• Family of patient who died after orthopedic surgery wins $35M verdict against hospital
  • Orthopedic surgeon wins $20M verdict against Johnson & Johnson
  • Minnesota orthopedic group hit with $111M negligence verdict
  • Orthopedic patient's death highlights potential dangers of prior authorization
  • Spine surgeon's video hits 1 million views on TikTok
  • Spine surgeon killed in Oklahoma hospital shooting
  • Spine surgeon owes $17M to paralyzed patient
  • Providence to pay $22.7M to settle unnecessary spine surgery allegations
  • Spine surgeon gets jail time for abusing patient during hospital visit
  • 'They're on really thin ice': Why 1 insurer has drawn spine surgeons' ire
  • Connecticut hospital to appeal $12.5M verdict to family of patient who died after orthopedic surgery
  • Orthopedic surgeon must face suit in patient's death
  • Spine surgeon 1 of 9 physician billionaires on Forbes' 2022 list
  • 23 spine device companies to watch in 2022
  • 4 spine technologies that promised more than they delivered
  • Orthopedic surgeon salary vs. average household income in each state
  • Orthopedic surgeon's health system exit steeped in controversy
  • Terminated orthopedic surgeon contracts with another New York hospital
  • Orthopedic surgeon convicted of battery at hospital
  • Billionaire spine surgeon buys $23.9M mansion
  • UArizona neurosurgery chair dies after motorcycle collision
  • The spine tech surgeons say will explode in the next 5 years
  • Texas spine surgeon sued by State Farm over 'unnecessary' procedures
  • Could Medtronic's spine business be the next medtech spinoff?
  • Ex-NFL player gets 5 years in prison for $2.9M healthcare fraud scheme
  • 41 'rising stars' in orthopedics
  • Orthopedic surgeon indicted in $10M telemedicine fraud scheme
  • Neurosurgeon's startup hits $1.2B valuation
  • Orthopedic surgeon fined for operating on wrong knee
  • Good news, bad news for orthopedic surgeons: 6 observations
  • Lawsuits build against Aetna's spine surgery coverage
  • Former spine surgeon owes $13M to 2 women over unnecessary procedures
  • Walmart's latest partnership pushes retailer into spine care
  • Texas spine surgeon's $11M verdict being appealed
  • 10 power players in orthopedics
  • Rothman Orthopaedics to become national brand, but no 'aspirations to go beyond US'
  • Sports medicine physician fired amid misconduct allegations involving patients
  • Orthopedic surgeon allegedly exaggerated patient visits to defraud insurers
  • Top orthopedic hospital in every state: US News
  • Orthopedic surgeon asking for misconduct charges to be dropped
  • New York orthopedists indicted in $31M 'trip-and-fall' scheme that preyed on poor

    New York orthopedists indicted in $31M 'trip-and-fall' scheme that preyed on poor

    Alan Condon -  

    A group of physicians and lawyers were indicted this week, accused of recruiting a network of people for a slip-and-fall scheme that defrauded New York City businesses and insurance companies of more than $31 million.

    The Aug. 25 U.S. Justice Department indictment charges two physicians and two attorneys with conspiracy to commit mail and wire fraud as part of a "scheme to obtain fraudulent insurance reimbursements and other compensation for fraudulent trip-and-fall accidents."

    The defendants are:

    • Sady Ribeiro, MD, pain management specialist
    • Andrew Dowd, MD, orthopedic surgeon
    • George Constantine and Marc Elefant, attorneys

    From about January 2013 to April 2018, the defendants allegedly coerced people to stage trip-and-fall accidents after which the attorneys would file lawsuits. About 400 fake patients participated in the scheme, which used cellar doors, cracks in concrete sidewalks and apparent potholes to stage accidents, prosecutors said.

    Patients were referred to specific attorneys, including Mr. Constantine and Mr. Elefant, who filed fraudulent personal injury lawsuits against businesses and/or insurance companies, according to the Justice Department.

    Prosecutors said patients were also instructed to receive chiropractic and medical treatment from certain providers, including Drs. Dowd and Ribeiro. The defendants allegedly told patients that they were required to have surgery if they wished to continue their lawsuits, and patients were typically told to have two surgeries.

    As an incentive, patients would receive $1,000 to $1,500 after they had surgery, the Justice Department said. Drs. Dowd and Ribeiro allegedly performed several of these surgeries that were not medically necessary.

    Members of the fraud scheme "preyed upon the most vulnerable members of society," according to the Justice Department, recruiting individuals who were extremely poor, many of whom came from homeless shelters in New York City.

    The defendants face a maximum sentence of 20 years in prison.

    Copyright © 2022 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

    Featured Learning Opportunities

    Featured Webinars

    Featured Podcast

    Featured Whitepapers