Senin, 25 Juli 2011

Orange County Oncologist Gets Sentenced to 18 months Prison – Diagnosed With “Co-Dependency”- Couldn’t Stop Fraudulently Billing Medicare

I couldn’t make that title up if I tried as that is what Dr. Justice’s attorney states in this story. He was caught once a few years ago and his hands were slapped and then he did it again.  As you can see from this story and some of the history, we was an actually practicing oncologist and in the last 10 month has been devoting his time to a free medical care clinic in Orange County.  Back in November of 2010 I still found him listed and I point this out to show you how MD rating services are not updated and accurate on the web and this was after he pleaded guilty but had not been sentenced yet.

Prominent Orange County Oncologist Pleads Guilty to Medicare/Insurance Fraud – Over $1 Million

 He’s not a bad doctor but just likes the thrill of excessive billing and the rush of up-coding, that’s all.  

Avvo Physician Rating Service Can’t Get Accurate Information Listed on Doctors - One OC Oncologist Sitting in Jail for Fraud

I do have to say the name is a perfect, Dr. Justice, oxymoron, again you can’t make this stuff up. As you can read he also has a big fine to pay under a civil settlement.  With getting all the numbers and match together today, if it is not fraud, then we have premiums being pain on dead patients too. 

City of Buffalo Has Paid Over $2 Million to Provide Health Insurance for Hundreds of Dead People-Some as Many as 4 Years

We are dealing with all types of addictions today and frankly I think data use and abuse, especially after reading this tale will be the next 12 step addiction program on the map, you think?  We already have one credit agency company, FICO that thinks a credit rating will be able to determine whether or not a patient will take their medications, so again it’s all about those numbers and algorithms we run with today.  BD

Data Addiction and Abuse –The Up and Coming Next 12 Step Program Is On the Horizon–Side Effects Include Lack Of Data Quality, Integrity And Spasmodic Algorithms

SANTA ANA – A federal judge Monday sentenced Dr. Glen R. Justice to 18 months in prison for committing Medicare fraud, rejecting a defense request to allow the oncologist to continue treating indigent patients at a nonprofit clinic.

In a separate civil settlement, Justice will pay Medicare $7.5 million in restitution and penalties once his multimillion-dollar Corona del Mar home is sold.

Prosecutors said unlike sham clinics that have bilked insurers, Justice, 66, ran a legitimate medical office in Fountain Valley where patients received the treatment they needed, although Justice added fraudulent charges to their bills. He also served as director of the cancer center at Orange Coast Memorial Medical Center.

Assistant U.S. Attorney Jeannie Joseph initially recommended probation in a plea agreement struck with Justice, but she requested a year in prison after discovering that Justice continued committing fraud even after signing the plea agreement. She suggested Justice's "expensive lifestyle" as a motive, noting his two yachts and properties around the country.

Justice's attorney David Wiechert explained the doctor's conduct as "irrational for someone who had it all." He said Justice was diagnosed with co-dependency, which caused him to commit fraud the way an addict might abuse drugs.

For the past 10 months, Justice has volunteered at the Lestonnac Free Clinic in Orange. He was offered a full-time job treating cancer patients, where he would have no role in billing.

Oncologist sentenced to 18 months prison | justice, patients, prison - Life - The Orange County Register

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