KY Physician and Nurse Practitioner Found Guilty of Conspiracy to Distribute Controlled Substances, Conspiracy to Commit Healthcare Fraud

On Friday, June 11, 2021, a federal jury convicted a Louisville physician, nurse practitioner, and the medical practice of conspiracy to unlawfully distribute and dispense controlled substances, conspiracy to commit healthcare fraud, and conspiracy to commit money laundering. Following a six-week trial, the jury deliberated approximately three days before finding Dr. Jeffrey Campbell, Advanced Practice Registered Nurse Mark Dyer, and Physicians Primary Care, PLLC (“PPC”), guilty on 13 of 22 charges. The jury found Campbell, Dyer, and PPC guilty of conspiracy to unlawfully distribute and dispense controlled substances, not for a legitimate medical purpose and outside the usual course of professional practice between January 1, 2009, and December 1, 2016. The controlled substances prescribed were Oxycodone and Methadone, schedule II controlled substances.

The jury also found Campbell, Dyer, and PPC guilty of conspiring to commit healthcare fraud for falsely and fraudulently billing Kentucky Medicaid (Passport), Indiana Medicaid and Medicare by submitting claims for physical therapy, counseling and exercise services using evaluation and management codes in order to obtain higher reimbursement. Campbell and Dyer were also convicted of conspiracy to commit money laundering for paying and/or receiving bonuses to incentivize the ordering of physical therapy, counseling, and exercise. Finally, Campbell and Dyer were convicted of billing for physical therapy services using evaluation and management codes as if a physician performed a service on the patients, but in reality, a non-physician and non-physical therapist performed the service on the patients.

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