East St. Louis, Ill. – The United States filed suit in U.S. District Court for the Southern
District of Illinois against General Medicine, P.C. (“General Medicine”), Thomas M. Prose, M.D. –
the owner of General Medicine, and seventeen related corporate entities owned by Prose. In a
96-page complaint, the government alleges Defendants violated the False Claims Act in a widespread
healthcare fraud scheme involving the submission of thousands of false claims to the Medicare
program. Since 2016, Medicare has paid defendants over $40 million dollars.
General Medicine and the other defendant companies owned by Prose are based in Novi, Michigan and
employed physicians and nurse practitioners to treat patients in nursing homes and assisted living
facilities in numerous states, including Illinois and Missouri. The government’s
complaint alleges Defendants knowingly billed Medicare for visits with facility residents
that were not medically necessary, did not meet the requirements of the billing codes, or were
not performed at all. As alleged in the complaint, these visits resulted from General
Medicine directing their physicians and nurse practitioners to meet visit quotas and perform
numerous patient visits and assessments each month without any consideration as to whether the
patients needed the services. Defendants also allegedly submitted inflated claims to Medicare using
billing codes for complex, comprehensive visits when the providers spent only minimal time
...
Turkish base fake news in Armenia For several days, a video has been circulating on social media claiming that Armenian Prime Minister Nikol Pashinyan allegedly signed a “secret agreement” with EU ...