Texarkana Physician Agrees to Pay $118,000 to Settle Medicare Billing Fraud Allegations
Texarkana
   
 
More Today's News:
ߦ   Jury Convicts South Texas Man for Transporting Illegal Undocumented Chinese Nationals Among Others
ߦ   Kitchen Supervisor Pleads Guilty to Actions Related to Prohibited Relationship with Federal Inmate
ߦ   Laredoan Pleads Guilty to Child Pornography Charge
ߦ   Last of 11 Convicted in Charges Stemming from Rap Video filmed at Lakewood Park
ߦ   Meth Lab, False Statements and Illegal Re-Entry Indictments Returned
ߦ   Mexican Foreign National Convicted of Meth Trafficking
ߦ   Mexican National Charged with Importing Large Amount of Meth
ߦ   Paris Police Dept - Activity Summary
ߦ   Quality of Life Advisory Board Vacancies Announced
ߦ   South Texas Man Sentenced for Smuggling More Than 30 pounds of Drugs
ߦ   Speeding Motorcycle Leads to Fatality Accident
ߦ   Three Men Indicted for Bank Robbery Inside Gallery Furniture
ߦ   Worldwide Sweep Targets Business Email Compromise
ߦ   Bangladeshi National Arrested in Texas to Face Charges for Conspiracy to Bring Aliens into the U.S.
ߦ   Amber Alert issued for 15-year-old girl out of Pearland
ߦ   Associate of Former Border Patrol Agent Sentenced for Conspiracy to Commit Bribery
ߦ   Authorities identify gunman in deadly Odessa shooting
ߦ   Babysitter admits he caused 2-year-old's skull and rib fractures while high: police
ߦ   Woman Admits to Importing Meth
ߦ   7 killed, 22 injured in West Texas shooting rampage

 
Search Archives:

 TEXARKANA, Texas – A Texarkana, Texas, physician has agreed to pay $118,000 to settle allegations of improper billing practices for his Medicare patients at his three clinics, announced U.S. Attorney Joseph D. Brown today.

 

Dr. Donald S. Douglas, 50, operates clinics in Texarkana and New Boston, Texas.  The United States’ allegations against Dr. Douglas are contained in a settlement agreement between the parties.  According to the allegations, Dr. Douglas’ advanced practice nurses (sometimes referred to as APNs or mid-level practitioners) were hired to assist him with seeing patients in his clinics.  Under Texas law, APNs may perform certain duties such as treating and diagnosing patients, performing exams, and other functions. If the services are provided with proper physician supervision, they may be billed to Medicare at the full physician rate.  Without direct supervision, APNs may bill Medicare under their own identification number at a reduced rate.  The United States alleged that Dr. Douglas billed Medicare for services provided by his APNs at the full physician rate even when a physician was not available to supervise the APNs’ services.

 

“Pursuing healthcare fraud is a top priority for my office,” said U.S. Attorney Joseph D. Brown. “When providers such as Dr. Douglas enrich themselves at the expense of Medicare, we will hold them to account.” 

 

CJ Porter, Special Agent In Charge, Department of Health and Human Services Office of the Inspector General, Office of Investigation said, “Patients can be assured that the government will investigate outlays of taxpayer funds earmarked for medical care to ensure it is delivered by properly licensed and supervised practitioners and at the correct and allowable rate.” 

 

Under the terms of the settlement agreement, Dr. Douglas does not admit liability.  The United States does not allege the services were not provided or that Dr. Douglas’ APNs provided inferior care.  Dr. Douglas cooperated with the government’s investigation and will pay $118,000 to settle the allegations.

 

The Medicare program is a federally-funded health care program that provides health care benefits for persons aged 65 and older or for those who receive Social Security Disability Insurance.  Funding is partly provided by Social Security and Medicare taxes.  The program is administered by the Centers for Medicare & Medicaid Services (CMS) which is an agency under the United States Department of Health and Human Services.

 

Medicare relies on the public to inform when fraud, waste, or abuse might be occurring in the health care setting.  Fraud may be reported to the Medicare Fraud Hotline at 1-800-HHS-TIPS (1-800-447-8477) and may be done anonymously.

 

This matter was investigated by the U.S. Department of Health and Human Services – Office of the Inspector General (HHS-OIG), the Federal Bureau of Investigation (FBI), and the United States Attorney’s Office for the Eastern District of Texas.  The civil settlement was negotiated by Assistant U.S. Attorney James Gillingham. 

 

 

 

 

Davilyn Walston

Public Information Officer/Law Enforcement Coordinator

U.S. Attorney's Office

Eastern District of Texas

Post a comment
Name/Nickname:
(required)
Email Address: (must be a valid address)
(will not be published or shared)
Comments: (plain text only)
Printer Friendly Format  Printer Friendly Format    Send to a Friend  Send to a Friend    RSS Feed  RSS Feed
© 1999-2019 The Police News. All rights reserved.