing 17 bags of fentanyl.  

Florida v Love-Robinson
Sentenced

Malachci Love-Robinson p;ead guilty of stealing $10,000 from his employer and was sentenced to 26 months in prison.  In 2016 he got notoriety for being a teenager impersonating a physician and stealing money from a patient during a house call.        Top

Fraud

US v Community Health System
Settlement

In a whistleblower case the Indiana system agreed to pay $345 million to settle allegations that they billed fed med for claims that involved kickbacks to physicians for referrals.  

US v Steward St. Elizabeth's Medical Center
Filed

The feds have filed against the Massachusetts system and hospital for violating the kickback portion of the Stark law.  The feds claim that they paid a cardiac surgeon over fair market vale plus incentive payments that took into account the number of surgeries he performed.  They claim Stewart paid him over $4 million in incentive pay and that he billed fed med over 1000 claims that were illegal.

US v Webster
Indicted

Dr. Thomas Webster of Sylvania, Ohio, was charged with fraud.  It is alleged that while he was living in Washington he was a telemed physician who falsified documents and illegally sold information to DME companies.

US v Romanowski
Guilty

Nicco Romanowski of Roswell, georgia, plead guilty of using his DME company to pressure people to agree to order DME equipment even though it was not necessary.  He als paid physicians for their false prescriptions for the DME.

US v BioTelemetry, Life Watch

The Pennsylvania corporation agreed to pay over $14.7 million to settle allegations that they inflated their billings to a higher level of remote cardiac monitoring than the physicians wanted or was medically necessary.  This is a qui tam case and they will receive money.

US v Mittal, Bansal, CareCube, New York PET Imaging
Indicted

Dr. Niranjan Mittal along with his practice manager Divanshu Bansal and the companies he owns were indicted for allegedly paying for referrals along with billing for unnecessary vascular procedures.  

US v Oladipo
Convicted

A federal jury has convicted Dr. Olarewaju Oladipo of Canton, Massachusetts, of healthcare fraud.  He billed for more complex procedures than were actually performed.  He also billed for over 60 patients a day and sometimes 90 per day and billed for a 45 minute visit for each.  

US v Ultragenyx Pharmaceuticals
Settlement

The California corporation agreed to pay $6 million to resolve allegations that they paid for testing not necessary and kickbacks to get providers to use its drug Crysvita.  The case was a qui tam case and the whistleblower will get just over $1 million.

US v Hernandez
Sentenced

Elizabeth Hernandez, NP, was sentenced to 20 years in prison for her part in a scam to get unneeded DME and genetic testing for patients.  She signed thousands of fake authorization forms.

US v United Memorial Medical Center (Doctor's Hospital 1997)
Settlement

The Houston, Texas, agreed to pay $2 million plus additional contingent payments to settle allegations that they double billed for Covid testing.  This is a qui tam and the whistleblower will get $300,000.

US v ChristianaCare

The Wilmington, Delaware, hospital system agreed to pay $47.1 million for paying kickbacks.  The provided private physicians with free nurse practitioners an physician assistants.  They then billed for the referrals these providers brought to the hospitals.

US v El-Khashab
Settlement

  Dr. Amir El-Khashab, a podiatrist in Cypress, Texas, was employed by Dr. Judith Rubin and has agreed to pay to resolve allegations that he billed for surgical implantation of neurostimulator electrodes but in reality they were not implanted and were electro-acupuncture devices.  Rubin has previously paid $865,000 to settle these allegations.

New Jersey v Johal
Arrested

Dr. Gurvindra Johal of Colonia, was originally arrested and charged with several counts of sexually molesting women.  Now he is accused of compounding that by altering his medical files and sending a false letter to the insurance company to try to prevent them from substantiating allegations against him.          Top

HIPAA

HHS v Optum Medical Care
Settlement

The New Jersey, Connecticut, medical group agreed to pay $160,000 to settle allegations that they would not release medical records to patients who requested them.        Top

Hospitals

EEOC v Scripps Clinic Medical Group
Settlement

The San Diego, California, medical group agreed to pay $6.875 million to settle allegations that they violated the anti-discrimination laws by instituting a mandatory retirement age of 75 for physicians.  Scripps agreed to rescind the policy.        Top

Malpractice

Lee v Westchester Medical Center
Decision

William Lee went to the hospital with signs of a stroke.  He had a CT scan that was reasd by a resident physician since no radiologists were on site.  The scan was read a negative and several hours later an attending radiologist read the scan as a basilar artery occlusion.  He had an arterectomy but too late.  The 41 year old had permanent brain damage.  The hospital paid the largest amount ever awarded in the county, $120 million.

Wilson v Molldrem
Filed

The patient has accused her dentist of malpractice for doing in one sitting of 5 1/2 hours four root canals, eight dental crowns, and 20 fillings.  She suffered significant problems after and need all her teeth removed and replaced by implants.

Kenly v Regional Medical Center
Settlement

The patient, a 27 year old male, was treated at the Orangeburg, South Carolina, hospital for what turned out to be diabetic ketoacidosis.  The staff put a central line into the external jugular vein and this was accidentally put into an artery.  He ended up with stroke, paralysis , seizures and a heart attack before dying.  The family won $900,000 in a  settlement.        Top

Archive

DISCLAIMER: Although this article is updated periodically, it reflects the author's point of view at the time of publication. Nothing in this article constitutes legal advice. Readers should consult with their own legal counsel before acting on any of the information presented.

        

January 1, 2024  Recent Legal News

Criminal

Fraud

Healthcare

HIPAA

Hospitals

Malpractice

Peer Review and Employment

Criminal

Pennsylvania v Cohen
Arrested

Dr. Amy Cohen was charged with attempted murder, arson and ethnic intimidation.  She is alleged to make antisemetic threats and setting fire to a home.  One of the granddaughters of the homes owner was dating Cohen's ex-boyfriend.  

New York v Martinis
Indicted

Dr. Francis Martinis and his wife Jessica of Fort Salonga, were indicted for allegedly obtaining falsifying business records and criminal sale of narcotics.  The state alleges that the urologist and his wife stole information about people and used that information to write prescriptions for oxycontin and have his wife go and pick up the narcotics to use and resell.

Colorado v Cooper, Cichuniec
Guilty

In what I believe is a miscarriage of justice paramedics Jeremy Cooper and Peter Cichuniec were found guilty of criminally negligent homicide in the death of a patient in their care.  At the time of the medical action the use of the term excited delirium was still in use and the administration of ketamine was the treatment.  The injection caused the patient to die and the offense was to use more than the recommended dosage.  This is usually a civil matter that falls under the realm of medical malpractice.  

Arizona v McKenzie
Indicted

Kevin McKenzie, the former CEO of Apache Behavioral Health in Whitewater, along with Corina Martinez of Tucson, have been indicted for attempting to steal millions of dollars from the federally funded Indian Health organization.  He allegedly used fake contracts to funnel money to sham companies he owned.

Georgia v Perry
Arrested

Pediatrician Dr. Melvin Perry was arrested for allegedly attacking a lab tech who was taking his blood. He was previously arrested for allegedly attacking an EMS worker.  

US v Butler
Indicted

Nickole Butler RN of Byron. Illinois, is accused for diluting a nursing home patient's morphine.

Florida v Lindsey
Arrested

Lisa Lindsey, RN of Lithia, Florida, was arrested for allegedly stealing 17 bags of fentanyl.  

Florida v Love-Robinson
Sentenced

Malachci Love-Robinson p;ead guilty of stealing $10,000 from his employer and was sentenced to 26 months in prison.  In 2016 he got notoriety for being a teenager impersonating a physician and stealing money from a patient during a house call.        Top

Fraud

US v Community Health System
Settlement

In a whistleblower case the Indiana system agreed to pay $345 million to settle allegations that they billed fed med for claims that involved kickbacks to physicians for referrals.  

US v Steward St. Elizabeth's Medical Center
Filed

The feds have filed against the Massachusetts system and hospital for violating the kickback portion of the Stark law.  The feds claim that they paid a cardiac surgeon over fair market vale plus incentive payments that took into account the number of surgeries he performed.  They claim Stewart paid him over $4 million in incentive pay and that he billed fed med over 1000 claims that were illegal.

US v Webster
Indicted

Dr. Thomas Webster of Sylvania, Ohio, was charged with fraud.  It is alleged that while he was living in Washington he was a telemed physician who falsified documents and illegally sold information to DME companies.

US v Romanowski
Guilty

Nicco Romanowski of Roswell, georgia, plead guilty of using his DME company to pressure people to agree to order DME equipment even though it was not necessary.  He als paid physicians for their false prescriptions for the DME.

US v BioTelemetry, Life Watch

The Pennsylvania corporation agreed to pay over $14.7 million to settle allegations that they inflated their billings to a higher level of remote cardiac monitoring than the physicians wanted or was medically necessary.  This is a qui tam case and they will receive money.

US v Mittal, Bansal, CareCube, New York PET Imaging
Indicted

Dr. Niranjan Mittal along with his practice manager Divanshu Bansal and the companies he owns were indicted for allegedly paying for referrals along with billing for unnecessary vascular procedures.  

US v Oladipo
Convicted

A federal jury has convicted Dr. Olarewaju Oladipo of Canton, Massachusetts, of healthcare fraud.  He billed for more complex procedures than were actually performed.  He also billed for over 60 patients a day and sometimes 90 per day and billed for a 45 minute visit for each.  

US v Ultragenyx Pharmaceuticals
Settlement

The California corporation agreed to pay $6 million to resolve allegations that they paid for testing not necessary and kickbacks to get providers to use its drug Crysvita.  The case was a qui tam case and the whistleblower will get just over $1 million.

US v Hernandez
Sentenced

Elizabeth Hernandez, NP, was sentenced to 20 years in prison for her part in a scam to get unneeded DME and genetic testing for patients.  She signed thousands of fake authorization forms.

US v United Memorial Medical Center (Doctor's Hospital 1997)
Settlement

The Houston, Texas, agreed to pay $2 million plus additional contingent payments to settle allegations that they double billed for Covid testing.  This is a qui tam and the whistleblower will get $300,000.

US v ChristianaCare

The Wilmington, Delaware, hospital system agreed to pay $47.1 million for paying kickbacks.  The provided private physicians with free nurse practitioners an physician assistants.  They then billed for the referrals these providers brought to the hospitals.

US v El-Khashab
Settlement

  Dr. Amir El-Khashab, a podiatrist in Cypress, Texas, was employed by Dr. Judith Rubin and has agreed to pay to resolve allegations that he billed for surgical implantation of neurostimulator electrodes but in reality they were not implanted and were electro-acupuncture devices.  Rubin has previously paid $865,000 to settle these allegations.

New Jersey v Johal
Arrested

Dr. Gurvindra Johal of Colonia, was originally arrested and charged with several counts of sexually molesting women.  Now he is accused of compounding that by altering his medical files and sending a false letter to the insurance company to try to prevent them from substantiating allegations against him.          Top

HIPAA

HHS v Optum Medical Care
Settlement

The New Jersey, Connecticut, medical group agreed to pay $160,000 to settle allegations that they would not release medical records to patients who requested them.        Top

Hospitals

EEOC v Scripps Clinic Medical Group
Settlement

The San Diego, California, medical group agreed to pay $6.875 million to settle allegations that they violated the anti-discrimination laws by instituting a mandatory retirement age of 75 for physicians.  Scripps agreed to rescind the policy.        Top

Malpractice

Lee v Westchester Medical Center
Decision

William Lee went to the hospital with signs of a stroke.  He had a CT scan that was reasd by a resident physician since no radiologists were on site.  The scan was read a negative and several hours later an attending radiologist read the scan as a basilar artery occlusion.  He had an arterectomy but too late.  The 41 year old had permanent brain damage.  The hospital paid the largest amount ever awarded in the county, $120 million.

Wilson v Molldrem
Filed

The patient has accused her dentist of malpractice for doing in one sitting of 5 1/2 hours four root canals, eight dental crowns, and 20 fillings.  She suffered significant problems after and need all her teeth removed and replaced by implants.

Kenly v Regional Medical Center
Settlement

The patient, a 27 year old male, was treated at the Orangeburg, South Carolina, hospital for what turned out to be diabetic ketoacidosis.  The staff put a central line into the external jugular vein and this was accidentally put into an artery.  He ended up with stroke, paralysis , seizures and a heart attack before dying.  The family won $900,000 in a  settlement.        Top

Archive

DISCLAIMER: Although this article is updated periodically, it reflects the author's point of view at the time of publication. Nothing in this article constitutes legal advice. Readers should consult with their own legal counsel before acting on any of the information presented.