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Medical Professionals Turned Professional Fraudsters 

Medical Professionals Turned Professional Fraudsters 

Healthcare-10
Senior Director of Strategic Alliances
LexisNexis Risk Solutions - Government

Two Kentucky men, Dr. Jeffrey Campbell and Advanced Practice Registered Nurse Mark Dyer, and Physicians Primary Care, PLLC (PPC) were charged with conspiracy to unlawfully distribute and dispense controlled substances, conspiracy to commit money laundering, and conspiracy to commit healthcare fraud. After a six-week trial, a federal jury convicted Campbell and Dyer on 13 charges. 

 

These two fraudsters were found guilty of distributing and dispensing controlled substances without medical purpose between January 2009 and December 2016. (The actual purpose was to make a quick buck or two.) Obviously, the Oxycodone and Methadone prescriptions did not follow professional practice. (Clearly, they forgot about the part where they agreed to the Hippocratic Oath.) 

 

Both men were also found guilty of conspiring to commit health care fraud and for unrightfully billing Kentucky Medicaid, Indiana Medicaid, and Medicare. (After defrauding the Kentucky, Indiana, and U.S Government’s healthcare systems, they might want to search for a new home – like in another country.) They carried out their fraud by submitting false claims for physical therapy, counseling, and exercise services using evaluation and management codes in hopes of gaining higher reimbursement

 

The jury also convicted Campbell and Dyer of billing for physical therapy services as though they were delivered by a physician. The services were actually provided by two unqualified workers. (No surprise there.) And let’s not forget that they were also convicted of conspiracy to commit money laundering. They paid and received bonuses to incentivize physical therapy, counseling, and exercise orders(These two were just full of fraudulent surprises.)

 

On September 8, 2021, Campbell and Dyer will receive their sentence for committing healthcare fraud. At that time, let’s hope the justice system sends a strong message to these two men who broke their oath as medical professionals to do no harm to their patients. 

 

Today’s Fraud of the Day comes from a Department of Justice press release, “Kentuckiana Physician And Nurse Practitioner Found Guilty of Conspiracy To Distribute Controlled Substances, Conspiracy To Commit Health Care Fraud, And Conspiracy To Commit Money Laundering,” dated June 19, 2021. 

 

LOUISVILLE – On Friday, June 11, 2021, a federal jury convicted a Louisville physician, nurse practitioner, and the medical practice in United States District Court, before District Judge Rebecca G. Jennings, of conspiracy to unlawfully distribute and dispense controlled substances, conspiracy to commit health care fraud, and conspiracy to commit money laundering.”¯”¯ 

 

Following a six-week trial, the jury deliberated approximately three days before finding Dr. Jeffrey Campbell, Advanced Practice Registered Nurse Mark Dyer, and Physicians Primary Care, PLLC (“PPC”), guilty on 13 of 22 charges. Sentencing is scheduled before Judge Jennings on September 8, 2021, at 9 a.m., in Louisville. 

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