Oklahoma Physician, Hospital Settle F...

Oklahoma Physician, Hospital Settle Fraud Case for $1.5M

There are 21 comments on the Insurance Journal West story from Jun 21, 2012, titled Oklahoma Physician, Hospital Settle Fraud Case for $1.5M. In it, Insurance Journal West reports that:

State and federal officials say an Oklahoma hospital and physician have agreed to a $1,550,000 payout to settle a health care fraud case.

Join the discussion below, or Read more at Insurance Journal West.

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i love Hollis

Blanchard, OK

#1 Jun 21, 2012
this was not health care fraude ,this was a problem in contract which that hospital offerd to all doctor but Randy Curry did that so he can make money
JimBob

United States

#2 Jun 22, 2012
It sure sounds like fraud from reading the article. It was stated in the article several times that it was fraud. I bet it was fraud.
huntseat

Forney, TX

#3 Jun 23, 2012
i love Hollis wrote:
this was not health care fraude ,this was a problem in contract which that hospital offerd to all doctor but Randy Curry did that so he can make money
You couldn't be more in the dark. The other physicians were not offered the same contracts. In fact the person that changed the contract in question did so at the direction of Abraham and then it was passed by the board. Abraham's kickbacks were paid out of the nursing home accounts in the attempt to hide the fraud. The board knew it wasn't legal but the fraudulent billing allowed the HCHA to collect excessive fees.

Abraham constantly double billed, forcing Medicare to not pay, then the HCHA would buy his accounts recievable at the end of the year dollar for dollar. You guessed it, the double billing being counted in that total for each bill.

Family practice physicians don't collect $1,000,000 a year, yet Abraham did per his tax returns.

It's really funny that the Lawton paper cited him as living in Altus. Shouldn't he be living accross from Colonial Manor?

Billy Burge should have also been brought up on chanrges.
amen

Blanchard, OK

#4 Jun 23, 2012
Who are the board members at the hospital? Why did they let this go on? The hospial, the school system, seems like everything in Hollis has some wrong doing.
Serrano Red

United States

#5 Jun 24, 2012
huntseat wrote:
<quoted text>
You couldn't be more in the dark. The other physicians were not offered the same contracts. In fact the person that changed the contract in question did so at the direction of Abraham and then it was passed by the board. Abraham's kickbacks were paid out of the nursing home accounts in the attempt to hide the fraud. The board knew it wasn't legal but the fraudulent billing allowed the HCHA to collect excessive fees.
Abraham constantly double billed, forcing Medicare to not pay, then the HCHA would buy his accounts recievable at the end of the year dollar for dollar. You guessed it, the double billing being counted in that total for each bill.
Family practice physicians don't collect $1,000,000 a year, yet Abraham did per his tax returns.
It's really funny that the Lawton paper cited him as living in Altus. Shouldn't he be living accross from Colonial Manor?
Billy Burge should have also been brought up on chanrges.
I agree Abraham and Burge are both crooks. They need jail time and the DEA needs to investigate Abraham and maybe Homeland Security . He made employees watch beheadings
OKwarrior

San Diego, CA

#6 Jul 3, 2012
The DOJ prosecutes anybody that gets paid outside the bounds of Medicaid or Medicare guidelines as healthcare fraud. In this case Dr Abraham was paid by the hospital for services rendered, but then apparently billed again for the same services. CMS is very strict about what can be paid by a hospital to a doctor as many such arrangements resemble paying for referrals. That is considered improper inducement to the physician to over utilize a facility.
HCHA should look up some of the prior physicians that have worked there and offer them a salary to work there full time. That is the trend in the business of healthcare and medical practice.
Serrano Red

United States

#7 Jul 6, 2012
The hospital gave Akram 237.00 for every patient he admitted and that is illegal
Pickle King

Blanchard, OK

#8 Jul 12, 2012
come on guys , the real crook her is Randy Curry . he want to close that hospital . i heard that he want abraham to pay him 30% from what he get paid from the hospital . also i heard that Randy had affair with some one with name Sheridan he hired her from Wellington . that why the hospital fired him after 1 year only , do not forget that Randy got fired from comanche hospital before for stealing money from the hospital
Truth of the Matter is

United States

#9 Jul 15, 2012
If the U. S. Attorney and the Oklahoma Attorney General are calling it fraud, you can bet your ass IT IS FRAUD! This IS NOT a word they toss around loosley.
happy

Frederick, OK

#10 Jul 17, 2012
if this case was as some people say fraud , why he still seeing medicate and medicare patients . i think as they saied it was about contract and no fraud . he is the only doctor in hollis and he is the best doctor we had for long time
Hollis news

Blanchard, OK

#11 Jul 18, 2012
Denies Wrongdoing, Settles Lawsuit
The Harmon County Healthcare Authority, which operates Harmon Memorial Hospital, has approved a settlement that brings to a close a 3-year lawsuit brought by the government on behalf a former hospital administrator.
"No one connected with the Hospital believes that anyone did anything wrong, and certainly no one intentionally did anything wrong,” said Richard Mullins, attorney for Harmon Memorial Hospital.“The Hospital was not sued for overbilling the government or for asking to be paid for services that were not provided. Instead, it was alleged to have entered into contracts that are subject to what are extraordinarily complicated and confusing laws and regulations that few lawyers understand, and which only apply in the world of heathcare, and to no other industry. No one currently with the Hospital or its Board was responsible for entering into the contracts, and they had been terminated long before the lawsuit was filed.”
The lawsuit, which alleged health care fraud against the Hospital and Dr. Akram Abraham, was filed in 2009 based on information provided by Randy Curry, who briefly served as the hospital’s administrator from January 2008 to March 2009 and claimed he was the victim of workplace retaliation. The claims were brought under the False Claims Act and the Oklahoma Medicaid False Claims Act, which allow private citizens who believe they have knowledge of fraud to bring a civil action on behalf of federal and state governments and to share in the recovery, including any court awards or financial settlements.
“The Hospital denies that it retaliated against Mr. Curry and disputes the characterization of the events surrounding the termination of the contracts that are described in the lawsuit,” Mullins said.
“The Hospital cooperated fully with the government from the time it was contacted about this matter and worked with the government to come to a resolution that would ensure that the Hospital remains able to continue to provide care to the residents of Harmon County, which is its only mission,” said Mullins.“The Hospital is pleased that this matter is now behind it, which will allow it to move forward and serve the people of Harmon County."
Hollis news

Blanchard, OK

#12 Jul 18, 2012
Harmon Memorial Hospital Denies Wrongdoing, Settles Lawsuit

The Harmon County Healthcare Authority, which operates Harmon Memorial Hospital, has approved a settlement that brings to a close a 3-year lawsuit brought by the government on behalf a former hospital administrator.Ü
"No one connected with the Hospital believes that anyone did anything wrong, and certainly no one intentionally did anything wrong,” said Richard Mullins, attorney for Harmon Memorial Hospital.Ü“The Hospital was not sued for overbilling the government or for asking to be paid for services that were not provided.Ü Instead, it was alleged to have entered into contracts that are subject to what are extraordinarily complicated and confusing laws and regulations that few lawyers understand, and which only apply in the world of heathcare, and to no other industry.Ü No one currently with the Hospital or its Board was responsible for entering into the contracts, and they had been terminated long before the lawsuit was filed.”
The lawsuit, which alleged health care fraud against the Hospital and Dr. Akram Abraham, was filed in 2009 based on information provided by Randy Curry, who briefly served as the hospital’s administrator from January 2008 to March 2009 and claimed he was the victim of workplace retaliation.Ü The claims were brought under the False Claims Act and the Oklahoma Medicaid False Claims Act, which allow private citizens who believe they have knowledge of fraud to bring a civil action on behalf of federal and state governments and to share in the recovery, including any court awards or financial settlements.Ü
“The Hospital denies that it retaliated against Mr. Curry and disputes the characterization of the events surrounding the termination of the contracts that are described in the lawsuit,” Mullins said.
“The Hospital cooperated fully with the government from the time it was contacted about this matter and worked with the government to come to a resolution that would ensure that the Hospital remains able to continue to provide care to the residents of Harmon County, which is its only mission,” said Mullins.Ü“The Hospital is pleased that this matter is now behind it, which will allow it to move forward and serve the people of Harmon County." Ü
Hollis news

Blanchard, OK

#13 Jul 18, 2012
Harmon Memorial Hospital Denies Wrongdoing, Settles Lawsuit

The Harmon County Healthcare Authority, which operates Harmon Memorial Hospital, has approved a settlement that brings to a close a 3-year lawsuit brought by the government on behalf a former hospital administrator.
"No one connected with the Hospital believes that anyone did anything wrong, and certainly no one intentionally did anything wrong,” said Richard Mullins, attorney for Harmon Memorial Hospital.“The Hospital was not sued for overbilling the government or for asking to be paid for services that were not provided. Instead, it was alleged to have entered into contracts that are subject to what are extraordinarily complicated and confusing laws and regulations that few lawyers understand, and which only apply in the world of heathcare, and to no other industry. No one currently with the Hospital or its Board was responsible for entering into the contracts, and they had been terminated long before the lawsuit was filed.”
The lawsuit, which alleged health care fraud against the Hospital and Dr. Akram Abraham, was filed in 2009 based on information provided by Randy Curry, who briefly served as the hospital’s administrator from January 2008 to March 2009 and claimed he was the victim of workplace retaliation. The claims were brought under the False Claims Act and the Oklahoma Medicaid False Claims Act, which allow private citizens who believe they have knowledge of fraud to bring a civil action on behalf of federal and state governments and to share in the recovery, including any court awards or financial settlements.
“The Hospital denies that it retaliated against Mr. Curry and disputes the characterization of the events surrounding the termination of the contracts that are described in the lawsuit,” Mullins said.
“The Hospital cooperated fully with the government from the time it was contacted about this matter and worked with the government to come to a resolution that would ensure that the Hospital remains able to continue to provide care to the residents of Harmon County, which is its only mission,” said Mullins.“The Hospital is pleased that this matter is now behind it, which will allow it to move forward and serve the people of Harmon County."
mr rogers

Altus, OK

#14 Jul 18, 2012
I think you had people running small town hospital that doesnt know how to run a hospital or know anyting about health care. and even to this day there is farmers,and other board members that dont have a clue about the health care system. that is why small town hospitals across oklahoma get into trouble.
OKLA

Altus, OK

#15 Jul 19, 2012
Why does a hospital NEED a board of people that are not in healthcare to approve or disapprove of anything? Why do we need medicare or medicaid? If the government would just let the people take care of thier own bills, we would not NEED all this regulation.OH MY BAD.We would do away with WELFARE.
OMG MY TAXES WOULD GO DOWN,
Hollis News

Blanchard, OK

#16 Jul 21, 2012
Dr. Abraham, Attorney Dan Webber Release Statements Over Lawsuit

"Dr. Abraham denies any wrongdoing and has agreed to settle the case so he can avoid years of costly litigation and stay focused on practicing medicine. The suit alleges the doctor's contract with the hospital was above "market value," but he had essentially the same terms the other local doctor had with the hospital for years, even before Dr. Abraham moved to Oklahoma. To our knowledge this other doctor has not been investigated yet," Webber said. Webber represented Abraham during the lawsuit.

"It is very hard for rural doctors and hospitals to know "market value" when they are the only providers in the county. It appears Mr.Curry advised Dr. Abraham and the hospital not to report the situation and then tried to personally profit from it. I think it is sad that a disgruntled hospital executive tried to hit the lottery in this manner. It is also important to note that the investigation was not about the doctor overbilling Medicare or Medicaid, but aboutacompensation package that was similar foralldoctors in Hollis. Why Mr. Curry singled out Dr. Abraham we do not know.The good news is that under this agreement Dr. Abraham will continue to provide quality care to the people of Harmon County, including those on Medicare and Medicaid.

Abraham added, "It was never about medical billings, it was merely about contracts that had been offered to all doctors in town before 2008. Those contracts had been canceled in May 2008. All of these contracts had been approved by board members at open public meetings, and no deals were made under the table."
duh

Altus, OK

#17 Jul 26, 2012
"market value", are you kidding me? Are we talking about ,pigs , cattle ? If you are the only "Provider" in town, you can name your price. OMG. Our taxes are paying for this......

Since: Jul 12

Oklahoma City, OK

#18 Jul 27, 2012
I heard that they..
*puts on sunglasses*
...doctored the numbers.

YYYYYEEEEEEAAAAAAHHHHHHHHHH!
Serrano Red

United States

#19 Jul 29, 2012
I worked there and I saw a lot of fraud

Since: Jul 12

Oklahoma City, OK

#20 Jul 30, 2012
Serrano Red wrote:
I worked there and I saw a lot of fraud
It's time that they
*puts on sunglasses*
pay the premiums

YYYYYYYYYYYYYYYYYEEEEEAAAAAAAA AHHHHHHHHHHHHHH~~!

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