Defense: Doc’s $100 million Medicare fraud cost just $64,000


WEST PALM BEACH, Fla. — A politically related Florida eye physician convicted of a $one hundred million Medicare fraud truly value the federal government simply $sixty four,000 in illegitimate funds, his defenders argued Thursday in an effort to drastically scale back his potential sentence.

Dr. Salomon Melgen’s legal professionals portrayed him as forward of his time, injecting sufferers with then-experimental medicine that at the moment are accredited. Medicare doesn’t pay for experimental remedies, so lawyer Josh Sheptow instructed that Melgen might have falsified billing statements to get round these restrictions.

That may nonetheless be fraud, however Sheptow stated the remedies have been reliable, so the federal government didn’t lose something with lots of his sufferers. He additionally argued that Melgen’s apply of splitting single-dose vials of an costly drugs into 4 vials value Medicare nothing, since reimbursements wouldn’t have modified had Melgen adopted the principles.

His colleague, Kirk Ogrosky, conceded that $sixty four,000 “sounds ridiculously low,” however he advised U.S. District Decide Kenneth A. Marra that it’s what prosecutors can show by a majority of the proof. The remaining, he and Sheptow argued, is predicated on defective suppositions and gross exaggerations that can’t be confirmed.

Prosecutors will make their arguments later Thursday.

They stated Melgen subjected aged sufferers to painful checks and coverings they didn’t want, for illnesses they didn’t have, to help a trip residence in his native Dominican Republic, lavish journeys to Europe and out of doors enterprise pursuits.

The quantity of loss is essential. Melgen might get a life sentence for a $one hundred million loss, however a minor loss might end in a brief sentence. Melgen was discovered responsible of sixty seven counts, together with well being care fraud, submitting false claims and falsifying data in sufferers’ information.

Melgen is charged individually with bribing New Jersey Democratic Sen. Bob Menendez in change for favors together with an effort to interceded with Medicare officers investigating his follow. A federal jury in New Jersey held on that case final month, and prosecutors there haven’t stated whether or not they’ll retry them.

Melgen’s attorneys rested a lot of their case for a brief sentence on the physician’s use of the drug Lucentis between 2008 and 2013. On the time, Medicare permitted its use just for moist age-associated macular degeneration or ARMD, a retinal illness that may trigger blindness.

Lucentis is injected in tiny doses — zero.5…



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