Miami physician sentenced to 41 months in prison for $2.3 million fraud scheme
Compliance Monitor, March 16, 2011
Jerry A. Spiegel, MD, of Boynton Beach, FL, will serve 41 months in prison followed by three years of supervised release for his role in $2.3 million healthcare fraud scheme, according to a Department of Justice (DOJ) press release. Spiegel will also pay $880,000 in restitution and relinquish his medical license.
Spiegel served as medical director for three Miami-Dade County HIV/AIDS-infusion clinics. According to the DOJ, Spiegel ordered patient prescriptions without examining patients or reviewing patient files. Spiegel prescribed HIV/AIDS-infusion medications that were not medically necessary and were not administered to patients.
During Spiegel's time as medical director, the prescriptions Spiegel signed allowed the clinics to bill Medicare for more than $2.3 million in fraudulent claims, according to the DOJ.
- Note similarities and differences between HCPCS, CPT® codes
- Differentiate between types of wound debridement
- Complications from immobility by body system
- Hackers demand second ransom after hospital pays
- Fracture coding in ICD-10-CM requires greater specificity
- What does case-mix index mean to you?
- Seven savvy tips for coding sepsis and SIRS
- Joint Commission deletes more than 130 requirements, including medical record requirements
- Don’t forget the three checks in medication administration
- Your Hospital's Financial Statements: How Management Keeps Score