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Recent Billing Fraud questions
I live in the state of WV. What are the criteria that have
I live in the state of WV. What are the criteria that have to be met to bring charges against an individual (just a regular, common citizen) and/or prove medical insurance fraud? It just dawned on me the other morning that that is probably the reason why a high level investigator (Fed Law Enforcement background, other extensive investigative/background experience--I ran a background check on him) asked me 6 very pointed questions. In thinking of all of the information related to my particular situation, I think that is what is happening . . . that could be the only thing . . . and I was reading . . . . that is a federal offense(s), severe punishments, etc.!!!!!
, what are the procedures to fire a lawyer and have
, what are the procedures to fire a lawyer and have him taken off the case? the case is in NYS supreme court. we can no longer trust the lawyer since he missed two deadlines and finally when he filed the answer, it was rejected by the judge meeting general court rules (page numbers etc.) Now, the lawyer refuses to fix his mistakes, asking fr more money, and threatening us if we don't pay, he will "divulge" and I quote, certain "facts" in the process of filing for "motion to withdraw." We want him off the case before we take further legal steps against him. Also, forgot to mention that there is e-filing option and we would like to know specifics like which form, etc.
hi i am a supervising pharmacist in an independent pharmacy
hi i am a supervising pharmacist in an independent pharmacy in new york since july 2014recently medicaid fraud control unit investigated our pharmacy and a search warrant. they searched and took away records and computer files. also they found some prescription vials in the basement.my pharmacy owner appointed an attorney and they are handling the case right now.our pharmacy is open and running but i am concerned about the outcome as i am the supervising pharmacist. please let me know what is the best course for me/
What can I do when a Hospital has billed for a procedure
What can I do when a Hospital has billed for a procedure that the Doctor did not do??? and then he billed for it and Medicare was billed??? The billing took place on Oct. 31, 2010. My mother went into the ER and was diagnosed with a early evolving infact. The ER Doctor did everything urgently, and was ready to give TPA I.V. Then the Neurologist showed up and the Interv. Radiologist stalled for another 50 min. (verified time in ER notes) then did a risky procedure going up to the brain and pulsed tpa and grabbed the clot 6 hours later. The Doctor said it was unsuccessful and he was not able to get to the clot in the brain, due to the carotid artery was full of plaque. But the billing billed for the $86,000.00 dollar procedure and they billed medicare. This is horrible! Then, I got the records and the Doctor falsified records.....what can do...? Has the statue of limitations run out to file a claim against insurance billing fraud?? What can I do? Robyn XXXXXXXX
I received a bill for rent on a building that I rented 8 years
I received a bill for rent on a building that I rented 8 years ago. I sold the business and remained on the lease as a guarantor until May 1, 2011. At that time I was released from the lease agreement as the new owner signed a new lease. In just the last two weeks I received a notice of past due rent of $13,658. When I contacted them the lady assured me that I was obligated to pay the default amount. I told her she should look into her records better because I had been released 3 years ago. She was bold, snotty and over confident. Was she breaking the law or was her company committing billing fraud? I found the release and it clearly states I was released in May 2011.
When a doctor falsifies the medical record
Hello friends,When a doctor falsifies the medical record in order to bill the medical insurance for an an unnecessary surgery, aside from many federal laws, what specific STATE criminal laws for insurance fraud is he offending? Many thanks/
Counselor at Law
when a crime is involved including fraud, cheating, and scam,
when a crime is involved including fraud, cheating, and scam, will criminal's retirement asset(social security, IRA, annuity) still under protection? Will the court be able to decide whether to garnish the retirement asset?Suppose a person commited a scam that inflated earning of a business to attract investor.If he/she is convinced, will the court be able take the retirement asset if no other asset available?
Criminal Defense Attorney
Dear Mr. Burt, My case was in South Carolina, perhaps, expungement
Dear Mr. Burt,My case was in South Carolina, perhaps, expungement is possible under their law.Points of interest: My case was not unique. There were and are hunderds of other cases singling out physicians as drug dealers or recipients of medical billing fraud. In ALL cases, the allegation of "conspiracy" was charged therefore, cash assets were frozen which effectively blocked access to funds to defend ourselves. In my case the three of us were relagated to public defenders for legal representation. (To be noted, at two crucial junctures in our trial, OUR PDs AGREED with the prosectors after the judge very adroitly, illustrated a point that would have potentially exonerated us!) Whose side were our attorneys on??!! You may ask..."why were me and perhaps, thousands of other physicians being persecuted, that is prosecuted?" The answers are fame and fortune. By the way, I am not being cynical it's just that the facts reveal these two common INCENTIVES: 1) prosecutors gain fame and promotions by successfully convicting high profile "drug/doctor" cases (remember the media generated Oxycontin drug epidemic?) Later, it was confirmed that > 95% of the class II and III narcotics were purchased in CANADA by U S drug dealers and then, were sold throughout America. Hence, the vast majority of those outlawed drugs did NOT originate from pain specialists as purported by both the DEA and media sources and , 2) law enforcers and DEA agents are allowed by law to have first dibs in purchasing forfeited assesses such as our homes, cars, and other valubles at ridiculously low prices. How would you like to buy a $100,000 Mercedes for $10,000? Also, along these lines, the forfeited cash would be funneled into the arresting agents' departmental funds for the purpose of providing sizeable raises, "bonuses", and items such as, police cars, computers, building repairs, etc. To be noted, law enforcement agents and prosecutors attended mandated seminars specifically, designed to ensure air tight cases. This training was very effective, generating an 100% conviction rate based on fraud, perjury, and adept deception of jurors.There's an well documented book that addresess a multitude of well researched cases of law enforcement fabrications and prosecutorial malfeasance against physicians. It's entitled... The Criminalization of Medicine: Americas War on Doctors authored by Professor Ronald T. Libby. (My case is addressed in chapter 9, stating on pg. 169). The book for the most part illustrates case after case of alleged billing fraud and unabashed bravado by which DEA agents and Federal prosecutors manipulated or outright broke the law to "prove" or win their cases. They took extreme advantage of law enforcement and prosecutorial "IMMUNITY" of the law to inflict profound financial, social, and psychological devastation to not only the physicians, but to their family and friends.Very few of us have been able to obtain gainful employment because of our specialized education, and our trashed credit histories. However worst of all, our "criminal" records, in almost all cases, preclude any chance of an interview to perhaps, be able to explain what happened TO us as opposed to what happened as a RESULT of our alleged activities. Few prospective employers will even take the time to process our applications much less extend an interview. To be sure, many of us are broke (some months I have less than $13.00 in my joint account with my wife of 28 years). Many of us are incarcerated serving sentences of up to 30 years (my initial sentence was 292 months to be followed by 60 months). And some of us have sadly commited suicide. To be frank, I too, seriously entertained the thought many times during the three years of repeatedly failed appeal attempts. My intentions directly or indirectly through you or perhaps, Judge Mathis are to prove my innocence AND "out" this whole abomination of the law thereby, attaining the freedom of my colleagues and restitution of our lives both financially and psycologically.In closing, I would like to ask if it would be possible for you to identify a law agency or law students who would be willing to put in the time (pro bono) to research the TRUE facts of my case that will surely result in exoneration for me and my colleagues. Thank you sir, for your indulgence in my case,XXXXX XXXXX, MD
Attorney and Counselor at Law
Doctor of Jurisprudence
In Oregon my girlfriends husband took his own life severalView more criminal law questions
In Oregon my girlfriend's husband took his own life several years ago. After that happened the county provided her monies for babysitting her two children, one of whom has autism, as an incentive to keep them out of Foster Care. One of the sitters she hired was working on her PhD in psychology. This sitter said that she would be able to bill my girlfriend's health insurance instead for the work she was performing. My girlfriend questioned the sitter about the legitimacy of this and she assured her it was covered. The sitter seems to be supervised by a licensed Psychologist who has never seen my girlfriend but he is a provider under her PPO insurance. Papers I have seen show the insurance is being billed for psychotherapy(not babysitting) under a diagnosis of PTSD for dates and times that don't match actual visits. This looks like insurance fraud to me. What legal and criminal risks does my girlfriend face if we expose this to the authorities?