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Started By
Message
re: Zachary lab owner faces Medicare, Medicaid fraud charges
Posted on 12/6/23 at 8:35 am to Will Cover
Posted on 12/6/23 at 8:35 am to Will Cover
Not Guilty 
0
Posted on 12/6/23 at 8:46 am to selfgen
I don't think so. Lab claims for enrollees for patients in those plans would be paid for buy those plans. These claims were billed to Medicare and Medicaid.
Posted on 12/6/23 at 8:52 am to Rendevoustavern
quote:
Qualifying As A Group Practice. To meet the IOAS exception, first the practice must qualify as a “group practice” under Stark (42 C.F.R. §411.352). There are a number of requirements that a practice must meet to qualify as a group practice under Stark, and it is important to run through them all with your counsel. However, most traditional practices should qualify as long as they do not have a lot of part-time or independent contractor physicians and they are operated as a unified business. In addition, physician compensation must meet certain requirements, particularly the allocation of revenues and profits from designated health services. A group practice can pay its physician (i) a productivity bonus that includes services performed personally by the physician or by others “incident to” the physicians’ services; or (ii) a share of overall profits derived from all designated health services, as long as the share is determined in a manner that doesn’t directly relate to referrals (e.g., per capital, per wRVUs, etc.). If the practice is large, multiple profit pools are possible as long as each pool contains at least five physicians.
This must be how they are working around it.
Posted on 10/22/24 at 4:27 am to DWaginHTown
Did he get a federal grand jury subpoena?
Posted on 10/22/24 at 6:26 am to DWaginHTown
The dude is a traitor. Thats 148m that could have gone to Ukraine.
Posted on 10/22/24 at 7:00 am to DWaginHTown
quote:
defrauding Medicare and Medicaid of more than $148 million,
Rookie numbers. When you defraud them of over a billion they make you a US Senator.
Posted on 10/22/24 at 7:11 am to Eighteen
quote:For $148 million you could get a really nice pool house and keep a really nice antique pickup down at the Midnight Lumps.
A renovating pool and pool house and restoring an old truck isn’t exactly lavish spending, either
Posted on 10/22/24 at 10:33 am to DWaginHTown
Did this guy used to fly his group privately for their golf trips?
Posted on 10/22/24 at 11:04 am to DWaginHTown
This doesn't add up. I seriously doubt there's anyone worth $150 million in Zachary
Posted on 10/22/24 at 11:56 am to deathvalleytiger10
Quite a place.
For about $100,000 less you could buy the cheap-built 1500 sqft house on a tiny lot in San Mateo I grew up in. Parents paid $9,000. Zillow says the POS is worth 1.7mil.
Shhhh, don't tell anybody that still lives in my old neighborhood. They might move to Louisiana.
For about $100,000 less you could buy the cheap-built 1500 sqft house on a tiny lot in San Mateo I grew up in. Parents paid $9,000. Zillow says the POS is worth 1.7mil.
Shhhh, don't tell anybody that still lives in my old neighborhood. They might move to Louisiana.
Posted on 10/22/24 at 11:59 am to Psych23
quote:
I seriously doubt there's anyone worth $150 million in Zachary
There's some old money there.
Posted on 10/22/24 at 12:29 pm to Hangit
Why are you pointing at rick Scott.
Posted on 10/22/24 at 12:34 pm to DWaginHTown
quote:
There's some old money there.
Not $150 million old money...
there is likely a few 8 figures, but 9... nah, doubt that
Posted on 10/23/24 at 4:38 am to DWaginHTown
They should get more audits. MAC, RAC, and the ZPIC audit, just to name a few from this list of healthcare fraud types.
This post was edited on 10/28/24 at 2:27 am
Posted on 10/23/24 at 4:41 am to MoarKilometers
He’s the odds on favorite for Insurance Commissioner or Mayor of New Orleans…he’s got the resume.
Posted on 10/23/24 at 6:09 am to Will Cover
I did some digging. She's now single. And maybe she has been, but at one point, she certainly was married.
There's a picture of what appears to be her son posted on Facebook flying on a private jet 38 weeks ago.
Whatever happened to the charges filed against her? Her business shut down basically overnight.
Update, here's the indictment, but it's behind a paywall.
Indictment - Pay Wall - 19 pages
quote:
Malena Lepetich, 38, of Belle Chase, Louisiana, was charged for an alleged $15 million scheme to commit health care fraud, to defraud the United States, and to pay and receive health care kickbacks. Lepetich, the owner of MedLogic, LLC, a clinical laboratory based in Baton Rouge, Louisiana, allegedly solicited and received kickbacks in exchange for referrals of urine specimens for medically unnecessary testing. Lepetich also allegedly offered to pay kickbacks for referrals of specimens for COVID-19 and respiratory pathogen testing. Finally, Lepetich allegedly caused the submission of over $10 million in claims to Medicare, Medicaid, and Blue Cross Blue Shield of Louisiana for panels of expensive respiratory testing that was medically unnecessary. The case is being prosecuted by Trial Attorney Justin M. Woodard of the Gulf Coast Strike Force and Assistant U.S. Attorney Kristen Craig of the U.S. Attorney’s Office for the Middle District of Louisiana.
I believe this means that Mathew J. Lepetich, who is applying for a special court order (called a supervisory writ) in a case being handled by the 25th Judicial District Court in Plaquemines Parish. The application was reviewed by the Fourth Circuit Court of Appeal. On September 2, 2023, both the request for a stay (which would pause proceedings) and the writ application itself were denied, meaning the court will not take action on his request.
This post was edited on 10/23/24 at 6:21 am
Posted on 10/23/24 at 6:20 am to Will Cover
(no message)
This post was edited on 5/28/25 at 3:43 am
Posted on 10/23/24 at 6:21 am to triggeredmillennial
Interesting. Any jail time? Or a slap on the wrist and some fines, but overall she walks away with millions?
Posted on 10/23/24 at 6:24 am to Will Cover
Scratch that. She filed for bankruptcy.
Posted on 10/23/24 at 6:40 am to jeffsdad
quote:
Why are you pointing at rick Scott.
When his company ripped off Medicare/caid, he became the largest fined white-collar criminal in the history of the planet. FL made him governor right after, but he wanted to be a US Senator. Those grifters can really teach him how to hide the take.
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