Medical Spa Lawyer
Paddy Deighan, the Premier Medical Spa Lawyer

• The Department of Justice said it has charged 78 people with $2.5 billion in health-care fraud as part of a coordinated crackdown.
• The DOJ said the defendants allegedly defrauded programs used to take care of elderly and disabled people, and in some cases used the ill-gotten money to buy exotic cars, jewelry and yachts.
• Among those charged are 11 defendants accused of submitting $2 billion in fraudulent claims through telemedicine, as well as 10 defendants charged in connection with fraudulent prescription drug claims.

The Department of Justice announced Wednesday that it has recently charged 78 people with $2.5 billion in separate health-care fraud and opioid abuse schemes.

The defendants allegedly defrauded programs used to take care of elderly and disabled people, and in some cases used the ill-gotten money to buy exotic cars, jewelry and yachts, the DOJ said.

Among those charged are 11 defendants accused of submitting $2 billion in fraudulent claims through telemedicine, as well as 10 defendants charged in connection with fraudulent prescription drug claims.

In all, prosecutors filed charges against people in 16 states in cases that were lodged or unsealed in the past two weeks as part of the coordinated crackdown.

The defendants include “physicians and other licensed medical professionals who lined their own pockets, including doctors who allegedly put their patients at risk by illegally providing them with opioids they did not need,” the DOJ said in a press release.

Attorney General Merrick Garland in a statement said, “These enforcement actions, including against one of the largest health care fraud schemes ever prosecuted by the Justice Department, represent our intensified efforts to combat fraud and prosecute the individuals who profit from it.”

In the scheme cited by Garland, executives of supposed software and services companies submitted $1.9 billion in fraudulent claims to Medicare for items that were not eligible for reimbursement, according to the DOJ.

The defendants in that case are Brett Blackman and Gregory Schreck of Johnson County, Kansas, and Gary Cox of Maricopa County, Arizona, who allegedly used mass telemarketing operations to sell the elderly and disabled expensive and unnecessary medical equipment and prescriptions, according to an indictment in U.S. District Court for the Southern District of Florida.

Happy Memorial Day!!! Never Forget

Every day there are outrageous stories about a state or local government wanting to allow children to consent to gender transition treatments without parental consent….and government deciding that children belong to “all of us”. My favorite is trans athletes competing in the class of their choice. Other than the obvious absurdity in this….isn’t the simple answer….”WE DON’T ALLOW ADULTS TO COMPETE AGAINST BOYS AND GIRLS FOR OBVIOUS REASONS, SO WHY WOULD WE ACCEPT MEN (A TRANS WOMAN IS A MAN….IT IS A SCIENTIFIC FACT) TO COMPETE IN WOMEN’S CATEGORIES?

Isn’t this blatantly unfair and inconsistent with the above?

Happy Memorial Day!! Never Forget the sacrifice of others for the freedom of today!!

• Every medical practice has hundreds of thousands if not millions of dollars in aged accounts receivables that are deemed to be “uncollectible”. These are typically more than 120 days old since initial billing.
• Once billing has reached this stage, it is highly unlikely that a medical provider will collect the fees they are owed. The reason is that most practices are not capable of collection at this stage for the following reasons:
• Procedures were improperly billed and subsequent efforts did not correct this;
• Insurance companies are aware of the practices they can avoid paying – they track this. Once a provider is on a “list” it is more likely that their claims will be denied or remain unpaid.
• Inadequate training of billing staff…for reasons discussed below.
• ICD-10 and ICD-11 have dramatically complicated an already complex billing and coding environment.

How We Can Help?

Our programs have been in existence since 2015. Our staff is highly trained in ICD-10 and ICD-11. Most medical billing staffs have minimal training in the complex array of codes. For example, ICD-10 has more than 72,000 codes.  Billing and coding certification courses were 3-4 months in recent past. Now however, they are ONE TO TWO YEAR courses – frequently on a college level!

Our staff is up to date on all aspects of billing and coding. One of our participating attorneys has reviewed thousands of practices over 30 years and he has yet to find one with a fully trained staff.

He has developed the program we call “Medical Fee Recovery”.

The core of our program is attorneys. You need them on your side. They know how to collect the fees that you have earned. They know the secrets that insurance companies will never tell you. One of our attorneys is the former American Bar Association Chairman for Insurance Law. He knows the game.

Our attorneys researched your rights in all 50 states and the legal right for you to be paid is the core of our business.

Our Offer to You

Our process is simple. One form and one simple contract and we will begin to collect the fees that are owed to you. You treated the patients and you are entitled to your fees.

The best part is that we will accept a percentage of the recovered fees. YOU HAVE NOTHING TO LOSE AND EVERYTHING TO GAIN.

Recently, a semi retired physician in New York gave us almost $500,000 in fees owed from 2019! We were able to collect $200,000. You can imagine how happy he was when he received his check from us!!!!

Another physician sent us $200,000 in aged accounts receivables and we collected $100,000 in less than one month!

• Easy enrollment
• No Risk to You
• Collect money that was deemed “uncollectible”

YES, WE DO PERFORM ALL MEDICAL BILLING SERVICES AND WE CAN PROVIDE FUNDING FOR WORKERS COMPENSATION AND PERSONAL INJURY INSURANCE CLAIMS! ASK US!!

Paddy Deighan JD PhD

http://www.medicalandspaconsulting.com

Many do not realize that healthcare is the largest industry in the United States. Healthcare comprises about 15% of US GDP. It is not surprising that healthcare is also the most heavily regulated industry. Equally troubling is the realization that most healthcare facilities are not professionally managed. This is hard to imagine.

For most facilities, medical billing and coding is the lifeline of the facility. Billing and coding is only part of the equation. Revenue cycle management (RCM) is a more comprehensive/full circle view of managing the financial aspects of a modern medical practice. RCM is frequently professional, outsourced comprehensive array of services that complete the circle of a full service view of a modern medical facility.

Two of the best RCM companies that I have encountered are RCMMatter.com and DoctorPapers.com . These two companies excel at revenue cycle management because they utilize tech experts, certified billing and coding experts as well as physicians and doctors in the delivery of their services.

In tis challenging healthcare environment, you meed seasoned professionals to assist you and these two entities are the best.

Paddy Deighan JD PhD

http://www.medicalandspaconsulting.com

• Every medical practice has hundreds of thousands if not millions of dollars in aged accounts receivables that are deemed to be “uncollectible”. These are typically more than 120 days old since initial billing.
• Once billing has reached this stage, it is highly unlikely that a medical provider will collect the fees they are owed. The reason is that most practices are not capable of collection at this stage for the following reasons:
• Procedures were improperly billed and subsequent efforts did not correct this;
• Insurance companies are aware of the practices they can avoid paying – they track this. Once a provider is on a “list” it is more likely that their claims will be denied or remain unpaid.
• Inadequate training of billing staff…for reasons discussed below.
• ICD-10 and ICD-11 have dramatically complicated an already complex billing and coding environment.

How We Can Help?

Our programs have been in existence since 2015. Our staff is highly trained in ICD-10 and ICD-11. Most medical billing staffs have minimal training in the complex array of codes. For example, ICD-10 has more than 72,000 codes.  Billing and coding certification courses were 3-4 months in recent past. Now however, they are ONE TO TWO YEAR courses – frequently on a college level!

Our staff is up to date on all aspects of billing and coding. One of our participating attorneys has reviewed thousands of practices over 30 years and he has yet to find one with a fully trained staff.

He has developed the program we call “Medical Fee Recovery”.

The core of our program is attorneys. You need them on your side. They know how to collect the fees that you have earned. They know the secrets that insurance companies will never tell you. One of our attorneys is the former American Bar Association Chairman for Insurance Law. He knows the game.

Our attorneys researched your rights in all 50 states and the legal right for you to be paid is the core of our business.

Our Offer to You

Our process is simple. One form and one simple contract and we will begin to collect the fees that are owed to you. You treated the patients and you are entitled to your fees.

The best part is that we will accept a percentage of the recovered fees. YOU HAVE NOTHING TO LOSE AND EVERYTHING TO GAIN.

Recently, a semi retired physician in New York gave us almost $500,000 in fees owed from 2019! We were able to collect $200,000. You can imagine how happy he was when he received his check from us!!!!

Another physician sent us $200,000 in aged accounts receivables and we collected $100,000 in less than one month!

• Easy enrollment
• No Risk to You
• Collect money that was deemed “uncollectible”

YES, WE DO PERFORM ALL MEDICAL BILLING SERVICES AND WE CAN PROVIDE FUNDING FOR WORKERS COMPENSATION AND PERSONAL INJURY INSURANCE CLAIMS! ASK US!!

Platelet Rich Plasma (PRP) is utilzed in many aspects of aesthetic medicine. In my world of aesthetic medicine, the uses for PRP have continuously evolved. There will be additional uses in the future. However, I thought I would start the new year out with a review.

SKIN REJUVENATION: Probably the broadest application is skin rejuvenation. The reason is simple. This is the mpost requested aesthetic medical procedure. PRP injections have proven to be efficacious because they increase dermal collagen production levels. Consequently, skin appears more youthful and radiant.

Platelet Rich Plasma may also be utilized in conjunction with other modalities to increase the positve effects upon skin texture and tone. For example, topical application of PRP and/or microneedling together with injections of PRP may enhance the postive effects of PRP.

HAIR REJUVENATION: PRP has been successfully employed to treat androgenic alopecia (hair loss). Results have been very variable but it is undeniable that this modility holds a lot of potential as a frontline defense against hair loss and as a weapon to regrow lost hair.

PRP has been combines with transplantation surgery as well as utlized as a stand alone procedure. The results have been outstanding both in terms of hair density as well as number of follicular units (number of hairs) LOL.

ACNE SCARRING: PRP in conjunction with microneedling has also proven effective to approve the appearanace of scars. Best results may also require laser to dimish the discoloration but PRP and microneedling siugnificantly improve the appearanace of all scarring.

Paddy Deighan J.D. Ph.D

I am one of the people that finds it amazing that Influenza has seemingly disappeared during the pandemic.  I believe that many COVID cases are Influenza and that there are many false positives and misdiagnoses. Yes, COVID is a very serious health threat and proper care is necessary. However, we are being deceived in my opinion and the proof is in the CDC itself.

During last year’s flu season which began in October 2019, the Department of Health and Human Services reported up to 56 MILLION cases of influenza. 

Remember, this was the 2019 flu season… so before the Covid hysteria.

How many influenza cases do you think have been reported so far this flu season? 10 million? 1 million? 100,000? Guess!!!

According to the most recent CDC data, the total number of influenza cases reported in the Land of the Free this flu season through December 27, 2020 is a whopping 877.

That’s right,  fewer than 1,000 people in the US have had the flu during this flu season. 

Seriously? Are we honestly supposed to believe that our infallible public health officials have miraculously eradicated influenza?

Or is it possible that, maybe just maybe, influenza cases are being counted as COVID ?

We already know the Covid numbers have enjoyed quite a bit of fuzzy arithmetic. Covid reporting standards in many municipalities, states, and countries require that anyone who tests positive for COVID and passes away is automatically counted as a COVID-related death.

Motorcycle accidents, heart attacks, even cancer… they’re being counted as COVID deaths.

Just a few weeks ago there was a murder-suicide in Grand County, Colorado in which the police report listed cause of death as “blunt force injuries due to a gunshot wound”.

But Colorado public health officials listed both of the deceased as COVID deaths.

Even the CDC acknowledges that 94% of all reported COVID deaths were related to some other condition besides, or in addition to, COVID-1984. So only 6% of reported deaths were pure COVID.

The CDC also stated that, “on average, there were 2.6 additional conditions or causes” for every single COVID death reported in the Land of the Free, including (as we now know) murder, suicide, heart attack, and traffic accident.

It’s remarkable that, if someone tests positive for COVID and dies for any reason, the cause of death will often be reported as COVID.

Paddy Deighan J.D. Ph.D

In the country’s quest to save people from themselves, the Britain will ban “buy one get one free” offers, and other promotions, on unhealthy food items.

The rules which go into effect in April 2022 also forbid restaurants from giving free soda refills, and stop unhealthy items from being featured at the checkout.

The argument is that obesity related illness costs the socialized healthcare system of the UK 6 billion pounds per year. Who calculates this nonsense? Ya sure it isn’t 7 billion pounds?

Therefore the government has the right to dictate health standards to citizens and business alike.

Sounds a bit reminiscent of NYC Mayor Bloomberg’s soda ban a few years back. How’d that work out for saving health care dollars?

Sure curbing obesity is a noble objective but is this really going to work? If we want to really eat unhealthy food we are going to do it. Fact of the matter is that healhty food is waaay more expensive than unhealthy food. Lower the cost of health food!

The U.K. study determined that BOGO offers increased consumer purchases by 20% and this may be a good thing…but not if the consumer is buying unhealthy food in the eyes of the British government.

Thank God they lost the right to ram this down our unhealthy throats 244 years ago…but then again…we have our own insanity.

Paddy Deighan J.D. Ph.D

Love the emergency calls from clients during the holidays. We all receive them and it is seldom an emergency.  Certified mail from the IRS. Never a good thing. I maintain that nothing good comes certified mail LOL  Terry Bradshaw brings the check to you in a van – not certified mail!

So I advise the client that I just received the letter to and I will look into it. I received the letter too.

The IRS claims that the corporate client paid its taxes late. I do not file taxes, However,  by the acknowldgement on the notice, the taxes were filed timely and paid timely.  The Internal Revenue Service impounded a late fee of 84 cents . Yup, 84 cents. HOWEVER, the interest on the 84 cents is magically 92 cents after two months @ 6% statutory interest.

So the printing and mailing far exceeded the amount owed even if it was owed.  Not to mention that the amount is not owed.

As a final act of government efficicency, the notice was dated December 22, 2020 but the payment was due December 5, 2020.

Ya just can’t make this stuff up.

Paddy Deighan J.D. Ph.D