Podiatrist Sentenced for Medicare and Medicaid Fraud (IL)

West Peoria podiatrist was sentenced Friday to one year in federal prison for bilking Medicare out of thousands of dollars over the past decade by writing bills for medical procedures he didn't perform. Dr. Ernest Nwani, 57, also was ordered to repay $109,127 to Medicare and Medicaid for the bogus operations, some 400 of them in all.

Nwani, the sole medical provider for Footworld Medical Center, which he operated out of his house, admitted he defrauded the government by billing for services he didn't provide or didn't provide to the level that he charged Medicare. A company hired by the U.S. Department of Health and Human Services to combat fraud last year noted irregular billing practices by the doctor. An investigation revealed patients did not have procedures or even surgeries for which Nwani had billed Medicare.

From 2002 until 2006, Nwani submitted claims, which Medicare paid, for 539 surgical procedures of various types regarding 442 patients and claims for the permanent removal of 1,082 toenails from 394 patients, according to court records. Medicare paid $171,760 for the surgeries and $100,180 for the toenail removals. Thirty-three patients were interviewed and of those, "none of the surgeries billed for these 33 patients and for which Medicare paid, could be verified as having been performed," court records state.

 

Podiatrist Pleads Guilty to Medicare Health Care Fraud (Illinois)

A podiatrist from Illinois pleaded guilty Friday to bilking Medicare out of thousands of dollars over the past decade by writing bills for medical procedures not performed. The podiatrist's  attorney Ron Hamm contends the amount is less than $20,000, however the government is claiming the amount is closer to $270,000.


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Podiatrist pleads guilty in drugs-for-sex case (Illinois)

A disciplinary action is violation of the podiatrist's ethical code of conduct.  The professional ethical code governs  professional conduct for those within the organization in order to provide guidelines and/or rules by which the podiatrist is expected to practice.  

The American Podiatric Medical Association (A.P.M.A.) sets forth a Code of Ethics (2005) that governs areas such as  physician patient relationship, billing, and standards of practice.  Although not malpractice per se, many times unethical conduct on part of a podiatrist may reveal elements of an underlying malpractice action.   In addition, some disciplinary actions against a podiatrist may lead to and support a criminal case against the doctor, such as found in the following case. 

Clearly, not only is an intimate relationship with a patient violative of the Code, but the exchange of intercourse for narcotics and taping the encounters, would constitute violations of the code as well.    For instance, yesterday,

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Accused IL Podiatrist Claims Vaginal Exam is "Normal Procedure" (Illinois)

A podiatrist from Olympia Fields sexually assaulted a 75-year-old woman during a medical exam then told her he'd done her "a favor," a judge heard in court this week. Dr. Anthony Overton, 63, claims he was following normal procedures for a foot doctor when he touched the woman's breasts and inserted his finger into her vagina and rectum. But as Overton's bench trial began before Judge Michael Toomin at the Cook County Criminal Court on Tuesday morning, Assistant State's Attorney Beth Pfeiffer said, "Those transgressions were a crime." Continue Reading...