WMLRO.com: Doctor charged with billing insurers for drugs not delivered
Glen R. Justice, 65, of Corona del Mar, California, has pleaded guilty to five counts of health care fraud.
Justice was charged with fraudulently billing Medicare and other health insurance companies up to USD1 million for injectable cancer medications that never were provided.
The court documents filed yesterday outline a scheme in which Justice defrauded health insurance companies, including Medicare, by billing for injectable cancer medications when patients never received those medications.
Further, Justice “upcoded” claims made to health insurance companies by claiming that he administered more expensive injectable medications than were actually given to patients.
The medications involved in the scheme included Neulasta, Neupogen, Procrit/Epogen/Aranesp, and Neumega.
Justice’s scheme began in at least 2004 and continued until October 2009, despite being advised by staff about the improper billing and the execution of a search warrant at his medical group in November 2006.
In his plea agreement, Justice acknowledges that the public and private health insurance companies suffered losses of between USD400,000 and USD1 million.
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