The Center for Podiatric Care and Sports Medicine

Is Your Podiatrist a Crook? Steering Clear of Health Care Fraud

Posted by on Monday, January 6th, 2014

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If we’ve learned one thing about 2013, it’s that Americans are sick to death of medical overspending and fraud that’s bankrupting us out of millions in taxpayer dollars! Why should we be asked to give up so much, when so little is being done to root out blatant corruption and waste? Every once in a while, we see a few great stories of fraudsters who were busted by officials. These tales give us a sense of satisfaction that justice is being served — but also remind us that it’s important to do a little digging and find health care providers worthy of our trust.

doctor crook
Is your foot doctor a crook?
Image Source: Renderosity.com

Podiatrists Busted for Defrauding Medicare and Medicaid

According to the Berger and Montague whistleblower attorney blog, a Bronx and Queens area foot doctor recently settled a False Claims Act case for over $1 million. Dr. Stephen E. Ginsberg pleaded guilty to defrauding Medicare by submitting false claims, including costly chemical cauterization procedures and nerve conduction studies that were never performed.

In another case, Miami podiatrist Dr. Arthur C. Haspel was sentenced to 21 months in jail after violating an order prohibiting him from collecting Medicare and Medicaid payments. He had been previously sentenced for unlawful distribution of hydrocodone in 2002 and was therefore excluded from participating in the Medicare program. Yet, he continued to provide services to Medicare patients from 2005 to 2009 and bill the government for these services. He claimed “other doctors” were providing the services — but in reality, they were forced to pay kickbacks to Haspel until a whistleblower stopped him dead in his tracks.

health care fraud
Over $80 billion is lost to health care fraud each year.
Image Source: ComplianceAndSafety.com

Other Podiatrist Crimes

– A Fenton, MI podiatrist was sentenced to 55 months in federal prison for $1.6 million in billing fraud.

– A Long Island podiatrist was arrested for writing hundreds of oxycodone prescriptions without cause.

– A Milwaukee podiatrist had his license suspended after charging patients $2 a piece for Band-aids and numerous other instances of egregious over-billing.

– A Louisiana podiatrist is being sued for medical malpractice for allegedly performing surgery on a foot that had been traumatized by prior chemical treatments and causing painful post-operative complications.

– Several years ago, Gothamist magazine worried that there may not be an honest podiatrist left in the city when 13 Manhattan podiatrists were arrested for “blatantly cheating Medicare.”

honest podiatrist
Surveys reveal that many doctors have dubious morals these days. The key is to ask the right questions of a prospective podiatrist and find someone you feel comfortable with.
Image Source: PharmaMktg.Blogspot.com

Worse yet were the findings of a 2012 doctor ethics survey conducted by Web MD. Though the survey polled more than just podiatrists, it’s terrifying to think that:

– 34% of doctors would prescribe a fake treatment — “if patients wanted it”.

– 1 in 10 doctors would not tell patients about a fatal illness if it would dampen their spirits.

– 23% of doctors would perform an unnecessary surgery to avoid a possible malpractice suit.

– 25% of doctors say they would either lie to insurers or “consider lying to insurers” about the severity of a patient’s situation to get them to cover a procedure they thought necessary.

Not All Doctors Are Crooks!

Despite all the loose ethics in just about every field, it is important to give doctors the benefit of the doubt at first, cautions New York podiatrist Dr. Nadia Levy. “The way insurances work these days, it can sometimes appear that the doctor is a crook when, in fact, it is simply the insurance plan you have,” she explains. “My best advice is if you have a question, call the office, speak with the doctor, and hear out the explanation for whatever is causing your suspicion and judge based on that. Many times you can tell a ‘crook doctor’ based on the avoidance of wanting to provide a direct answer.”

How to Find an Ethical Podiatrist

Bad doctors aside, what should you do to find a health care provider who is ethical and trustworthy? According to Yahoo! News, you can try the following five resources to find a good podiatrist:

– Visit the American Podiatric Medical Association website to search podiatrists in your area.

– Check out the American Board of Podiatric Surgery. For a small fee, you can obtain a podiatrist’s education credentials and find out if there are any insurance claims filed against him or her.

– Ask a friend, coworker or relative for a referral — or for names you should avoid!

– Ask your primary care physicians. Often doctors “hear things” and have the inside scoop on their colleagues.

– Search HealthGrades and Angie’s List for podiatrist reviews.

Don’t be afraid to interview a few different podiatrists to find someone you are comfortable with. The Center for Podiatric Care and Sports Medicine in New York City is pleased to offer a wide selection of ethical, educated, top-caliber podiatrists to take care of you.

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If you have any foot problems or pain, contact The Center for Podiatric Care and Sports MedicineDr. Josef J. GeldwertDr. Katherine Lai, Dr. Ryan Minara and Dr. Mariola Rivera have helped thousands of people get back on their feet. Unfortunately, we cannot give diagnoses or treatment advice online. Please make an appointment to see us if you live in the NY metropolitan area or seek out a podiatrist in your area.