Physician who claimed to have 11k patients sentenced to 35 years in prison

http://www.beckershospitalreview.com/legal-regulatory-issues/physician-who-claimed-to-have-11k-patients-sentenced-to-35-years-in-prison.html

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A 60-year-old Texas physician was sentenced Aug. 9 to 35 years in prison for orchestrating a $375 million healthcare fraud scheme, according to the Department of Justice.

Federal prosecutors said Jacques Roy, MD, and his cohorts used promises of cash, groceries and food stamps to recruit patients, including some of Dallas’ homeless, as part of the fraud scheme.

From January 2006 to November 2011, Dr. Roy’s office, Medistat Group Associates in DeSoto, Texas, handled more home healthcare visits than any physician’s office in the country. Dr. Roy allegedly certified or directed the certification of more than 11,000 individual patients from more than 500 home healthcare agencies for home health services during that time, according to the DOJ.

“A doctor cannot care for 11,000 patients at once,” Assistant U.S. Attorney P.J. Meitl said during the trial, according to The Dallas Morning News

In April 2016, Dr. Roy, who has lost his medical license, was found guilty on eight counts of healthcare fraud, two counts of making a false statement relating to healthcare matters, one count of obstruction of justice and one count of conspiracy to commit healthcare fraud. Three owners of home healthcare agencies were also convicted on various felony offenses.

In addition to his 35-year prison term, Dr. Roy was ordered to pay $268.15 million in restitution.

Doctors allegedly sold prescriptions to gang members profiting for cash from burglaries

http://www.dailybreeze.com/general-news/20160829/doctors-allegedly-sold-prescriptions-to-gang-members-profiting-for-cash-from-burglaries?utm_campaign=CHL%3A+Daily+Edition&utm_source=hs_email&utm_medium=email&utm_content=33586521&_hsenc=p2ANqtz-9msbgMq33CAV0cspL5iTwKupEdrhcwzy2x9HBry8CXgmM2MLDVXfy1hNprqz1aiXkgDR-Os7j0X1Ptfa8vDbWpaWM-ZA&_hsmi=33586521

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Two doctors have been charged with selling prescriptions for powerful drugs to gang members who allegedly bought them with profits from thousands of residential burglaries committed in the South Bay and across Southern California, prosecutors said Monday.

Drs. Sonny Oparah, 75, of Long Beach and Edward Ridgill, 64, of Ventura surrendered Friday to federal authorities hours after Torrance police led some 400 police officers on raids in South Los Angeles that resulted in the arrests of 13 gang members allegedly involved in the burglary scheme.

The physicians face charges that could send them to prison for the rest of their lives.

“Operation Money Bags” resulted from nearly four years of investigation to not just arrest and prosecute suspected burglars, but tie their crimes to their gangs, using gang-related sentencing laws that could add years to their prison terms for the break-ins.

But it turned into much more.

81-year-old former pediatrician pleads guilty to fraud

http://www.beckershospitalreview.com/legal-regulatory-issues/81-year-old-former-pediatrician-pleads-guilty-to-fraud.html

Physician Fraud and Abuse

According to his plea agreement, Nicola Tauraso, MD, practiced as a pediatrician between 1972 and 2007. In 2009 he opened a pain management practice in Frederick, Md. Dr. Tauraso saw an excessive number of patients at his clinic — typically about 80 per eight-hour day — and wrote prescriptions for Oxycodone and Ocycontine without determining if a medical need existed for the prescriptions.