Monday, October 5, 2020

Anyone see a pattern?

 August 25, 2020; U.S. Attorney's Office, Southern District of Texas

Pain doctor pays to settle allegations of deceptive Medicare billing
HOUSTON - A 52-year-old pain management physician from Houston has paid $530,000 to resolve allegations he falsely billed Medicare for the use of electro-acupuncture devices, announced U.S. Attorney Ryan K. Patrick.
August 5, 2020; U.S. Attorney; Central District of California
Doctor Among 10 Facing Federal Drug Trafficking Charges Related to Distribution of Opioids Through Bogus Pain Clinics Across SoCal
SANTA ANA, California- Law enforcement authorities this morning arrested four defendants charged in two federal grand jury indictments alleging a narcotics trafficking ring that sold illegal opioid prescriptions for cash through a series of sham medical clinics.
July 11, 2020; U.S. Attorney's Office, Eastern District of Tennessee
Associated Pain Specialists, P.C. Of Knoxville Enters Into Settlement Resolving False Claims Act Allegations
KNOXVILLE, Tenn. - On June 26, Associated Pain Specialists, P.C., of Knoxville, a pain management based clinic, agreed to pay $400,000 to resolve allegations of violating the False Claims Act
July 10, 2020; U.S. Attorney's Office, Middle District of Tennessee
Former CEO Of Tennessee Pain Management Company Sentenced For Role In Multi-Million Dollar Medicare Kickback Scheme
NASHVILLE, Tenn. - July 10, 2020 - A Tennessee healthcare executive was sentenced to 42 months in prison yesterday for his role in an approximately $4 million kickback scheme.
July 9, 2020; U.S. Department of Justice
Former CEO Of Tennessee Pain Management Company Sentenced For Role In Approximately $4 Million Medicare Kickback Scheme
WASHINGTON - A Tennessee healthcare executive was sentenced to 42 months in prison followed by one year of supervised release today for his role in an approximately $4 million kickback scheme.
May 20, 2020; U.S. Attorney's Office, Middle District of Tennessee
Franklin, Tennessee-Based Rinova Settles Allegations Of Fraudulent Operations Of Former Pain MD Clinics Settlement More Than $480,000
NASHVILLE, Tenn. - May 20, 2020 - Franklin, Tennessee-based Rinova The Wellness Group, PC has settled the United States' allegations that Medicare overpaid Rinova for claims that were non-payable due to fraudulent misrepresentations, announced U.S. Attorney Don Cochran for the Middle District of Tennessee. The government alleged that Rinova misrepresented that it had provided services, when they were actually a continuation of services by the suspended company Pain MD, LLC.
May 7, 2020; U.S. Attorney's Office, Western District of Washington
DOJ settles False Claims Act allegations with Seattle physician, his pain clinics, and his drug-testing lab; Agrees to pay $2.85 million to settle allegations his clinics ordered medically unnecessary urine tests at his lab, paid for by government healthcare programs
Seattle - The U.S. Department of Justice and the Washington State Attorney General today settled a False Claims Act investigation involving Seattle Pain Center, Northwest Analytics, and owner/physician Dr. Frank Danger Li, announced First Assistant U.S. Attorney Tessa M. Gorman. Dr. Li agreed to pay $2.85 million to state and federal authorities to settle allegations his companies billed government entities for medically unnecessary urine drug tests. Dr. Li's seven pain clinics closed in July 2016 when the Washington State Medical Quality Assurance Commission suspended his medical license for improperly monitoring prescriptions of powerful opioids. Today's settlement is a civil resolution unrelated to any criminal investigation or any action by state health regulators.
May 1, 2020; U.S. Attorney's Office, Eastern District of Wisconsin
Milwaukee Pain Management Clinic and Physician Agree to Pay At Least $1.35 Million to Resolve Allegations They Violated the False Claims Act and Anti-Kickback Statute
United States Attorney Matthew D. Krueger announced today that Center for Pain Management, S.C. ("CPM"), and its owner, Dr. Nosheen Hasan, agreed to pay at least $1.35 million to resolve allegations that they received kickbacks from a urine drug testing laboratory in exchange for ordering medically unnecessary tests for Medicare and Medicaid patients. CPM and Dr. Hasan also agreed to future contingent payments for the next five years, with the amount of the payments based on specified financial criteria. CPM and Dr. Hasan separately entered into an Integrity Agreement with the Office of Inspector General, Department of Health and Human Services ("HHS-OIG"), to monitor ongoing compliance with applicable Medicare and Medicaid rules.

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