{"id":55536,"date":"2024-02-16T21:20:07","date_gmt":"2024-02-17T05:20:07","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=55536"},"modified":"2024-02-16T21:20:07","modified_gmt":"2024-02-17T05:20:07","slug":"calif-doctor-convicted-for-role-in-a-scheme-to-defraud-medicare-by-billing-2-8-million-for-hospice-services-not-needed-by-patients","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=55536","title":{"rendered":"Calif. Doctor Convicted for Role in a Scheme to Defraud Medicare by Billing $2.8 Million for Hospice Services Not Needed by Patients"},"content":{"rendered":"<div class=\"node-body\">\n<div>\n<div class=\"field-formatter--text-default field-text-format--wysiwyg text-formatted field_body\">\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5061 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/07\/Department-of-Health-and-Human-Services-Inspector-General.jpg\" alt=\"\" width=\"298\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/07\/Department-of-Health-and-Human-Services-Inspector-General.jpg 298w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/07\/Department-of-Health-and-Human-Services-Inspector-General-150x150.jpg 150w\" sizes=\"auto, (max-width: 298px) 100vw, 298px\" \/>A federal jury convicted a California man yesterday for his role in a scheme to defraud Medicare by billing $2.8 million for hospice services that patients did not need, officials stated.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">According to court documents and evidence presented at trial, Dr. John Thropay, 74, of Arcadia, was the medical director of several hospice companies, including Blue Sky Hospice Inc. in Van Nuys, California.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">He is scheduled to be sentenced on May 28. He faces up to 10 years in prison on each count.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">From October 2014 to March 2016, Thropay fraudulently certified Medicare patients of Blue Sky as having terminal illnesses that the patients did not have so that Blue Sky Hospice could bill Medicare for hospice services. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">In 2015, Thropay was listed as an attending provider for more hospice claims paid by Medicare than any other provider nationwide.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">The jury convicted Thropay of one count of conspiracy to commit health care fraud and four counts of fraud. <\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-7271\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Fraud-Image-300x198.jpg\" alt=\"FBI Photo Image\" width=\"405\" height=\"267\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Fraud-Image-300x198.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Fraud-Image-90x60.jpg 90w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Fraud-Image-180x120.jpg 180w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Fraud-Image-95x64.jpg 95w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Fraud-Image.jpg 353w\" sizes=\"auto, (max-width: 405px) 100vw, 405px\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">He is scheduled to be sentenced on May 28 and faces a maximum penalty of 10 years in prison on each count. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">Health and Human Services Office of Inspector General and the FBI investigated the case.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">Assistant Deputy Chief Niall M. O\u2019Donnell and Trial Attorney Eric C. Schmale of the Criminal Division\u2019s Fraud Section are prosecuting the case.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">The Fraud Section leads the Criminal Division\u2019s efforts to combat healthcare fraud through the Health Care Fraud Strike Force Program. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">Since March 2007, the program, comprised of nine strike forces operating in 27 federal districts, has charged more than 5,400 defendants who have billed federal health care programs and private insurers more than $27 billion. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: arial, helvetica, sans-serif; font-size: 20px;\">In addition, the Centers for Medicare &amp; Medicaid Services, working in conjunction with HHS-OIG, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at <a href=\"http:\/\/www.justice.gov\/criminal-fraud\/health-care-fraud-unit\">www.justice.gov\/criminal-fraud\/health-care-fraud-unit<\/a>.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A federal jury convicted a California man yesterday for his role in a scheme to defraud Medicare by billing $2.8 million for hospice services that patients did not need, officials stated. According&#8230;<\/p>\n","protected":false},"author":1,"featured_media":55537,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,3],"tags":[],"class_list":["post-55536","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fbi","category-u-s-department-of-justice"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Calif. 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