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MD Hospital to Settle Cardiac Stents Fraud Case for $1.8M

John Commins, for HealthLeaders Media, August 12, 2011


The hospital entered into a Corporate Integrity Agreement with the Department of Health and Human Services, Office of Inspector General, which requires PRMC to ensure accurate billing. The CIA also requires the hospital to appoint physician executives to oversee medical staff quality-of-care matters, DOJ said.

McLean, 59, could receive up to 35 years in prison when he is sentenced on November 10. Prosecutors want to recover $711,583 that they believe McLean garnered in the scheme, but U.S. District Judge William D. Quarles, Jr. will determine the exact amount of forfeiture at the sentencing.

Evidence presented at the two-week trial showed that from at least 2003 to May 2007 McLean performed cardiac catheterizations and implanted unnecessary cardiac stents in more than 100 patients at the hospital, prosecutors said.

McLean, federal prosecutors added, falsely recorded in the patients' medical records the existence or extent of coronary artery blockage to justify the stents and the claims to health insurers, including Medicare and Medicaid.

In a statement released Wednesday, PRMC said: "Although Dr. McLean was convicted in  federal court in July of criminal charges, Peninsula Regional Medical Center has never been the focus of any criminal investigation or faced any criminal action related to his stenting practices."

PRMC referred to McLean as an "independent medical practitioner who "resigned his medical privileges in March 2007, shortly after questions arose about his stenting practices."

 

See Also:
DOJ Intervenes in TN Stent Fraud Lawsuit


John Commins is a senior editor with HealthLeaders Media.