Potential Jail Sentence in Healthcare Fraud Case

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images (46)A Texas physician is currently looking at a potential decade in jail and having to pay $2 million in fines after a recent lawsuit.

According to court records, Robert Hadley Gross, MD, a licensed psychiatrist based out of San Angelo, Texas, has pleaded guilty last week to one count of healthcare fraud in association with a scheme which included charging for services when patients had since passed away or had been discharged from his care.

Gross has been in federal custody since 2014 on similar charges. He could now face up to 10 years’ incarceration and a potential $250,000 fine in addition to the nearly $2 million in restitution he has been ordered to pay in a previous case when Gross filed false claims against Medicare, Medicaid and other insurance carriers .

From 2009 to 2014, Gross filed claims against Medicare, Medicaid, and other health insurance carriers for payment for non-rendered services under erroneous CPT codes, says the Department of Justice. Claims filed against Medicare and Medicaid were associated with errors including incorrect dates.

Everyone gets hurt when someone commits fraud in healthcare for their own gain. Federal regulators are becoming more and more diligent when it comes to the investigation of alleged fraud of healthcare agencies such as Medicare and Medicaid. Investigators are now scrutinizing the details of claims and are on the lookout for those who would commit fraud. Everyone is affected by fraudulent claims since everyone helps to pay for these services with our taxpayer dollars. The high cost of healthcare can at least in part be traced to claims that are fraudulent or excessive.

If you suspect that there may be health care fraud when dealing with any medical procedure or claim, contact the law offices of Bottar Leone PLLC today. We are here for you and to protect your rights. When you call our offices, we can schedule free consultation and legal analysis to discuss your case.

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