Who knew? In New Jersey ambulance service is considered a “learned profession,” up there with medicine and law. And that classification provides more than prestige. It means exemption from the state’s Consumer Fraud Act (CFA). That was the ruling of the New Jersey Superior Court Appellate Division on June 29 …
Achievements You Don’t List on Your Resume
July 10, 2017 Leave a Comment
A physician immigrated to the United States in 1991 and established a medical practice called Compassionate Doctors. By 2013 the practice and its related health care entities boasted some 44 employees and contractors, including six additional physicians and five pharmacists. On May 30 of this year, a U.S. …
Twelve-Year Sentence for Medicaid Diaper Scam
June 16, 2017 Leave a Comment
Maria Paz Garza was the King Midas of incontinence supplies: she turned diapers into dollars—over two and a half million of them, according to the government’s indictment. She did it through a scheme that charged Texas Medicaid for diapers and other incontinence supplies that were never provided, or never …
Co-Winners of May’s Low-Return Fraud Award
June 13, 2017 Leave a Comment
We have a tie! Danielle Burroughs and Tim Arthur are co-winners of the Low-Return Fraud Award for the month of May. On May 30 a federal court ordered Danielle to pay a whopping $2.8 million in restitution for her role in a health care con that according to prosecutors paid her only $191,000. That means she owes …
$4 Million Liability for Bad Legal Advice to a Chiropractor
June 5, 2017 Leave a Comment
Allstate Insurance has won a judgment of nearly $4 million against a NY lawyer and Calif. consultant who guided a NJ chiropractor in structuring a medical practice designed to appear to meet the requirements of the state Insurance Fraud Protection Act (Act) while actually violating them. The defendants owned a …
Biblical Name No Shield Against Fraud Charge
May 9, 2016 Leave a Comment
On May 2 a New Orleans federal jury found that Psalms 23 DME, LLC—its Biblical name notwithstanding--was part of a fraud scheme that illegally billed Medicare $3.2 million. In 2013 the government indicted Psalms 23 owner Tracy Brown and a colleague for a fraud scheme that involved billing Medicare for …