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Psychiatrist Sentenced to Prison for Healthcare Fraud Scheme – Norfolk, VA

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FOR IMMEDIATE RELEASE Thursday, January 16, 2020

Source: US Department of Justice
NORFOLK, Va. – A Virginia Beach doctor was sentenced today to 27 months in prison for defrauding Medicare, Medicaid, and Tricare, and other health care benefits programs out of hundreds of thousands of dollars.

Additionally, Udaya K. Shetty, 64, agreed to pay over $1 million to settle related civil claims.

According to court documents, was a licensed psychiatrist practicing medicine at his own practice, Behavioral & Neuropsychiatric Group. Beginning in 2013, Shetty created a scheme by which he could overbill healthcare benefit programs by seeing patients for only five to 10 minutes, but then billing for services that were on average 41 to 63 minutes long. Shetty instructed his staff to often double, triple, or even quadruple book appointment times. The fraud became apparent when investigators discovered that on dozens of instances Shetty would need more than 24 hours a day of working to perform the services for which he billed. 

In 2017, Shetty closed his own practice and joined another psychiatric practice, Quietly Radiant Psychiatric Services. While there Shetty, and one of his former employees, Mary Otto, engaged in a similar scheme. Although other Quietly Radiant staff members were responsible for billing, Shetty directed Otto to access the billing system and change all of his billing data to a higher billing rate.  Otto complied and changed the data without the knowledge of Quietly Radiant’s staff. As a result of their actions, Shetty and Otto defrauded various healthcare benefit programs of more than $450,000. Otto pled guilty for her role in the scheme and was sentenced to 15 months in prison on January 10.

In regards to the civil settlement, Shetty agreed to pay $1,078,000 to the United States and the Commonwealth of Virginia to resolve his liability under the False Claims Act and the Virginia Fraud Against Taxpayers Act for submitting or causing the submission of false claims to the Medicare, Medicaid, and TRICARE programs.

G. Zachary Terwilliger, U.S. Attorney for the Eastern District of Virginia; Martin Culbreth, Special Agent in Charge of the FBI’s Norfolk Field Office; Robert E. Craig, Special Agent in Charge for the Defense Criminal Investigative Service’s (DCIS) Mid-Atlantic Field Office; Maureen R. Dixon, Special Agent in Charge of the Office of Inspector General for the U.S. Department of Health and Human Services (HHS); and Mark R. Herring, Attorney General of Virginia, made the announcement after sentencing by U.S. District Judge Rebecca Beach Smith. Assistant U.S. Attorney Joseph L. Kosky prosecuted the criminal case. Assistant U.S. Attorney Clare P. Wuerker handled the civil case.

A copy of this press release is located on the website of the U.S. Attorney’s Office for the Eastern District of Virginia. Related court documents and information are located on the website of the District Court for the Eastern District of Virginia or on PACER by searching for Case No. 2:19-cr-089.

Some patients often start off with private health care and end up with Medicaid, Medicare or Tricare because these government health insurance or more advantageous for those medical ‘professionals’ seeking to defraud patients and insurance providers. Would you recognize health care fraud if you see it? What does it look like? Have you been a victim of health care fraud?

Share your comments with the community by posting them below. Share the wealth of health with your friends and family by sharing this article with 3 people today. As always you are the best part of what we do. Keep sharing!

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10. The Stanford Prison Experiment

Source: Mental Floss
This content is age restricted. This video could not be secured and may become available. Please enjoy the associated article from Mental Floss below.

The Stanford Prison Experiment
Source Mental Floss
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In 1971, Philip Zimbardo of Stanford University conducted his famous prison experiment, which aimed to examine group behavior and the importance of roles. Zimbardo and his team picked a group of 24 male college students who were considered “healthy,” both physically and psychologically. The men had signed up to participate in a “psychological study of prison life,” which would pay them $15 per day. Half were randomly assigned to be prisoners and the other half were assigned to be prison guards. The experiment played out in the basement of the Stanford psychology department where Zimbardo’s team had created a makeshift prison. The experimenters went to great lengths to create a realistic experience for the prisoners, including fake arrests at the participants’ homes.

The prisoners were given a fairly standard introduction to prison life, which included being deloused and assigned an embarrassing uniform. The guards were given vague instructions that they should never be violent with the prisoners, but needed to stay in control. The first day passed without incident, but the prisoners rebelled on the second day by barricading themselves in their cells and ignoring the guards. This behavior shocked the guards and presumably led to the psychological abuse that followed. The guards started separating “good” and “bad” prisoners, and doled out punishments including push ups, solitary confinement, and public humiliation to rebellious prisoners.

Zimbardo explained, “In only a few days, our guards became sadistic and our prisoners became depressed and showed signs of extreme stress.” Two prisoners dropped out of the experiment; one eventually became a psychologist and a consultant for prisons. The experiment was originally supposed to last for two weeks, but it ended early when Zimbardo’s future wife, psychologist Christina Maslach, visited the experiment on the fifth day and told him, “I think it’s terrible what you’re doing to those boys.”

Despite the unethical experiment, Zimbardo is still a working psychologist today. He was even honored by the American Psychological Association with a Gold Medal Award for Life Achievement in the Science of Psychology in 2012.

Does this occur in prisons? Did it begin to occur before or after such experiments? Is any of this behavior acceptable and to be considered real health care?

Share your comments with the community by posting them below. Share the wealth of health with your friends and family by sharing this article with 3 people today. As always you are the best part of what we do. Keep sharing!

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Medical Fraud in our backyard

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Fraud seems to have become so prevalent and clandestine one rarely notices it when they first see the signs of it. In fact we have been subject to medical fraud ourselves. Since the beginning of the fraud, in 2012, our health has declined to its worst state ever due to what we believe have been a host of subsequent misdiagnosis and treatments. Typically fraud involves some type of financial gain through over billing, billing for unnecessary treatments and procedures. The fraud can also include submitting false claims and attempting to defraud Medicaid and Medicare through billing. Medical professionals have also used their activities to cover other crimes such as sex crimes. These criminals are often looking for a means to get paid through billing some type of insurance company or government agency.

In fact we have documented a major hospital in Norfolk, VA, USA who used Chamberlin and Edmonds to falsify patients signatures in an attempt to bill fraudulent Medicaid claims to social security. We have documented that these same group of individuals have submitted multiple fraudulent applications and claims since 2012 in attempt to get paid through billing. They submitted so many fraudulent claims it sparked an internal investigation into their activities. These groups and organizations will sometimes use third party companies and organizations to force fraudulent claims through. These groups will often misinform or misguide patients in hopes of deceiving them for a pay day.

We have heard the reports of health care fraud and never thought we would see such atrocities first hand. What have you learned from these articles? How can these articles help you, your family and friends? Do you report fraud when you see it? Share your comments below. Share the wealth of health with your friends and family by sharing this article with 3 people today. As always you are the best part of what we do. Keep sharing!

If these articles have been helpful to you and yours, give a donation to Shidonna Raven Garden and Cook Ezine today.

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Massive Fraud: Psychiatry’s Corrupt Industry

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Click to watch the short Video: Massive Fraud: Psychiatry’s Corrupt Industry

Source: Citizens Commission on Human Rights

Click the link for this short but highly informative documentary. Many people seek hospitals for solutions to health problems never expecting to be subject to fraud and criminals. Why do you think such behavior is so prevalent in society today? What do you think the government should do regarding reducing such fraud and criminal offenses? Do you know of anyone who has been subject to fraud, abuse or criminal activity? Do you think they should be allowed to keep their activities behind close doors or should there be public access permitted? How could COVID 19 cases be subject to fraud and criminal activity? Share your comments below. Share the wealth of health with your friends and family by sharing this article with 3 people today. As always you are the best part of what we do. Keep sharing!

If these articles have been helpful to you and yours, give a donation to Shidonna Raven Garden and Cook Ezine today.

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The Industry

The Pharmaceutical Industry
Source: Top Documentary Films
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While this documentary focuses on one medical profession, it gives insight into the medical and pharmaceutical industry as well as the FDA, the government agency responsible for approving the drugs on the market today. Read our article “Oh Baby!” to learn more about diet and health. What did you learn after watching this film? How has it changed the way you look at the medicines you take? How has it changed the way you look at your health? How has it changed the way you look at your diet? How has it changed the way you view and choose medical professionals? As always you are the best part of what we do. Stay healthy and share your comments with the community by posting them below. Share the wealth of health with your friends and family by sharing this article with 3 people today.

If these articles have been helpful to you and yours, give a donation to Shidonna Raven Garden and Cook Ezine today.