He literally said he billed Medicaid $85,000 for tests he did not perform. You are really struggling here.
Since you don't know what actually occurred, you are arguing based on ignorance. That could also mean that the government didn't agree with the kind of test performed.
In this case of Medicaid fraud one company is said to have billed Medicaid for tests not performed, but actually reading into it, Medicaid just disagreed with the type of tests that were performed:
https://www.justice.gov/usao-ri/pr/us-recovers-650000-local-providers-who-billed-medicare-and-medicaid-screening-tests-notU.S. Recovers $650,000 from Local Providers Who Billed Medicare and Medicaid for Screening Tests Not Performed"The government’s case alleged that these medical providers, acting under the direction of Dr. Shah, submitted tens of thousands of false claims to Medicare and Medicaid, seeking reimbursement for urine drug tests that they did not, and could not, perform, because their testing laboratories lacked the equipment or capability to carry out the tests. Despite the fact that these labs could only perform simpler tests, which carry a lower reimbursement rate, the labs were alleged to have knowingly billed Medicare and Medicaid for more complex, and expensive, drug screening tests. "
In the doctor's defense on that he says that it was a billing error:
https://www.valleybreeze.com/news/doctor-cleared-of-wrongdoing-says-his-name-should-never-have-been-damaged/article_f4a7bc30-7d38-11ec-aadf-f3ce3bbfaafe.htmlDoctor cleared of wrongdoing says his name should never have been damaged“Then they did this press release and it made me sound like a major criminal, a doctor committing fraud and settling on fraud,” he said. “It was overtly clear in the settlement agreement that we admitted to nothing of that sort.”
Shah said he never denied that mistakes happened innocently. The billing code error was running for 18 months and covered the work product of eight providers, so while an amount of $1.5 million might raise eyebrows, he said, “in reality it is quite foreseeable” for a group of that size.
~
“If I was billing for things I didn’t do, I would be in jail, I would be doing 10 to 25 in federal prison,” he said.
...
In Broxmeyer's case he was also running multiple clinics, and he also did not go to jail over the charge.
He was running multiple clinics:
https://apps.health.ny.gov/pubdoh/professionals/doctors/conduct/factions/FileDownloadAction.action?finalActionId=515&fileName=lc151279.pdf&fileSeqNum=1
Broxmeyer points out that he didn't go to jail:
This is a salient point. If it really was such blatant fraud he would have gone to jail. He didn't.
Maybe his clinics performed a different kind of test than Medicaid wanted, or used different equipment than what Medicaid wanted. All of this is unknown. It just says he committed $85K of fraud.
On the specifics there are examples where the government is obviously nitpicking about things like giving a throat swab test to people with sore throats and leaving residency experience off his resume.
It is absurd to argue that he did something bad without having the details, and in the face of the government's obvious nitpicking and usage of technicalities to find fault. He admits to the fraud, whatever it is, and begs for forgiveness, but he is clearly trying to get his license back there with his lawyer. We don't know exactly what he is admitting to.
Medical boards across five States revoking and refusing to reinstate a person's medical license you find to be petty and ridiculous?
You left out the fact that he was convicted of a felony; Grand Larceny 3°. 5 years probation & restitution. With a felony wrap to carry around forever.
And so now you are questioning the NY felony conviction and the Medical Boards rulings across 5 states? Because of your vast knowledge and expertise of Medical Board rulings and court proceedings? And of course your in-depth review of the facts of the felony conviction and medical license revocation?
This is pretty rich that you accuse others of having no "in-depth" facts in response to them pointing out that there are no in-depth facts on this.
From the facts we do have we see that the government was nitpicking on things and that New York reversed their decision since he has a current New York medical license.
https://health.usnews.com/doctors/lawrence-broxmeyer-1398738#location
Show Posts
