Newspaper article Pittsburgh Post-Gazette (Pittsburgh, PA)

Former Monroeville Hospice Doctor Pleads to Fraud in False Billing Scheme

Newspaper article Pittsburgh Post-Gazette (Pittsburgh, PA)

Former Monroeville Hospice Doctor Pleads to Fraud in False Billing Scheme

Article excerpt

The former medical director of a Monroeville hospice Monday said he sent patients to the center who weren't terminally ill and kept them there so he could rip off Medicare with false billings.

Oliver Herndon, 43, a former Peters doctor who was medical director for Horizons Hospice, waived indictment and pleaded guilty to health care fraud before U.S. District Judge Arthur Schwab.

Herndon, who already is serving more than 11 years for illegally prescribing thousands of painkiller tablets as one of Western Pennsylvania's most prolific pill mill doctors, cost Medicare and Medicaid between $200,000 and $400,000.

He conspired with others in the scheme, according to Assistant U.S. Attorney Robert Cessar, although no one else has been charged.

Herndon said that between 2008 and 2012, he and others placed patients in hospice care who were not terminal and then submitted false insurance claims for that care.

He also kept patients in hospice beyond the normal six-month stay so he could continue to bill for their care, according to Mr. …

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