The medications used are expired for over 1-2 years. Insurance is being billed for the injection procedure.
First off, run, don't walk, to a new doctor, but to answer your question billing for a service that is not being provided would appear to me to be fraudulent.
Timothy D. Belt, Esquire Helping injured workers in Northeast Pennsylvania. [email protected] www.belt-law.com DISCLAIMER: This post is intended as general information applicable only to the state of Pennsylvania. The information given is based strictly upon the facts provided. This post is not intended to create an attorney client relationship, or to provide any specific guarantee of confidentiality.
I don't know that it is so much Insurance Fraud, as it is shoddy medical practice. If he gave you an injection, it is not really untrue. If you do not mind receiving the expired injections, I am not sure that the Insurance is going to check his medication stocks. Why would you not ask him for fresh stuff if you know?
Attorneys are very competitive. Choose the Best Answer so we know who helped you the most.
I do not know. I will be interested in seeing the other answers. My concern is whether or not these old medications have caused you any harm. This may be common sense, but you may want to re-consider if you want to continue treating with this doctor and get a second opinion from another medical expert. Best of luck to you!
Since the doctor is providing the injections, I do not see any fraud. Medically, the doctor may be in hot water for knowingly administering a drug that is expired. Drug companies place expiration dates on their products because there comes a time when the medicines effectiveness begins to diminish and/or the product begins to break down.
Bottom line, expired medications could pose a hazard to any patient injected with it. This information should be brought to the state agency responsible for licensing this doctor.
DISCLAIMER: David J. McCormick is licensed to practice law in the State of Wisconsin and this answer is being provided for informational purposes only because the laws of your jurisdiction may differ. This answer based on general legal principles and is not intended for the purpose of providing specific legal advice or opinions. Under no circumstances does this answer constitute the establishment of an attorney-client relationship.
If the injection was given, I don't think it is insurance fraud. It demonstrates poor medical practices. However, unless you can prove that you were harmed by the expired drugs, I don't see a case for you. Nonetheless, I think you should look for a new doctor quickly.
Our Rating is calculated using information the lawyer has included on their profile in addition to the information we collect from state bar associations and other organizations that license legal professionals. Attorneys who claim their profiles and provide Avvo with more information tend to have a higher rating than those who do not.What determines Avvo Rating?Experience & background
Years licensed, work experience, educationLegal community recognition
Peer endorsements, associations, awardsLegal thought leadership
Publications, speaking engagementsDiscipline