US — Complexity of health care industry enables fraud schemes, NE Ohio doctors charged for overbilling 

From the News 5 Cleveland news article: …Between 2011 and 2018, Dr. Ashis Rakhit, 65, and Dr. Jayati Rakhit, 56, allegedly recorded fake symptoms present in their patients in order to perform unnecessary and expensive tests. The tests included nuclear stress tests, cardiac catheterizations, bone density scans and EKGs. The two longtime doctors are also […]

U.S. — Prosecutors insist eye doc stole $136 million from Medicaid 

From the ABC News article: …Prosecutors are seeking 30 years. They say the doctor subjected elderly patients to painful tests and treatments they didn’t need, for diseases they didn’t have, to support a vacation home in his native Dominican Republic, lavish trips to Europe and outside business interests. The government also says he bribed New […]

U.S. — Kentucky Doctor Found Guilty of Performing Unnecessary Heart Procedures 

From the Insurance Journal news article: …The statement says evidence presented during the 7-week trial showed that Paulus performed cardiac stent procedures on more than 70 patients who didn’t need them at King’s Daughters Medical Center in Ashland from 2008 until 2013. The statement says he falsified records to make it appear that the procedures […]