Saturday, December 17, 2016

Unlicensed Michigan Physician Who Saw Patients at Home Under Other Doctors' Names for 8 Years Pleads Guilty to Conspiracy to Commit Wire Fraud for Role in Billing Medicare Over $6 Million

Home visits must follow the same rules as billing at a physician's office. In addition, in certain clinics we have seen an increase in offices using foreign doctors not licensed in the U.S. to help with the workload and where services gradually creep into the unlicensed practice of medicine.

A recent case shows what happens when unlicensed personnel bill for services under another physician's name. On December 9, 2016, Renald Dasine, an unlicensed Michigan physician, pleaded guilty to one count of conspiracy to commit wire fraud before U.S. District Judge John Corbett O’Meara of the Eastern District of Michigan.  Sentencing has been scheduled for March 8, 2017. 

As part of his guilty plea, Mr. Dasine admitted that in connection with his employment at a Detroit in-home physician services company known as B and M Visiting Doctors PLC, he submitted fraudulent claims to Medicare from 2005 to 2013. Mr. Dasine admitted he saw patients and falsified related patient records, including medical documents, prescriptions for controlled substances and billing documents, all under the name of a licensed medical doctor. 

Three other unlicensed individuals, Cecil Alexander Kent, Charles McRae and Alvin Williams, previously pleaded guilty for their involvement in the B and M Visiting Doctors PLC billing for services provided by unlicensed individuals. They were indicted back in 2013 which shows how long these cases take to resolve. B and M allegedly billed Medicare approximately $6.3 million during this 8 year time period. 

Attorney Commentary: Ancillary personnel can be very useful in making a medical practice run smoothly and profitably. The key is to ensure that where licensed personnel are required to do their services that the unlicensed personnel do not perform those services or do anything that will be billed to insurance or federal or state health care plans.

Posted by Tracy Green, Esq.
Green and Associates, Attorneys at Law
Phone: 213-233-2260


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