Insurance Fraud NEWS
Florida doc hands pain scripts to patients’ relatives, no exams
September 18, 2018, Clearwater, FL
Questions about pain prescriptions and Medicare fraud have dogged Dr. Jayam Krishna Iyer for 18 years.
Iyer, who runs the Creative Health Center in Clearwater, is expected to plead guilty in federal court Tuesday in a deal that ends her medical career.
In a plea agreement signed Aug. 27, Iyer admits to defrauding Medicare by billing for patient treatment she never delivered.
According that alleged scheme, spelled out in a 20 page court filing, Iyer gave written prescriptions for Schedule II narcotics to relatives of patients who never actually stepped foot into her offices on 1012 Druid Rd.
The plea agreement says Iyer then billed Medicare for physical exams that never actually took place.
According to court records, Iyer “carried out a scheme to defraud Medicare for billing or causing to be billed services that were not rendered,” the plea agreement states.
Federal prosecutors allege Iyer carried out the Medicare fraud scheme from July 2011 until Dec. of 2017 and are requiring her to pay back $51,521 in restitution.
Iyer’s troubles with the law goes back to 1999 when the DEA alleged Iyer prescribed painkillers to three undercover detectives who told her they were not in pain.
In 2011, the Dept. of Justice and Health working with Health and Human Services charged Iyer with $457,000 in Medicare fraud, but she was later found not guilty in that case.
In civil court, Iyer has been the target of six malpractice lawsuits and is named as a prescriber of narcotics from 2003 through 2017 in various death investigations by the Pinellas Medical Examiner.
A list of drugs in those ME cases, including dilaudid, morphine, oxycodone and fentanyl, fills eight pages.
It’s not clear from public records how many of those cases involved fatal overdoses or the reason for those overdoses.
Iyer has not been charged in any deaths.
Iyer invited 8 On Your Side to her Clearwater practice for an interview Monday, but when we arrived the door was locked. A staff member called us to say the doctor was suddenly “unavailable.”
Tuesday morning, Iyer is expected to plead guilty to Medicare fraud in a hearing at the Tampa Federal Courthouse.
She faces the possibility of as much as 10 years in federal prison but the agreement suggests Iyer will receive a reduced sentence in exchange for her guilty plea.
She must also surrender her medical license and the DEA registration that enables her to prescribe powerful narcotics as part of her pain management practice.
The court records indicate, “defendant is pleading guilty because defendant is in fact guilty.”
Source: News Channel 8