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Florida Doctor Charged in Largest Medicare Fraud Scheme Ever Reported

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

On October 1, 2019, a Florida doctor was implicated in what federal investigators say is one of the largest health care fraud schemes ever charged. According to prosecutors, the doctor allegedly authorized genetic testing for patients he never met, in a state where he’s not licensed to practice.

The vast fraud scheme totaled $2.1 billion worth of false Medicare and Medicaid claims between July 2018 and January 2019. The physician is being charged in the United States District Court of New Jersey with conspiracy to commit health care fraud.

Fraudulent Orders for Genetic Testing.

Thirty-five separate defendants are now facing felony charges for their alleged participation in one of the largest health care fraud schemes ever investigated and charged. All defendants involved were […]

Genetic Testing Scams Ripping off Government Programs for Millions, Part 1 of 2

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

Several genetic testing companies have come into the spotlight for allegations of ripping off Medicare and False Claims Act (FCA) violations. Health care professionals need to be aware of these types of schemes and the dangers they may face if involved. In each of these cases, the companies agreed to a pay a settlement in the millions to resolve allegations they submitted claims for unnecessary genetic testing.

This is part one of a two part blog series. Click here for part two.

The Details.

On February 11, 2019, the Department of Justice (DOJ) announced that GenomeDx Biosciences Corp. (GenomeDx) agreed to pay $1.99 million to resolve FCA […]

The Most Common Cases The Health Law Firm Takes

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

One of the most common questions we get asked by doctors and lawyers alike, is about the types of cases our firm takes. They often mistake the practice of health law as medical malpractice defense. However, this is an incorrect assumption. Likewise, if we had a penny for every time we have heard “Yikes, an attorney! I hope I never need you,” we could close our doors and all retire.

As a general health law practice, we concentrate on both proactive and defensive legal issues and clients involved in the health care industry. To a certain extent our law firm does practically everything a physician, medical group, health facility or health care professional […]

Jury Convicts Doctor and Medical Billing Company Owner for $28 Million Medicare Fraud Scheme

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

On May 1, 2017, a federal jury in Michigan found a Detroit-area doctor and owner of a medical billing company guilty of perpetrating a $28 million health care fraud scheme. The scheme involved billing Medicare for pain treatments that weren’t actually provided, the U.S. Department of Justice (DOJ) said.

Health Care Fraud Scheme.

Dr. Johnny Trotter and Elaine Lovett were both convicted after a four-week jury trial on one count of conspiracy to commit health care and wire fraud and three counts of health care fraud. In addition to the fraud scheme, both Trotter and Lovett also worked to dodge Medicare’s investigation into Trotter, according to the DOJ.

Evidence at the trial showed that between May 2008 and May 2014, both Trotter and Lovett fraudulently billed for services […]

By The Health Law Firm|2024-03-14T10:01:25-04:00May 15, 2018|Categories: Mental Health Law Blog|Tags: health care fraud defense attorney, legal representation for allegations of Medicare fraud, legal representation for fraudulent claims, Legal representation for Medicare fraud, legal representation for Medicare fraud investigation, legal representation for Medicare termination, legal representation for submitting false claims, Medicare audit defense attorney, Medicare audit defense lawyer, Medicare fraud defense attorney, Medicare overbilling defense attorney, Medicare Strike Force, Medicarelegal representation for Medicare exclusion, OIG exclusion defense attorney, prepayment review attorneys, reviews of The Health Law Firm attorneys, the health law firm, The Health Law Firm reviews|Comments Off

Jury Convicts Doctor and Medical Billing Company Owner for $28 Million Medicare Fraud Scheme

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

On May 1, 2017, a federal jury in Michigan found a Detroit-area doctor and owner of a medical billing company guilty of perpetrating a $28 million health care fraud scheme. The scheme involved billing Medicare for pain treatments that weren’t actually provided, the U.S. Department of Justice (DOJ) said.

Health Care Fraud Scheme.

Dr. Johnny Trotter and Elaine Lovett were both convicted after a four-week jury trial on one count of conspiracy to commit health care and wire fraud and three counts of health care fraud. In addition to the fraud scheme, both Trotter and Lovett also worked to dodge Medicare’s investigation into Trotter, according to the DOJ.

Evidence at the trial showed that between May 2008 and May 2014, both Trotter and Lovett fraudulently billed for services […]

By The Health Law Firm|2024-03-14T10:01:25-04:00May 15, 2018|Categories: Health Facilities Law Blog|Tags: 1101 Douglas Ave., 2017, 5 Indest-2008-2By George F. Indest III, a federal jury in Michigan found a Detroit-area doctor and owner of a medical billing company guilty of perpetrating a $28 million health care fraud scheme. The scheme involved billing Medicare for pa, Altamonte Springs, area. www.TheHealthLawFirm.com The Health Law Firm, assisted living facilities (AFLs), both Trotter and Lovett also worked to dodge Medicare’s investigation into Trotter, both Trotter and Lovett conspired to dodge this investigation by starting fake medical centers, both Trotter and Lovett fraudulently billed for services that were never provided. These services were predominantly nerve block injections, click here to read one of my prior blogs. Watch our short video blog on Medicare fraud and the audit process here. Contact a Health Care Attorney Experienced in the Representation of Medicare and Medi, clinics, dentists, FL 32714, florida, group homes and other healthcare providers in Medicare and Medicare investigations, health care fraud defense attorney, home health care agencies, is Board Certified by The Florida Bar in Health Law. He is the President and Managing Partner of The Health Law Firm, J.D., John. “Jury Convicts 2 Over $28M Medicare Pain Treatment Fraud.” Law360. (May 1, legal representation for allegations of Medicare fraud, legal representation for fraudulent claims, Legal representation for Medicare fraud, legal representation for Medicare fraud investigation, legal representation for Medicare termination, legal representation for submitting false claims, LL.M., M.P.A., medical groups, Medicare audit defense lawyer, Medicare fraud defense attorney, Medicare grew suspicious and began to require that claims submitted by Trotter satisfy a medical review prior to payment pre-payment review). As a result, Medicare overbilling defense attorney, Medicare Strike Force, Medicarelegal representation for Medicare exclusion, nursing homes, OIG exclusion defense attorney, orthodontists, pharmacies, prepayment review attorneys, the health law firm, The Health Law Firm reviews, the two fraudsters continued receiving payment for services that weren’t provided, the U.S. Department of Justice (DOJ) said. Health Care Fraud Scheme. Dr. Johnny Trotter and Elaine Lovett were both convicted after a four-week jury trial on one count of conspiracy to commit health c, which has a national practice. Its main office is in the Orlando|Comments Off

East Texas Lab Agrees to Pay $3.75 Million to Settle False Claims Suit

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

On December 14, 2016, owners of an East Texas clinical laboratory who overcharged Medicare for falsified driving mileage bills have agreed to pay the U.S. government $3.75 million to settle a whistle blower’s False Claims Act (FCA) lawsuit. The suit was brought by a former employee, the U.S. attorney’s office announced.

Submitting False Claims.

Texas-based Elite Lab Services LLC (Elite) and its owners, Gerard and Suzanne Dengler, reportedly settled claims brought under the False Claims Act (FCA) by plaintiff Karen Malcolm. The Denglers admitted that from approximately 2010 to 2014 they submitted inflated employee mileage claims to Medicare and billed the government health agency knowing it does not pay for mileage claims in excess of actual miles driven.

According to court documents, the defendants employed phlebotomists who traveled […]

By The Health Law Firm|2024-03-14T10:01:26-04:00May 15, 2018|Categories: Pharmacy Law Blog|Tags: allegations of false billing, Colorado whistle blower case, complex healthcare litigation attorney, consumer reports of false claims, defense attorney, False Claims Act (FCA) attorney, Florida whistle blower case, health care fraud defense attorney, legal representation for submitting false claims to the government, legal representation for whistle blower suits, Louisianan Whistle blower case, Medicare and Medicare fraud investigation defense attorney, Medicare audit defense lawyer, Medicare false claims defense lawyer, qui tam defense attorney, qui tam defense lawyer, qui tam relator's attorney, reviews of The Health Law Firm attorneys, The Health Law Firm reviews, Virginia Whistle blower case, whistle blower attorney|Comments Off

East Texas Lab Agrees to Pay $3.75 Million to Settle False Claims Suit

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

On December 14, 2016, owners of an East Texas clinical laboratory who overcharged Medicare for falsified driving mileage bills have agreed to pay the U.S. government $3.75 million to settle a whistle blower’s False Claims Act (FCA) lawsuit. The suit was brought by a former employee, the U.S. attorney’s office announced.

Submitting False Claims.

Texas-based Elite Lab Services LLC (Elite) and its owners, Gerard and Suzanne Dengler, reportedly settled claims brought under the False Claims Act (FCA) by plaintiff Karen Malcolm. The Denglers admitted that from approximately 2010 to 2014 they submitted inflated employee mileage claims to Medicare and billed the government health agency knowing it does not pay for mileage claims in excess of actual miles driven.

According to court documents, the defendants employed phlebotomists who traveled […]

By The Health Law Firm|2024-03-14T10:01:34-04:00May 15, 2018|Categories: Nursing Law Blog|Tags: allegations of false billing, Colorado whistle blower case, complex healthcare litigation attorney, consumer reports of false claims, defense attorney, False Claims Act (FCA) attorney, Florida whistle blower case, health care fraud defense attorney, legal representation for submitting false claims to the government, legal representation for whistle blower suits, Louisianan Whistle blower case, Medicare and Medicare fraud investigation defense attorney, Medicare audit defense lawyer, Medicare false claims defense lawyer, qui tam defense attorney, qui tam defense lawyer, qui tam relator's attorney, reviews of The Health Law Firm attorneys, The Health Law Firm reviews, Virginia Whistle blower case, whistle blower attorney|Comments Off