PITTSBURGH – A former medical doctor was sentenced in federal court docket currently next his conviction for health and fitness treatment fraud, Performing United States Attorney Troy Rivetti introduced now.
United States District Decide W. Scott Hardy sentenced John Keun Sang Lee, age 80, to five years of probation. Lee also was ordered to pay restitution totaling $417,960.51 to Medicare and Medicaid, as well as a great of $50,000. Lee previously had forfeited his Drug Enforcement Administration quantity and Pennsylvania state license to apply drugs prior to the sentencing listening to.
According to facts offered to the court, concerning in and all-around May well 2016 to in and close to October 2020, Lee, a doctor who owned a discomfort administration practice, Jefferson Pain and Rehabilitation Centre, knowingly and willfully submitted statements for steroid injections to Medicare and Medicaid that were neither acceptable nor medically needed. In accordance to former patients and employees, Lee required clients to submit to steroid injections, even when individuals documented that the injections have been not serving to but relatively leading to them more ache and other accidents. Lee also instructed workforce to withhold affected individual medication if people objected to the injections. In get to justify billing insurance businesses for the medically unwanted injections, Lee directed team to use templates indicating that patients acquired 80% aid from prior ache injections.
Assistant United States Lawyer Karen Gal-Or prosecuted this circumstance on behalf of the govt.
The investigation top to the submitting of fees in this circumstance was executed by the Western Pennsylvania Opioid Fraud and Abuse Detection Unit (OFADU). The Western Pennsylvania OFADU, led by federal prosecutors in the U.S. Attorney’s Business, brings together the expertise and methods of federal and state law enforcement to address the position played by unethical health-related pros in the opioid epidemic.
The organizations which comprise the Western Pennsylvania OFADU contain: Federal Bureau of Investigation, U.S. Health and fitness and Human Solutions – Office environment of Inspector Typical, Drug Enforcement Administration, Inner Profits Support-Legal Investigation, Pennsylvania Workplace of Lawyer Standard – Medicaid Fraud Management Unit, Pennsylvania Place of work of Attorney General – Bureau of Narcotic Investigations, United States Postal Inspection Assistance, U.S. Attorney’s Business office – Legal Division, Civil Division and Asset Forfeiture Unit, Section of Veterans Affairs-Workplace of Inspector General, Foods and Drug Administration-Business office of Felony Investigations, U.S. Office environment of Staff Administration – Office of Inspector Typical and the Pennsylvania Bureau of Licensing.