False Statements in Patient Medical Records Resulted in Medicare Fraud Charges
A nurse who worked as a home health agency manager has been convicted of conspiracy to commit healthcare fraud. He faces up to five years in prison.
The nurse worked as the director of nursing for PTN Healthcare Services Inc. He was convicted of helping his employer create medical records that made it appear that patients required home health services when they did not.
The false records were used as part of a larger scheme that included a doctor who falsely certified that the patients required home health services and that the services qualified for Medicare reimbursement. According to the government, the scheme resulted in Medicare paying $3 million for services that were not medically necessary.
This is a common tragedy in healthcare. An employer asks a nurse or physical therapist to create records that will allow the patients to continue receiving home healthcare services or therapy. The nurse or physical therapist does not want to challenge their employer or lose their job. So they write treatment notes to justify more home healthcare services or therapy.
All too often, this results in the nurse or physical therapist being arrested at home, put in handcuffs, and taken to the FBI offices for an interrogation.
It does not have to end this way.
If you have been asked to create false medical records, then you should consult with an experienced Medicare fraud and healthcare employment lawyer immediately to protect yourself. You have rights and legal protections. You may even be entitled a substantial reward if you help the government recover money spent on false claims.
Do not delay. You never know when the FBI will come knocking at your door.
To arrange a free and confidential consultation with an experienced Medicare fraud and healthcare employment lawyer, call John Howley, Esq. at (212) 601-2728, or click here to reach our law offices via email.
The initial consultation is free and completely confidential.
John Howley, Esq.
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New York, New York 10118