Health care fraud can have expensive repercussions on US residents. There are many different instances of health care fraud: billing for services not rendered, upcoding of services, upcoding of items, duplicate claims, unbundling, excessive services or unnecessary services. The damages are recovered through the False Claims Act. This lawsuit can be filed by people not associated with the government. Over 70 percent of all False Claims Act are sparked by a whistle blower.

From 1987 through 2012, the government has received nearly $35 billion under the False Claims Act. $24 million of this amount was brought on by people not affiliated with the government. The person that files this claim will receive about 10 to 15 percent of the damages.

Health care costs rise after health care fraud was committed. The money for the damages needs to come from somewhere. It is easiest for the government to increase the cost of health care.

A former manager of an endoscopy center has been charged with conspiracy to commit health care fraud. The center that she worked for was associated with a Hepatitis C outbreak in 2007.

On July 9, 46-year-old Tonya Rushing pleaded guilty to conspiracy to commit health care fraud. Her sentencing will take place in September this year. According to the US attorney’s office in Nevada, the former manager faces up to five years in prison and a $250,000 fine.

For over three years, Rushing and Dr. Dipak Desai were overcharging insurance companies. Allegedly, they would report that  the nurses at the Endoscopy Center of Southern Nevada would administer the anesthesia and spend more time with the patients then the actual doctors.

The arrangement led Rushing to receive over $1 million. Her sentencing will take place on Sept. 25.

In 2013, Dr. Desai was convicted in relation to the Hepatitis outbreak. He is currently undergoing a mental health evaluation to determine if he mentally stable enough to stand trial. His lawyers are working hard to get a plea bargain made.

Even though these two medical professionals commit a health care fraud scheme in Las Vegas, most health care professionals are honest. The doctors at Urgent Care provide the best quality health care in Las Vegas. You can ensure that your patient experience at Urgent Care will be good and handled legally. You do not have to worry about being a victim of fraud at a Las Vegas Urgent Care. For more information about health care Las Vegas, contact 702.852.2000.

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