A March 19 sentencing date is scheduled for a Riverside County doctor who participated in a $12 million scheme to provide medically unnecessary procedures to Medicare beneficiaries, inflate claims submitted to Medicare and re-package single-use catheters for reuse on patients.
After a six-day trial in Los Angeles, Donald Woo Lee, 54, of Temecula was found guilty late Wednesday of seven counts of health care fraud and one count of adulteration of a medical device, according to the U.S. Department of Justice.
From 2012 to 2015, Lee engaged in a scheme in which he recruited Medicare beneficiaries to his clinics, falsely diagnosed the beneficiaries with venous insufficiency and provided the beneficiaries with medically unnecessary vein ablation procedures, according to evidence presented at his trial.
Lee billed the unnecessary procedures to Medicare using an inappropriate code in order to obtain a higher reimbursement, a practice known as upcoding. In addition, the evidence showed that Lee repackaged used, contaminated catheters for re-use on patients.
The catheters had been cleared by the FDA for marketing as single-use only. Lee submitted claims of $12 million to Medicare for the vein ablation procedures he performed, and received $4.5 million as a result, according to federal prosecutors.
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