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BREAKING NEWS: Cleveland Doctor Convicted Of Healthcare Fraud - medtigo

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BREAKING NEWS: Cleveland Doctor Convicted Of Healthcare Fraud

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According to US News, a federal jury in Mississippi has found a Mississippi doctor guilty of referring and certifying individuals who were not terminally ill to hospice care. These individuals were also unaware about the treatment they were going to receive. 

The United States Attorney’s Office for the Northern District of Mississippi announced Tuesday that Dr. Scott Nelson of Cleveland was found guilty on Monday of conspiring to conduct healthcare fraud. 

“The patients nearly often had no knowledge they were being placed on hospice,” according to the news release. Patients testified that he did not inform them that they were being referred to hospice care or explain. 

According to online court documents, the sentence has been set for July 27 by Judge Debra M. Brown. He was found guilty of one count of conspiracy and seven counts of healthcare fraud. Each offense carries a maximum sentence of ten years in prison and a fine of $250,000. 

According to court filings and evidence, Nelson acted as medical director for as many as 14 hospice providers from 2009 to 2014, getting $442,000 from them. According to prosecutors, Medicare paid the hospice owners more than $15 million based on Nelson’s patient recommendations and certifications. 

According to the report, co-defendants Charline Brandon, Wendell Brandon, and Annette Lofton pled guilty to the healthcare fraud conspiracy. 

According to authorities, hospice personnel would bring potential patients to Nelson’s clinic, where the doctor would send them to hospice while claiming to be their primary or attending physician. 

He also “robosigned” several medical records, allowing hospice operators to bill Medicare and Medicaid for unnecessary medical services. 

“This type of fraud raises medical costs for those who need it and puts our entire healthcare system at risk.” According to U.S. Attorney Clay Joyner, “The United States Attorney’s Office will continue to work with all federal, state, and local partners to eliminate it.” 

 

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