Friday, 29 March 2013

SoCal Woman Sentenced to 13 Years in Federal Prison in Medicare Fraud Scheme Involving Durable Medical Equipment

LOS ANGELES—A Carson woman has been sentenced to 156 months in federal prison in an $8 million Medicare fraud case in which she illegally paid kickbacks for referrals to patients whose beneficiary information was used to make bogus claims to the government health care program.
Uben Ogbu Rush, 54, received the 13-year sentence yesterday afternoon from United States District Judge George H. King.
During yesterday’s hearing, Judge King said Rush was motivated by greed and the lengthy sentence was necessary, in part, to send a message of deterrence to others who might commit crimes against Medicare.
Rush owned or controlled six companies that ostensibly sold durable medical equipment, such as motorized wheelchairs and powered pressure-reducing mattresses. The companies were located in Carson, Gardena, Torrance, and Paramount.
At a trial in November 2011, federal prosecutors showed a jury how Rush paid marketers to recruit Medicare beneficiaries who would allow their identities and Medicare numbers to be used for the submission of false claims. The evidence also showed how Rush paid kickbacks to marketers, who in turn paid kickbacks to doctors who fraudulently wrote prescriptions, even though the physicians had not examined the patients or an examination revealed that the medical equipment was not medically necessary.
During the course of a scheme that ran from 1999 until 2008, Rush submitted more than $15 million in fraudulent claims to Medicare seeking payment for motorized wheelchairs, hospital beds, air pressure mattresses, and other items for patients who did not need the equipment. Medicare paid more than $8.1 on the bogus claims.
A co-defendant in the case, Carlos Alberto Rezabala, 60, of Downey, was sentenced by Judge King in June 2012 to 41 months in federal prison. Rezabala was a recruiter who brought Medicare beneficiaries into the scheme so their information could be used to submit fraudulent bills.
Another co-defendant, Phitsamay Syvoravong, 58, of Orange County, another recruiter who brought Medicare beneficiaries into the scheme, is scheduled to be sentenced by Judge King on May 20.
A related defendant, Dr. Alfred Glover, 57, of Playa Vista, testified at trial that he was paid for writing fraudulent prescriptions for Medicare beneficiaries, many of whom he never saw. Glover is schedule to be sentenced on May 28.
The investigation into Rush and her Medicare fraud scheme was conducted by the Federal Bureau of Investigation.

Thursday, 28 March 2013

Filling Out Your 2013-2014 Applications for the Health Professions



If you are planning on applying to a health professions school during the 2013-2014 cycle, it is important that you wait to  start filling out your application until this year’s application becomes available!  Otherwise you will be filling out last year’s application, and some things may have changed!  Applications open in May and throughout the summer depending on the health profession.

Wednesday, 27 March 2013

Durable Medical Equipment Company Owner Arrested in 21-Count Health Care Fraud Indictment

HOUSTON—Andrea Michelle Tellison, 46, has been arrested following the return of a 21-count indictment charging her with health care fraud and aggravated identity theft, United States Attorney Kenneth Magidson announced today.
The indictment was returned under seal Wednesday, March 20, 2013, and unsealed today upon her arrest. She made her initial appearance this morning before U.S. Magistrate Judge Mary Milloy, at which time she was released on bond.
Tellison, of Houston, is one of the owners of Texas Durable Medical Company, located in Houston, according to the indictment. She is alleged to have submitted false and fraudulent claims to Medicare and Medicaid for durable medical equipment (DME), including enteral nutrition feeding kits that were not provided to Medicare beneficiaries, not ordered by physicians, and not medically necessary. Enteral nutrition is provided by feeding tubes and accessories rather than consumed orally.
According to the indictment, Tellison also falsely signed certain Medicare forms stating there was documentation in patient medical records detailing the need for enteral nutrition when there was not. The indictment also alleges Tellison delivered formula to Medicare beneficiaries that expressly stated “not for tube feeding.” Additionally, Tellison allegedly failed to purchase sufficient inventory to deliver all the enteral nutrition and supplies she billed to Medicare and Medicaid. The indictment indicates that between March 29, 2008, and November 30, 2009, Tellison submitted approximately $1,480,511.31 worth of claims for enteral nutrition and supplies and received approximately $786,222.11 as payment for those claims.
If convicted, she faces up to 10 years in prison and a possible $250,000 fine for each conviction of health care fraud. Aggravated identity theft further carries a mandatory two-year prison term that must be served consecutively to any sentence for the underlying offense and up to a $250,000 fine, upon conviction.
The investigation into Tellison was the result of a joint investigation conducted by agents from the FBI, Railroad Retirement Board-Office of the Inspector General, Department of Health and Human Service-Office of Inspector General, and the Texas Attorney General Office-Medicare Fraud Control Unit. Assistant United States Attorney Julie Redlinger is prosecuting the case.
An indictment is a formal accusation of criminal conduct, not evidence. A defendant is presumed innocent unless convicted through due process of law.

16 Questions Resource

The following link is a great resource that contains information for pre-medical students, medical students, and residents!  It has the answers to 16 key questions - check it out!

https://www.aamc.org/students/download/330592/data/16-questions.pdf

Tuesday, 26 March 2013

Fall 2013 Course Registration

Things to Consider When Registering for Classes:
Will a health professions advisor look over my schedule?
We ask that students do their research. Consult the ACE Assessment, research schools, and consult your major requirements. Many times when students ask for feedback we simply ask if you’re comfortable with the schedule you’ve created for yourself. A good schedule versus a bad schedule is often based on how you’ve assessed what you can handle and your personal timeline towards applying to a health profession school. We often cannot approve or disapprove of a schedule you’ve created for yourself because it almost always comes back to your personal assessment of your needs.  We encourage you to take ownership of your course planning and make decisions that will work for you! And remember- you do not have to complete all your health professions course requirements during your undergraduate experience. Many students choose to take some of their requirements after they graduate and apply at a later time.
Take into consideration how you did academically this year. 
Were you able to succeed with the course schedule you set for yourself, or do you need to reevaluate the courseload or number of science classes you take?  For example, if as a first year you struggled taking General Chemistry with Lab, do you think it’s in your best judgment to register for both Biology and Organic Chemistry with Labs? 
Do you need to repeat any of the science courses you already took?
For many health professions a grade of C- or lower is not acceptable for meeting science coursework requirements. Make sure you know if you need to retake something before you move into advanced coursework.
Requirements you need for your chosen health profession versus courses you need to fulfill your  U.Va requirements.
Remember as a health professions student you’re not only working towards meeting the requirements for a health professions program, but also for completing an undergraduate degree at U.Va.  Make sure you’re consulting with your Association Dean or Faculty Advisor if you aren’t sure how to complete your degree requirements. 
Is it a good idea to take summer coursework?
Many health professions students have heard that they “should not take any classes over the summer, “ but often there is little context behind the advice. Here’s some rationale behind the statement.
One of the responsibilities of admissions committees is to admit applicants that they are confident can successfully complete the coursework that will allow them to become health care professionals. Your undergraduate coursework serves as one of the best indicators to an admissions committee as to whether you have the ability to succeed in their program’s coursework. Schools create pre-requisite requirements because they believe that the material serves as either a direct foundation that is needed to pursue advance coursework or because they believe the ability to successfully navigate through a certain subject matter demonstrates specific abilities needed for advanced study. When admissions committees look at an applicant’s coursework they want to be confident in their assessment that you are in fact prepared to be successful in the classroom.
One of the ways to give admissions committee this confidence in you is obviously to be successful in your pre-requisite coursework, but another way is to eliminate variables that may lead them to question whether your grades are truly indicative of your ability. When students take pre-requisite coursework over the summer, they often have fewer responsibilities than during the school year. This may lead an admissions committee to ask, “Would this student have received this grade if they were also managing the responsibilities of a full course load?” This question is important to admissions committees because they know in professional school you will not have the option to spread out your coursework, but will be taking it all at once during the semester.
Often students will choose to take pre-requisite coursework over the summer at other institutions. Sometimes this leaves committee members asking “Did this student take this course at another institution because there was less competition or less material was covered? Was this student looking for an easy way out and would they have received the same grade at their home institution?” Again, if an admissions committee needs to ask this question about a significant amount of your pre-requisite coursework, it may be a problem.
So what’s our advice? Obviously there are circumstances where a student may absolutely need to take coursework over the summer or at another institution. Do your best to avoid taking multiple science pre-requisites, try to limit your summer coursework to labs only and make sure there is enough science coursework taking during the school year to demonstrate your abilities in that setting.

Calling all Nontraditional and Regular Pre-Meds!

The National Society for Nontraditional Premedical & Medical Students is proud to announce the 13th OldPreMeds 2013 National Conference

Washington, DC   -   June 6-9, 2013


With keynote presentations by:
Chief Academic Officer, AAMC
Former Dean, University of West Virginia School of Medicine

Cofounder and Executive Director of SDN (Student Doctor Network)
Brigade Surgeon, 4th Brigade Combat Team, 82nd Airborne Division


featured speakers include:

Former Assistant Director of Admissions
Stanford University School of Medicine

Pacific Northwest University of Health Sciences,
Former Airborne Infantryman, Aviator, and Physician Assistant

Director of Admissions
Lincoln Memorial University - DeBusk College of Osteopathic Medicine

Assistant Dean for Admissions
George Washington University School of Medicine

Former Director, Johns Hopkins  and Goucher
Post-Baccalaureate Premedical Programs

Chief,  Aerospace Medicine, 66th Medical Squadron, USAF
Publisher, MedicalSchoolHQ.net

Board Certified Anesthesia and Critical Care
President, DW Kelley Associates
Co-Founder of OldPreMeds

Chief,  Aerospace Medicine, 66th Medical Squadron, USAF
Publisher, MedicalSchoolHQ.net

The National Society for Nontraditional Premedical & Medical Students is a professional/pre-professional society dedicated to nontraditional students who seek to become Physicians.  www.OldPreMeds.org is a website community built upon peer-based forums providing resources for all levels of premedical students, medical students, medical residents, pre-health advisors, admissions officers, and other faculty & staff at undergraduate, post-baccalaureate, medical, and post-graduate programs.

Owners of Woodbridge Home Health Business Sentenced to 121 Months for Health Care Fraud and Aggravated Identity Theft

ALEXANDRIA, VA—The owners of a Woodbridge, Virginia-based home health care business were sentenced today to 121 months in prison, followed by three years of supervised release, for submitting more than $2.1 million in false claims to Virginia Medicaid and Antehm Blue Cross and Blue Shield (BCBS) for reimbursement of services they did not provide.
Neil H. MacBride, United States Attorney for the Eastern District of Virginia; Ken Cuccinelli, Attorney General of Virginia; and Valerie Parlave, Assistant Director in Charge of the FBI’s Washington Field Office, made the announcement after sentencing by United States District Judge Claude M. Hilton.
Irvine Johnston King, 46, and Aisha Rashidatu King, 40, of Woodbridge, were convicted at trial on January 10, 2013, of conspiracy and multiple counts of health care fraud, in addition to two counts of aggravated identity theft. At sentencing today, they were also ordered by the court to pay $931,894 in restitution and to forfeit the same amount.
According to court records and evidence at trial, the Kings owned and operated Bright Beginnings Healthcare Services, a business that provided in-home personal and respite care and private duty nursing services to Medicaid-eligible individuals. From at least January 2008 through June 2011, the Kings carried out a scheme to defraud the Virginia Medicaid program and Anthem Blue Cross and Blue Shield (BCBS) by submitting inflated claims for services. They submitted $2.1 million in fraudulent claims, of which Virginia Medicaid paid out $766,620 and BCBS paid out $165,273.
In May 2009, after learning that Virginia Medicaid had retained an outside firm to audit Bright Beginnings, the Kings began an extensive effort to cover up the fraud by creating false nursing documentation to support the claims, including timesheets and notes in the names of several nurses who had never worked at Bright Beginnings. They supervised an unlicensed employee who completed timesheets under the name of a licensed nurse and billed the employee’s time to Virginia Medicaid as licensed practical nursing services. They also directed the father of a patient to sign blank timesheets, which were then falsified to support fraudulent billing for services that had never been provided to that patient.
The investigation was conducted by FBI’s Washington Field Office and the Virginia Attorney General’s Medicaid Fraud Control Unit, with the assistance of the Virginia Department of Medical Assistance Services. Assistant U.S. Attorney Timothy D. Belevetz and Special Assistant U.S. Attorney Steven W. Grist of the Virginia Attorney General’s Office are prosecuting the case on behalf of the United States.
A copy of this press release may be found on the website of the United States Attorney’s Office for the Eastern District of Virginia at http://www.justice.gov/usao/vae.

ADEA Dental School Virtual Fair - April 23-24, 2013

The American Dental Education Association (ADEA) will host its second annual Dental School Virtual Fair on April 23-24, 2013 from noon – 8pm (Eastern time).  The 2013 ADEA Dental School Virtual Fair is a two-day live recruitment event for prospective students interested in a dental career and offers students the opportunity to connect with dental school representatives and participate in live presentations with no travel and no fees.

This is a great opportunity for high school and college students looking to network and connect with dental schools. Whether students want to apply to dental school this year or in three years, the virtual fair will offer great information and advice from dental school representatives. The ADEA Dental School Virtual Fair allows students to connect with multiple dental schools in one place, exchange virtual business cards with representatives, chat in one-on-one sessions, learn from live presentations made by dental professionals and pick up brochures on admissions and curriculum.

The fair will host more than 35 dental schools in a live, online exhibit hall environment and will contain multiple presentations on topics about dental school admissions.

Students are encouraged to register and attend. 

Register today or for more information about the ADEA Dental School Virtual Fair visit www.godental.org.

If you are considering a career in dentistry, register for free!
  1. Communicate one-on-one with dental school admissions staff.
  2. Watch and engage with online presentations.
  3. Ask questions about dental school, in a live forum.
  4. Browse information from all participating schools.
  5. Communicate with other prospective students and current dental students.
  6. Plus, learn about financing a dental education.
  7. Pre-Pharmacy Society's PCAT Session

    Please see the following message from the Pre-Pharmacy Society:

    Taking the PCAT soon and want some study tips? Come out to UVa Pre-Pharmacy Society's meeting this Wednesday, March 27 at 8:30pm in Physics 210. Our very own members will be giving us an overview of the PCAT and detailed advice on tackling each section! Also, our pre-pharmacy shirts have arrived! A reminder to those to bought shirts to please bring $10-$15! Feel free to contact Sarah Smith (ses6eu@virginia.edu) or Lily Jia (lyj6xe@virginia.edu) for any questions!

    Ochsner Clinical School Information Session

    You are invited to meet:
    William Pinsky, MD 
    Dean and Head of the Ochsner Clinical School,
    New Orleans, LA
    University of Queensland School of Medicine,
    Brisbane, Australia

    Washington DC – Thursday, April 10th 7–8:30 pm
    Georgetown University Hotel and Conference Center
    3800 Reservoir Road NW
    Washington, DC

    Please RSVP by visiting 
    http://mededpath.org/41013/

    Dr. Pinsky will be presenting and taking questions. Please join to learn about the medical school and this top ranked global program.

    UQ Ochsner offers an opportunity for US students to obtain a global medical education at a research-intensive university. Some of the important aspects of the program are:
    • Designed for students who want an outstanding global education leading to practice in the U.S.
    • Two years in Brisbane, Australia; Two years in New Orleans, LA
    • USMLE Prep
    • Match Day Participation
    • U.S. Federal Loans Available to Eligible Students
    • The University of Queensland was ranked among the 50 Best Universities in Life Sciences and Biomedicine in 2012 by U.S. News and World Report
    • Ochsner ranked among the top 5% of hospitals in the US for exceptional patient care for 2012 by HealthGrades

    Please feel free to e-mail or call with any questions you may have in advance of the event. For complete information about the UQ Ochsner School of Medicine please see our website:
    http://www.mededpath.org/

    Minimum Qualifications to Apply: MCAT scores of 8, 8, 8, a minimum B average, as well as an earned B.A., B.S. degree, or a more advanced degree.  The 2013 entering class had an average GPA of 3.4 and an average MCAT of 28.

    It is required to provide a complete list of attendee names and the names of guests to security. If you fail to RSVP by 1 pm on the day of the event, admittance cannot be guaranteed.

    Medical Center Hour - March 28, 2013

    Thursday, 28 March 2013
    12:30-1:30 pm
    Medical Education Auditorium, 3rd Floor, Claude Moore Medical Education Building
    University of Virginia School of Medicine
    ______________

    The Brodie Medical Education Lecture/ Medical Grand Rounds/Medical Education Grand Rounds
    HUMANISM AS ACTIVISM:
    PREPARING FUTURE CHAMPIONS IN THE NEW MEDICINE

    Arnold P. Gold MD and Sandra O. Gold EdD, Arnold P. Gold Foundation, Englewood Cliffs NJ, and recipients, 2013 Brodie Medical Education Award

    Ponnila Marinescu MD, PGY-2, Obstetrics/Gynecology, UVA

    Irina (Era) Kryzhanovskaya, SMD13, UVA

            With the ”New Medicine” that is being shaped by the Affordable Care Act, can we expect a humanistic, safe, accessible and efficient health-care delivery system that provides medical care just as compassionate as it is cutting-edge? There is so much emphasis on costs of health-care services and too little on the quality of the care itself that this is unlikely ... unless health-care professionals ourselves vigorously campaign to make it so.
            Professionals must champion the standard that creates the best medicine! But how?
            The Arnold P. Gold Foundation is dedicated to fostering optimal health care through the centrality of humanism in medicine. Humanistic medical practices have been demonstrated to reduce errors, improve healing, decrease lawsuits, increase safety, promote patient adherence to treatment plans, and lower costs. In this 2013 Brodie Lecture, Drs. Arnold and Sandra Gold and two physicians-in-training explore how medical students, housestaff, and practicing health professionals can become active, effective, and passionate advocates for humanism in the New Medicine.
    Co-presented with the Brodie Medical Education Award Committee, Academy of Distinguished Educators, Department of Medicine, and the Office of Medical Education Research and Instruction
    _________________________________

    This program is free and open to the entire university and the public. Health professionals who attend may apply for continuing education credit. Medical Center Hour counts toward first-year medical students’ SIM requirements.

    The Medical Center Hour is produced weekly throughout the academic year by the Center for Biomedical Ethics and Humanities of the University of Virginia School of Medicine. Our series includes History of the Health Sciences Lectures, which we produce together with Historical Collections, Claude Moore Health Sciences Library.
    For information, call 434.924.5974 or see

    Watch Medical Center Hour on YouTube: http://www.youtube.com/uvamch. Videos are posted a week after the program.

    Thursday, 21 March 2013

    Prospective and Admitted Students Interested in Health Professions

    Are you a prospective or already admitted student to the University of Virginia who is interested in pursuing the health professions?  Then check out our Prospective and Admitted Students FAQ page at http://www.career.virginia.edu/hpa/prospective-students/
    Are you a current student or Alum who knows someone who is a prospective or admitted student? Make sure you let them know about this great resource! 


    Also Make Sure to Check Out the HPA School Preparation and Application Basics Video

    Topics Addressed Include:
    Pre-Requisite Courses
    Academic, Clinical and Experiential Essentials
    Centralized Application Services Information
    Letters of Recommendation
    Personal Statements

    Wednesday, 20 March 2013

    Virtual Career Fair April 2nd-4th

    Students & Alumni will meet recruiters live online...
    It's an easy & efficient way to find full-time, internship, & co-op jobs!

    Register at www.SecAcc.CareerEco.net.

    SEC & ACC Virtual Career Fair Details

    Internship Opportunities at the LGBTQ Center

    LGBTQ Center Internships for 2013-2014

    LGBTQ Center seeks to foster the development of LGBTQ students, faculty, staff, alumni and allies. Founded under the Office of the Dean of Students in 2001, with generous financial support from the Serpentine Society, the LGBTQ Center works to raise awareness and inclusion of sexual and gender diversities through programs, outreach, and services that support the advancement of the LGBTQ community.  More information can be found at  www.virginia.edu/deanofstudents/lgbt.

    These 5 unpaid internship opportunities are available for undergraduate and graduate students interested in not only gaining experiences in working with the LGBTQ community, but also to further develop more capabilities in functional job duties great for resume building!

    Qualifications:
        Excellent communication skills
        Great organizational skills
        Familiarity with the LGBTQ population and its allies
        Willingness to participate in a Safe Space Training (possibility to become a trainer)

    The application form can be found HERE and a letter of intent is due to Scott Rheinheimer, Coordinator of LGBTQ Student Services, by April 12th at 5pm. You may email your materials to scottr@virginia.edu or hand it in at Newcomb Hall 164A. Your letter of intent should cover what internship(s) you are interested in, why you are interested, and what previous/unique experiences you have that would translate to the position(s). In addition, you have the option to include any ideas or special projects you would like to do within the Center through your internship. The Coordinator of LGBTQ Student Services will help you design your project, offer guidance when necessary, and evaluate the implementation/outcome. Position descriptions are below.

    Selection will be done the week of April 15th, with a preliminary intern training the following week.

    The Health Education Coordinator position is a great opportunity for students interested in the Health Professions!


    Available Positions

    Health Education Coordinator:
    This position will work closely with the AIDS Services Group (ASG) to maintain a stock of safe sex materials in the LGBTQ Center; organize regular HIV testing events; plan one LGBTQ health education program per semester with assistance from the Coordinator of LGBTQ Student Services. Duties are about 3-5 flexible hours per week including 2 one-hour meetings per week.

    Programs Coordinator:
    This position will assist the Coordinator of LGBTQ Student Services with planning Center programs (i.e. booking spaces, catering selection, etc.); developing the Safe Space training and Train the Trainer programs with the Coordinator; assist in the promotion of Safe Space. Duties are about 3-5 flexible hours per week including 2 one-hour meetings per week.

    Volunteer Coordinator:
    This position will assist the Coordinator of LGBTQ Student Services with planning and organizing of volunteer trainings; holding monthly volunteer appreciation events (lunches, coffee hours, etc.); maintaining the Center and its resource library. Duties are about 3-5 flexible hours per week including 2 one-hour meetings per week, plus ongoing volunteer trainings.

    Marketing/Community Outreach Coordinator:
    This position will maintain the LGBTQ Center’s social media (Facebook, Twitter, Tumblr, etc.); develop/maintain contacts with community organizations along with the Coordinator of LGBTQ Student Services; maintain updated reference materials (pamphlets, handouts, etc.). Duties are about 3-5 flexible hours per week including 2 one-hour meetings per week.

    Speakers Bureau Coordinator:
    This position will recruit student/faculty/staff speakers for “coming out story” panels; assist the Coordinator of LGBTQ Student Services in training the panelists; organize balanced panels for groups/classes that request the speakers. Duties are about 3-5 flexible hours per week including 2 one-hour meetings per week.

    Post-Bacc Program Opportunity

    Columbia U One-Year Masters in Nutrition

    Are you interested in pursuing a health professional career?  The one-year Columbia University MS in Nutrition prepares pre-medical, dental and public health students to integrate nutrition into their work as future health professionals.  They are looking for students who are seeking a challenging gap year, or special masters program that will strengthen their basic science knowledge, provide them an opportunity to complete an MS thesis, and develop strong communication skills.  It is a great opportunity to spend one year in New York City and take advantage of the many exciting cultural and political activities in the city.  Columbia welcomes students to come and visit the program and to speak with current students and alumni.  The links below can give you a fuller picture of the program.

    The primary IHN MS in Nutrition goals are to train students to:
    • become competent in nutrition science and clinical and public health nutrition
    • understand the importance of nutrition in health and disease prevention
    • develop writing, critical thinking, and public-speaking skills

    A dedicated faculty, combined with extensive university resources, provides close career advisement, opportunities for mock interviews, and professional support for resume and personal statement writing.

    The program includes an intensive thesis project; students select their mentor from more than 100 university researchers. Each year some students present their work at a national meeting or contribute to a peer-reviewed journal article.

    Graduate career paths include further training at medical, dental, and public health schools and a variety of doctoral programs. Other graduates secure positions in basic science research, healthcare, communications, clinical research, medical education, and public health.
    For more information, please visit www.cumc.columbia.edu/ihn/prospectivestudents

    Accepting applications for Fall 2013
    Deadline: June 30, 2013
    Class may fill prior to June 30th, so earlier submission is desirable.
    Letters of recommendation for other graduate programs (e.g., medical or dental school) may be submitted.

    McAllen Urologist and Wife Charged in Heath Care Fraud Scheme and Conspiracy to Violate Iranian Sanctions

    HOUSTON—A federal grand jury has returned a four-count, superseding indictment against urologist Hossein Lahiji M.D. and his wife, attorney Najmeh Vahid Lahiji, both of McAllen and San Antonio, United States Attorney Kenneth Magidson announced today. The second superseding indictment, returned late yesterday, charges the couple with conspiracy to commit health care fraud, health care fraud, and for conspiring to violate Iranian sanctions.
    The Lahijis are set to appear in Houston tomorrow morning at 9:45 before U.S. District Judge Mary Milloy.
    This indictment alleges the Lahijis conspired to violate Iranian Sanctions by transferring approximately $1.1 million to Iran. The Lahijis allegedly utilized an unlicensed money remitting business called the Espadana Exchange to avoid the United States banking regulations and to allegedly make it appear they were not violating the United States embargo with Iran. The indictment alleges the defendants sent some of the money representing profits of their alleged illegal health care fraud scheme to Iran for the purpose of making an investment on behalf of Hossein Lahiji and Najmeh Vahid Lahiji in real estate rental property in Iran, all in violation of the Iranian sanctions.
    “The Internal Revenue Service (IRS) will tenaciously pursue individuals who violate international emergency economic powers statutes,” said IRS-Criminal Investigation (CI) Special Agent in Charge Lucy Cruz. “IRS-CI’s unique skill set is to unravel the often concealed complex networks used to disguise international financial crimes.”
    The health care fraud scheme alleged in this indictment accuses Hossein and Najmeh Lahiji of conspiring to defraud multiple health care benefit programs by submitting false and fraudulent claims in connection with the use of unlicensed and unqualified medical personal and for billing for medical services not rendered. The scheme allegedly ran from January 2003 through February 24, 2012, and involved Medicare, Medicaid, Aetna, Blue Cross Blue Shield, Humana, and United Healthcare. The indictment further alleges the Lahijis submitted claims to these health care benefit programs for urology services allegedly performed by Hossein Lahiji M.D. when, in fact, he was traveling outside Texas and outside the United States. The individuals, who were only licensed as medical assistants, were the ones actually performing these “urology services” without any supervision from any physician or other qualified, licensed personal in violation of protocols established by Medicare, Medicaid, private health insurance, and the state of Texas.
    The scheme also allegedly involved specific days in which Hossein Lahiji claimed to treat between 65 to 117 patients per day during the office hours of 7:00 a.m. to 6:00 p.m. The indictment further alleges false and fraudulent representations including that Hossein Lahiji had conducted a “consultation” for another physician. In reality, he allegedly performed routine medical services for a patient of his own, a practice known as “upcoding. Lahiji allegedly indicated that the patient’s medical situation had necessitated a comprehensive physical examination and the taking of a comprehensive medical history. However, the patient’s situation had not required such an examination or history-taking, and Hossein Lahiji had not performed such services, according to the indictment.
    The indictment also contains two substantive counts of health care fraud occurring on July 1, 2009 and July 28, 2009.
    Hossein Lahiji M.D. is a physician investor in the physician-owned hospital Doctor’s Hospital at Renassiance in Edinburg.
    The Lahijis each face a sentence of up to 10 years in prison and a maximum $250,000 fine if convicted of the health care offenses as well as a maximum of 20 years in prison and a possible $1 million fine upon conviction of conspiracy to violate Iranian sanctions.
    The Lahijis are currently scheduled for a jury trial in Southern District of Texas on March 25, 2013. They are also scheduled for trial in the District of Oregon on June 4, 2013, on unrelated federal charges.
    The investigation leading to the charges in this case was conducted by the FBI, the Texas Attorney General’s Medicaid Fraud Control Unit, and IRS-CI. Assistant United States Attorneys Carolyn Ferko and Jim McAlister are prosecuting the case.
    An indictment is a formal accusation of criminal conduct, not evidence. A defendant is presumed innocent unless and until convicted through due process of law.

    Looking for a Post-Bacc Program?

     BU's Graduate Medical Sciences Program

    Both 32-credit programs have flexibility and can be completed in one or two calendar years to suit each student's needs. Courses are taken at both the medical (BUSM) and dental (BUGSDM) schools. Students spending a second year have the opportunity to gain valuable research and/or volunteer experience on and off-campus.

    The MAMS curriculum is closely aligned with BUSM's first year medical curriculum.  Some courses, including Biochemistry & Cell Biology and Medical Physiology, are direct medical school equivalents.   Other graduate level courses, such as Pharmacology, Pathology and Cellular Organization of Tissues, allow students to explore additional area of the foundational medical sciences.  Over 200 faculty in basic science and clinical departments participate as thesis mentor, affording opportunities in a many exciting fields.
      
    For the past 3 decades the MAMS program has successfully prepared close to 2000 students for admissions to US medical schools.

    Oral Health Sciences
    The newly approved MS degree is designed for students who wish to improve their credentials for dental school admission.  Students take 3 courses - Biochemistry, Physiology & Microbiology side by side with BU DMD I students.  They are exposed to Oral Health Promotion, Pathology, Evidence Based Dentistry and Bioethics through elective coursework.  The program has flexibility allowing students to complete the M.S. in one (Capstone project) or two (Research Thesis) years.
      
    Since OHS began in 2005, nearly 100 students have completed the Program and 80% have been accepted to the US dental schools.



    The Division of Graduate Medical Sciences has an extensive advising program to assist students with study skills, thesis projects, career guidance, and MCAT/DAT preparation.  Advisors are also valuable resources for medical/dental school applications, providing assistance with recommendation letters and mock interviews.  Peer mentoring programs and student tutors provide social and academic support.
    CONTACT:
    Boston University School of Medicine
    72 East Concord Street, Room L-317
    Boston, MA  02118-2526



    Mount Sinai's FlexMed Program

    Innovation in medical school admissions


    Join David Muller, MD,  Dean for Medical School Education, as he and two current medical students to discuss Mount Sinai's Flexmed early assurance program.
    Livestream Webcast
    Thursday, April 4, 2013 at 1:00PM

    This first-in-nation approach to medical school admissions promotes non-traditional pre-med tracks, waives the MCAT requirement and builds upon Mount Sinai's longstanding and highly successful Humanities and Medicine early assurance program.
    The live webcast will include:
    • Discussion of the innovative program
    • The students perspective
    • Overview of the application process
    • Outline of academic and program requirements
    • Ample time to answer participants questions


    Tuesday, 19 March 2013

    Medical Director for Miami-Based Health Care Clinic Sentenced to 144 Months in Prison for Role in $50 Million Medicare Fraud Scheme

    WASHINGTON—A former medical director for Biscayne Milieu, a Miami-based mental-health clinic, was sentenced today to serve 144 months in prison for his role in a fraud scheme involving the submission of more than $50 million in fraudulent billings to Medicare, announced Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division; U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida; Michael B. Steinbach, Special Agent in Charge of the FBI’s Miami Field Office; and Special Agent in Charge Christopher B. Dennis of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), Office of Investigations Miami Office.
    Dr. Gary Kushner, 72, of Plantation, Florida, was sentenced by U.S. District Judge Robert N. Scola, Jr. in the Southern District of Florida. In addition to the prison term, Kushner was ordered to serve three years of supervised release.
    Kushner was convicted on August 24, 2012, of one count of conspiracy to commit health care fraud and one substantive count of health care fraud, following a two-month jury trial.
    According to the evidence at trial, Kushner and his co-conspirators caused the submission of over $50 million dollars in false and fraudulent claims to Medicare through Biscayne Milieu, which purportedly operated a partial hospitalization program (PHP)—a form of intensive treatment for severe mental illness. Instead of providing legitimate PHP services, the defendants devised a scheme in which they paid patient recruiters to refer ineligible Medicare beneficiaries to Biscayne Milieu for services that were never provided or were not properly reimbursable by Medicare. Many of the patients admitted to Biscayne Milieu were not eligible for PHP because they were chronic substance abusers, suffered from severe dementia and would not benefit from group therapy, or had no mental health diagnosis but were seeking exemptions for their U.S. citizenship applications.
    The evidence at trial further showed that, as Biscayne Milieu’s medical director, Kushner authorized the treatment of patients that he knew were ineligible for PHP treatment. Biscayne Milieu then billed Medicare for millions of dollars in PHP treatments for these patients under Kushner’s name. Evidence further revealed that Kushner would often conduct cursory examinations lasting only minutes before authorizing such fraudulent billings.
    Various owners, doctors, managers, therapists, patient brokers, and other employees of Biscayne Milieu have also been charged with various health care fraud, kickback, money laundering, and other offenses in two indictments unsealed in September 2011 and May 2012. Biscayne Milieu, its owners, and more than 25 of the individual defendants charged in these cases have pleaded guilty or have been convicted at trial. Antonio and Jorge Macli and Sandra Huarte—the owners and operators of Biscayne Milieu—were each convicted at trial of various offenses and are scheduled for sentencing in April 2013.
    This case is being prosecuted by Assistant U.S. Attorneys Michael Davis, Marlene Rodriguez and James V. Hayes of the U.S. Attorney’s Office for the Southern District of Florida; James V. Hayes was formerly a Trial Attorney in the Criminal Division’s Fraud Section. The case was investigated by the FBI with the assistance of HHS-OIG and was brought by the U.S. Attorney’s Office for the Southern District of Florida in coordination with the Medicare Fraud Strike Force, supervised by the Criminal Division’s Fraud Section.
    Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged more than 1,480 defendants who have collectively billed the Medicare program for more than $4.8 billion. In addition, HHS’s Centers for Medicare and Medicaid Services, working in conjunction with HHS-OIG, is taking steps to increase accountability and decrease the presence of fraudulent providers.
    To learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), go to www.stopmedicarefraud.gov.

    Two Medicare Beneficiaries Found Guilty of Soliciting Kickbacks in Home Health Care Case

    Wifredo A. Ferrer, United States Attorney for the Southern District of Florida; Michael B. Steinbach, Special Agent in Charge, Federal Bureau of Investigation (FBI); Miami Field Office, Antonio J. Gomez, Postal Inspector in Charge of the U.S. Postal Inspection Service; and Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), inform that a federal jury found defendants Rene Suarez-Basanta, 67 years of age, and Marta Gonzalez, also 67 years of age, guilty of charges related to Medicare fraud.
    The conviction of the defendants stemmed from the investigation of Safe Home Health Care Inc., a home health agency in Miami that was offering and paying kickbacks to obtain beneficiaries to serve as patients for home health services, mostly physical therapy. Conspirators at the agency used the beneficiary information to bill Medicare. Defendants Suarez-Basanta and Gonzalez were convicted of conspiring to pay and receive kickbacks. Defendant Gonzalez was also convicted of two additional counts for soliciting and accepting kickbacks in exchange for serving as a patient of Safe Home Health Care Inc. and having her parents serve as patients of Safe Home. In addition to be patients recruiters, Suarez-Basanta and Gonzalez are Medicare beneficiaries.
    In total, nine defendants have been convicted of paying and receiving health care kickbacks in this investigation. Defendants Suarez-Basanta and Gonzalez are scheduled to be sentenced on May 25, 2013, at 10:00 a.m., before United States District Judge Ursula Ungaro, in Miami.
    Mr. Ferrer commended the investigative efforts of the Federal Bureau of Investigation, U.S. Postal Inspection Service and the Office of the Inspector General for the Department of Health and Human Services. The case was prosecuted by Assistant U.S. Attorney Eric Morales.
    A copy of this press release may be found on the website of the United States Attorney’s Office for the Southern District of Florida at www.usdoj.gov/usao/fls.

    Friday, 15 March 2013

    Substance Abuse Counselor Pleads Guilty to Federal Health Care Fraud Charge

    David B. Fein, United States Attorney for the District of Connecticut, announced that Alan Emmett Bradley, 57, of Norwalk, Connecticut, and Ocoee, Florida, pleaded guilty today before United States District Judge Vanessa L. Bryant in Hartford to one count of health care fraud.
    According to court documents and statements made in court, Bradley, a certified alcohol and drug abuse counselor, obtained the Medicaid identification numbers of various Medicaid clients and used the identification numbers to submit hundreds of claims to Connecticut’s Department of Social Services. The claims alleged that Bradley performed 75- to 80-minute individual psychotherapy sessions to these Medicaid clients at his office in Norwalk. Hundreds of these counseling sessions did not occur and, for many of them, Bradley was actually living and attending school in Florida.
    The Connecticut Medicaid program is a joint federal-state program designed primarily to finance the provision of medical services to the indigent. It is administered in Connecticut by the Department of Social Services and is also supervised by the federal Centers for Medicare and Medicaid Service.
    Through this scheme, Bradley defrauded the Connecticut Medicaid program of $151,898.75.
    Bradley was arrested in Florida on May 17, 2012. He has been detained since November 29, 2012, after he was found to have violated certain conditions of his pretrial release.
    Judge Bryant has scheduled sentencing for June 5, 2013, at which time Bradley faces a maximum term of imprisonment of 10 years and a fine of up to $250,000.
    This matter is being investigated by the U.S. Department of Health and Human Services-Office of Inspector General and the Federal Bureau of Investigation. The case is being prosecuted by Special Assistant United States Attorney Michael Ahearn, Assistant United States Attorney David Sheldon, and Auditor Kevin Saunders.
    U.S. Attorney Fein encouraged individuals who suspect health care fraud to report it by calling the Health Care Fraud Task Force at 203-777-6311 or 1-800-HHS-TIPS.

    Armenian National Sentenced to 41 Months in Prison for Role in Health Care Fraud Conspiracy

    BRUNSWICK, GA—Khoren Gasparian, 30, an Armenian national, was sentenced last Friday by Chief United States District Court Judge Lisa Godbey Wood to 41 months in prison for his role in a conspiracy to defraud Medicare through phony medical businesses in Savannah, Georgia.
    Gasparian, who at the time of these offenses was in the United States on an expired visa from Armenia, previously pleaded guilty to a conspiracy to defraud Medicare. According to the evidence presented at Gasparian’s guilty plea and sentencing hearings:
    From 2008 through 2010, Gasparian and others opened medical equipment companies in Savannah, Georgia, known as Healthy Family, SOJ Group, and Savana Medical. Once opened, Gasparian and his cohorts stole the identities of hundreds of Medicare beneficiaries; stole the identities of dozens of doctors; and used this stolen information to submit hundreds of thousands of dollars in phony claims to Medicare for health care services that were never provided. Gasparian and others used the stolen identities of doctors and patients from multiple different states, including Alaska, California, New York, and Ohio and even submitted claims for people that were dead at the time they were alleged to have been provided medical equipment. Gasparian was also connected with at least two other phony health care businesses located in California and New Mexico. He was responsible for approximately $1 million worth of fraudulent claims submitted to Medicare.
    United States Attorney Edward J. Tarver said, “Medicare fraud affects every American taxpayer. The United States Attorney’s Office has aggressively pursued healthcare fraudsters from around the world who’ve attempted to set up shop here in the Southern District of Georgia. The risk of detection is high for those who submit fraudulent claims to Medicare and the penalty will be substantial.”
    “Criminals who steal from federal health care programs and taxpayers will be prosecuted to the fullest extent of the law,” said Derrick L. Jackson, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General for the Atlanta region. “The Office of Inspector General and our law enforcement partners will continue to aggressively pursue these thieves to ensure they are held accountable.”
    Mark F. Giuliano, Special Agent in Charge, FBI Atlanta Field Office, stated, “The FBI will continue to work with its various law enforcement partners to identify, investigate, and bring forward for prosecution those individuals such as Mr. Gasparian who would steal funds from much needed federal programs such as Medicare.”
    In addition to being sentenced to 41 months in prison, Gasparian was ordered to pay restitution in the amount of $182,735 and to serve three years of supervised release upon completion of his prison sentence. There is no parole in the federal system. At the time of his guilty plea in Georgia, Gasparian was serving a prison sentence based on his guilty plea to a health care fraud offense in the United States District Court for the District of New Mexico. After Gasparian finishes serving his prison sentences, he will face immigration proceedings that will likely result in his deportation to Armenia.
    The prosecution of Gasparian in the Southern District of Georgia is part of a multi-jurisdictional investigation involving more than $200 million worth of phony claims submitted to Medicare. More than 35 defendants were arrested as part of this investigation. In addition to the Southern District of Georgia, numerous charges were filed in New York, Los Angeles, Cleveland, and Albuquerque.
    The investigation in the Southern District of Georgia was the result of a multi-agency team of federal, state, and local agents, led by the Federal Bureau of Investigation (FBI), the Department of Health and Human Services-Office of the Inspector General (HHS/OIG), and Immigration and Customs Enforcement (ICE), working together to combat health care fraud. Assistant United States Attorney Brian T. Rafferty prosecuted the case on behalf of the United States. For additional information, please contact First Assistant United States Attorney James D. Durham at (912) 201-2547.