Specialty Focus   
Volume VII | Issue 29                                                                                
July 17, 2018   
        Practice specific news, analysis and commentary
      for Florida's Medical Specialists
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

Women who sued Jacksonville plastic surgeon focused now on implant maker
Andrew Pantazi

A Jacksonville plastic surgeon accused by hundreds of women of botching their surgeries has settled the bulk of their lawsuits and the women's lawyers have shifted their focus to the breast-implant manufacturer they say profited from the misfortune. Loren Clayman <MD, PS, ENT> first came under scrutiny when three women filed lawsuits against him in 2015. The women said Clayman's surgeries left them disfigured and in pain. Clayman, who emphasizes inexpensive procedures in his advertisements, performed subsequent surgeries for the three women for free, covering them with a product warranty from Allergan, the breast-implant manufacturer.
Florida Town Re-opens Beaches After 2 Apparent Shark Attacks 
Ralph Ellis, CNN

The town of Fernandina Beach, Florida, reopened its beaches to swimmers Saturday < 7.14.18>, a day after two people were injured minutes apart in "alleged shark bite incidents," the city government said. "The waters are back open this morning. Ocean Rescue will remain on high alert and will continue monitoring the water," the city said on its Twitter page Saturday -- which just happened to be Shark Awareness Day.


Common Healthcare Fraud Schemes 
Last month's indictment of more than 600 people nationwide, in what the feds dubbed "the largest healthcare fraud takedown in history," should serve as a warning that the government is serious about cracking down on those who abuse the system.

As we wrote about in June, of the 601 defendants charged, 165 were medical professionals and the alleged crimes run the gamut - from accepting kickbacks to writing illegal prescriptions to billing for services that were not provided. In total, the government estimates that the individuals were responsible for more than $2 billion in fraudulent billing. In the Southern District of Florida, 124 defendants were charged with offenses relating to their participation in various fraud schemes involving more than $337 million in false billings. Although healthcare fraud schemes come with their own set of circumstances, many are taken from the same playbook.

Here's a quick rundown of some of those tactics being used and some tips on how you can spot such illegal misconduct.
Guidelines, multiple specialists, and the science versus the art of medicine 
Steven Reznick, MD | Boca Raton Concierge Doctor via KevinMD

My 80-year-old patient presented with symptoms and signs of kidney failure. I hospitalized him and asked for the assistance of a kidney specialist. We notified his Hospital heart specialist as a courtesy. A complicated evaluation led to a diagnosis of an unusual vasculitis with the patient's immune system attacking his kidney as if it was a foreign toxic invader. Treatment, post kidney biopsy, involved administering large doses of corticosteroids followed by a chemotherapy agent called Cytoxan. Six days later it was clear that dialysis was required at least until the patient's kidneys responded to the therapy and began working again.