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#888657 - 05/21/09 02:20 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: jkn8]
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Board Addict
Registered: 04/30/07
Posts: 371
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Hi everyone..well i thought i would let you all know that the Dr is doing reconsults again,,, but has to modify prescriptions untill his case gets settled,,but is trying to help his patients the best he can for now,,, which is great news,,, it really shows that he does still care about us and is trying his hardest to keep us as comfortable as he can,,, iam due for my reconsult ..well late really because i have been stuck in bed sick,,, very painful.. but anyway i will let you all know how it turns out ,, and i hope the dr and his team pull through this hard time,, take care everyone.. just thought i give a brief update for anyone interested.. sincerely Faith
Edited by Faith2005 (05/21/09 02:20 PM)
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#946461 - 10/19/09 10:09 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: APAININTAMPA]
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Journeyman
Registered: 04/23/09
Posts: 53
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Lakeland Pain Doctor Faces New Charges Allegations of Medicare fraud heaped on physician accused of improperly distributing painkillers. By Robin Williams Adams The Lakeland Ledger
Published: Sunday, October 18, 2009 at 12:01 a.m. Last Modified: Monday, October 19, 2009 at 12:15 a.m. LAKELAND | A federal grand jury has lodged additional charges against Dr. Jeffrey Friedlander and three staff members arrested with him in April on charges of conspiring to dispense addictive painkillers.
They worked at the Neurology and Pain Centers in Lakeland, Tampa, Sarasota, St. Petersburg, Jacksonville and Orlando. A hearing is scheduled Oct. 29 for arraignment on a "superseding indictment," basically taking the place of the earlier one, that adds accusations of Medicare fraud and retains the previous allegations of improperly distributing painkillers.
The arraignment is scheduled for Friedlander, physician assistant Troy Wubbena and employee Sarah Ehresman, according to court documents.
A fourth defendant, Carl Ehresman, an emergency medical technician, has accepted a plea agreement.
The agreement calls for him to plead guilty to conspiracy to "knowingly and intentionally distribute and dispense, and cause the distribution and dispensing of" the prescription drugs. Several charges against him would be dropped and he would testify in ongoing federal proceedings in that case.
A hearing on the plea agreement is scheduled Thursday in Tampa before Magistrate Judge Thomas G. Wilson, who also scheduled to preside at the Oct. 29 hearing.
Friedlander - board certified in internal medicine, neurology, pain medicine and vascular neurology - was the only one legally allowed to prescribe the controlled substances named in the indictment.
But the indictment contends the defendants used pre-signed, blank prescription forms on which people other than Friedlander filled in the controlled substances and dosages being prescribed.
Oxycodone, morphine, hydrocodone and alprazolam are the drugs they mostly used, according to the indictment filed earlier this month. The first three are powerful, highly addictive painkillers. Alprazolam, better known as Xanax, is for anxiety caused by depression and for anxiety and panic disorders.
A jury trial once set for Nov. 9 for all defendants has been rescheduled for February.
The indictment accuses Friedlander and Wubbena of conspiring with others to defraud Medicare by filing claims for services that weren't given. It says they billed for procedures with higher payment rates when lower-paid, less complex procedures actually had been done.
That type of billing, called upcoding, results in health providers' receiving more money than they're eligible for under Medicare. The indictment says they began committing Medicare fraud about 2006, through methods such as:
Using massage therapists to do "physical therapy" that they weren't licensed to do, while billing Medicare for legitimate physical therapy done by licensed physical therapists under the supervision of a physician.
Billing for more extensive office visits than actually occurred, requesting the higher rate for medical evaluation and management for established patients when unlicensed, nonmedical people saw patients without supervision by the physician.
Routinely billing for a procedure called facet joint block injection that needs fluoroscopic guidance with imaging equipment into a point in the vertebrae when they actually gave "trigger point" injections into painful areas of muscle. Unlicensed, nonmedical people did the trigger-point injections without a doctor's presence and supervision, the indictment charges.
_________________________
It's not what you know, it's what you know that you don't know.
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#953116 - 11/01/09 02:24 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: APAININTAMPA]
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Board Addict
Registered: 10/25/06
Posts: 317
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they may be able to fight the charges relating to the prescriptions but, now that mr. ehrsman is going to testify against the others in the case, it is quite feasible he will say ''anything'' damaging to those being charged in order to save his own tail.
as far as them not performing an adequate diagnosis, they did much more than any so-called ''legitimate'' doctor i have been too. i was asked more questions, given a thoro physical exam, asked questions about addiction, etc. but that is only my experience. that is not to say they werent doing the opposite in another room. anyways...
its the medicare charges they may have an extremely tough time fighting. it appears they are being charged with a significant amount of ''upcoding'' which is just what it sounds like, submitting claims to medicare which were not done. gotta be careful when defrauding the government. many times medicare patients do not review their explanation of benefits bc if they arent paying anything out of pocket, or have a set copay each time, what doesnt it matter to the patient if $5 was charged or $5,000, they have to pay the same $X copay each time (that is of course if they even have a copay.)
an interesting thing to note is that the amount they are alleged to have schemed looks like to be roughly $1,100 total. it is VERY conceivable that the billing person erroneously posted those charges since they occurred over the course of approx. one year throughout 2007-2008. it is very very rare the doctor themselves will post charges as that is why they have a biling dept./billing person to post charges, submit claims, etc. its very interesting bc if the doctors did in fact try to scam the medicare system, why did they not do it prior to 2007 and why stop after only so short a time. further, it appears this couldve been done with only one or a few patients when they were undoubtedly seeing many more. so why try to scam for only $1,000 and not go for so much more as doctors who conciously scam are prone to do. that is why you read about million dollar scams being perpertrated bc its done on every single patient. it doesnt look like the case here.
however, the court system sucks and even if they are innocent, they obviously are facing some super serious charges and its going to take some time and be very expensive to get through all this.
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