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Former Doctor Sentenced to 23 Years in Prison for Distributing Prescription Opioid Drugs, Health Care Fraud and Money Laundering

Sardar Ashrafkhan of Ypsilanti, Michigan, was sentenced today to 23 years in prison for participating in a conspiracy to distribute opioid pills, conspiracy to commit health care fraud, and money laundering, Acting U.S. Attorney Daniel Lemisch announced. Ashrafkhan, also known as “Dr. Khan,” 59, was sentenced by U.S. District Judge Robert H. Cleland. Lemisch was joined…

OIG Work Plan Update – Data Brief on Excessive Use of Opioids in Medicare Part D

The Office of Inspector General’s (OIG) work plan has identified new areas of focus for the month of June. Recently added items include: Review of Quality Measures Data Reported by Accountable Care Organizations in the Medicare Shared Savings Program Data Brief: Excessive Use of Opioids in Medicare Part D Access to Buprenorphine-Waivered Providers for the Treatment…

Wilbert James Veasey Sentenced to 210 Months in Federal Prison for Role in Health Care Fraud Conspiracy

DALLAS — Wilbert James Veasey, Jr., 65, of Dallas, was sentenced this morning in federal court in Dallas on a health care fraud conspiracy conviction, announced U.S. Attorney John Parker of the Northern District of Texas. When searching the FACIS data on Verisys,com, for the name, Wilbert James Veasey, there are 15 records dating back…

Union Treatment Center to Pay $3 Million and Be Permanently Excluded from Federal Health Care Programs

Union Treatment Center (“UTC”), a medical and physical therapy provider with clinics in Austin, Killeen, San Antonio, and Corpus Christi, will pay $3 million to settle civil health care fraud allegations, announced U.S. Attorney Richard L. Durbin, Jr. Under the settlement, UTC will also waive claims for payment exceeding $1.6 million and be permanently excluded…

2017 Health Care Industry Cybersecurity Task Force Report Published

The Cybersecurity Act of 2015 was established in order to gather a Task Force comprised of private and public subject matter experts who collectively will develop a report outlining action items towards a strategy to mitigate the vulnerability of cyber attacks to the health care industry. The report outlines six imperatives that are supported by…

Hugh’s Credentialing Digest – Credentials Committee Organization and Management

Recently, while watching a credentials committee in action, I was struck by the lack of organization and committee management evident in the room. Below are a few of my observations: • The chair arrived late and immediately began a conversation with another member about a patient. • Of the eight appointed members, only four were…

Electronic Health Records Vendor to Pay $155 Million to Settle False Claims Act Allegations

One of the nation’s largest vendors of electronic health records software, eClinicalWorks (ECW), and certain of its employees will pay a total of $155 million to resolve a False Claims Act lawsuit alleging that ECW misrepresented the capabilities of its software, the Justice Department announced. The settlement also resolves allegations that ECW paid kickbacks to…

Hugh’s Credentialing Digest—Embracing Change, Produced by Hugh Greeley

Inspiring Physicians to Embrace the Change that Defines Success in Health Care is the topic for Hugh’s Credentialing Digest, Produced by Hugh Greeley “The greatest barrier to a paradigm shift is the reality and incredible inertia of paradigm paralysis. A paradigm paralysis can be defined as the inability or refusal to see beyond current models…

Houston-Area Psychiatrist Convicted of Health Care Fraud for Role in $158 Million Medicare Fraud Scheme

May 30, 2017 – A federal jury convicted a Houston-area psychiatrist today for his role in a $158 million Medicare fraud scheme. The OIG searchable database on exclusions shows no records on Riaz Mazcuri giving him opportunity to continue to defraud Medicare, practice medicine and take referrals since any individual or entity searching on behalf…

Hugh Greeley Hosts Webinar on Credentialing Locum Tenens

Verisys and the American Hospital Association (AHA) is co-hosting a webinar focused on credentialing for locum tenens as well as the practice of telehealth care. This new paradigm of practicing medicine creates a new set of challenges for medical staff professionals and credentialing verification organizations. Talent sharing through locum tenens and telehealth care is the…