| Way back in March, 2005, Manhattan
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| | medical doctors.
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| District Attorney Robert M. Morgenthau
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| | Generally the defendants submitted three
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| indicted fifteen people, including four
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| | types of fraudulent claims:
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| doctors, a dentist, a psychologist, and
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| | Billings for services in which the
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| an acupuncturist, on charges of
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| | defendants claimed that they had seen and
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| participating in an insurance scam in
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| | treated patients on dates when they had
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| which insurance companies and the N.Y.C.
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| | not.
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| Transit Authority were over-billed for
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| | Billings in which the defendants "up
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| No-Fault insurance charges, for medical
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| | coded" - i.e., claimed that a particular
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| care arising out of automobile accidents.
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| | procedure or doctor's visit lasted longer
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| Also indicted were a medical billing
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| | than it actually did to obtain a higher
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| company, two health care clinics that
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| | reimbursement rate.
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| were also professional medical
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| | Billings in which the defendants ordered
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| corporations and three other professional
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| | testing that was not medicall necessary
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| medical corporations.
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| | and testing that was never performed; two
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| The defendants were charged with
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| | doctors ordered numerous unnecessary MRIs
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| insurance fraud, grand larceny, attempted
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| | for the and one doctor ordered a brain
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| grand larceny and scheme to defraud. An
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| | MRI for a patient who only complained of
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| examination of financial records revealed
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| | lower back pain. The Pustilinks were
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| that the clinics billed more than sixty
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| | believed to have spent the proceeds of
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| insurance carriers for millions of
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| | their crimes on a Central Park West
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| dollars in claims over a ten year period.
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| | co-op, luxury cars and a $2 million
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| Abraham Pustilnik, a/k/a Abraham Post,
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| | property in upstate New York's Catskill
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| and his mother, Isabella Pustilnik, a/k/a
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| | mountain area.
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| Isabella Post, used their ownership of a
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| | So now let's update our report.
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| medical billing company and their control
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| | This past November, 2007, two of the
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| of medical clinics and professional
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| | medical doctors swept up in this bust
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| corporations to defraud insurance
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| | were convicted in Manhattan on fraud,
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| carriers who paid out claims believing
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| | grand larceny and assorted other charges
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| that the clinics were providing
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| | . Yesterday (February 11, 2008) the two
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| legitimate services. They also cheated
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| | medical doctors swept up in by the
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| patients by providing them with
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| | Manhattan District Attorney were
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| inadequate or medically unnecessary
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| | sentenced to prison. Dr. Neurologist
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| procedures.
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| | Victor Basbus was sentenced Monday to two
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| The D.A.'s investigation revealed that
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| | - six years in jail, while Dr. Gerardo
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| the two Pustilniks, neither of whom is a
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| | Yanayaco, an internist, will serve up to
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| doctor, operated Premier Medical Care and
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| | 10 months in jail.
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| Omni Medical Care. They also Owned Empire
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| | Commentary: If you have an accident case
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| Medical Management, a medical billing
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| | and treated at one of these "dirty"
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| company. In addition, they were the
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| | clinics, your case will usually be
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| covert owners of five medical
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| | worthless. The prosecutors have your
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| corporations: both medical clinics,
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| | medical records buried somewhere. And you
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| Premier Medical and Omni Medical, as well
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| | can't hardly have a doctor testify in
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| as University Psychological, Focus
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| | court after a felony conviction and still
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| Acupuncture and Optimal Healthcare
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| | be a credible expert witness on your
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| Medical.
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| | behalf. Also, the insurance companies
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| It was also revealed through the
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| | know where these places are, so good luck
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| investigation that the two Pustilniks
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| | getting them to pay you a fair
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| used licensed professionals as 'fronts"
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| | settlement. So play it clean and steer
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| or "Docs-in-the-Box" for the professional
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| | clear of these places, some of which may
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| corporations to hide their ownership of
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| | offer you money to be a patient. If you
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| the clinics. New York State law
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| | visit my website, you can see my free
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| specifically prohibits the "corporate
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| | special report on dirty doctors. Also, I
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| practice of medicine" and does not allow
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| | touch on this subject in my free book:
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| a medical practice or clinic to be
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| | Good Lawyers Don't Call You First, also
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| directly owned by anyone other than
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| | available on my website.
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