Join a practice in the past involved with insurance fraud?

[Nonphysiologic]

Hey guys,

So I was looking to join a practice at one point that looks great on paper, nice solo practice for many years, financially very good too. The contract was pretty fair and above MGMA data. I was getting really excited about it until I googled him and found reports that “he submitted fraudulent bills and received improper payments from federal and state health insurance programs” and paid a ton of money to the justice department.

Would you guys still join the practice as an employee even though that was a couple years ago and the money is great and everyone seemed very nice?

If you don’t mind can you list specific reasons why?

My inclination is not to because it just seems shady but idk if I have any good specific reasons why I shouldn’t especially if my contract guarantees a salary.

Thanks.


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[drusso]

Hey guys,

So I was looking to join a practice at one point that looks great on paper, nice solo practice for many years, financially very good too. The contract was pretty fair and above MGMA data. I was getting really excited about it until I googled him and found reports that “he submitted fraudulent bills and received improper payments from federal and state health insurance programs” and paid a ton of money to the justice department.

Would you guys still join the practice as an employee even though that was a couple years ago and the money is great and everyone seemed very nice?

If you don’t mind can you list specific reasons why?

My inclination is not to because it just seems shady but idk if I have any good specific reasons why I shouldn’t especially if my contract guarantees a salary.

Thanks.


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I wouldn't get involved unless I was buying the place and turning over a new leaf. If you're not going to have any say in how the business is run and its practices then you're just going to risk being tattooed by its bad reputation.

 

[pastafan]

NO WAY. You are an employee. Charges will be submitted in your name and you are responsible for their accuracy. Shady dealing can result in you being sanctioned and risk being either banned from Medicare or unable to get in network with any commercial insurance plan. Too risky as it could literally end your career.

 

[Nonphysiologic]

What about if I’m just hired as a contract worker ?


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[244913]

What about if I’m just hired as a contract worker ?


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Why- besides the $$$$ - would you want to join a practice run by someone with that history? Zebras don't usually change their stripes

- ex 61N

 

[lobelsteve]

Only

What about if I’m just hired as a contract worker ?


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Please post your SSN and NPI. And give me 12 hours. I can steal millions from CMS, insurers, and you personally, and you will get all the blame.

 

[Pain Applicant1]

Why- besides the $$$$ - would you want to join a practice run by someone with that history? Zebras don't usually change their stripes

- ex 61N

This.

Absolutely not.

 

[Ducttape]

financial mind-set.... he will bill fraudulent claims on your NPI instead of his...