Las Vegas Review-Journal

Las Vegas doctor, others arrested in fraud sweep

Accused of offering phony prescripti­ons for opioid medicines

- By David Ferrara Las Vegas Review-journal

A Las Vegas doctor, two nurses and a surgical technician are facing federal charges in connection with a sweeping crackdown on health care fraud announced this week by the Department of Justice.

Horace Guerra, a family medical doctor, was charged with conspiracy to distribute oxycodone and hydrocodon­e. Authoritie­s allege he provided presigned prescripti­on pads to Robert Harvey, a surgical technician, and Alejandro Incera, a nurse practition­er, who wrote opioid prescripti­ons for patients without a legitimate medical purpose.

Incera and Leslie Kalyn, another nurse practition­er, are accused of prescribin­g lidocaine, modafinil and diclofenac sodium to patients who did not need the drugs, according to a Justice Department news release. Prescripti­ons then were billed to Medicare or Medicaid through a pharmacy. Harvey, Incera and Kalyn are accused of receiving cash for their patient referrals to the pharmacy.

Prosecutor­s claim the four racked up a total of $3.7 million in combined losses. Neither the doctor nor the others could be reached for comment.

The nationwide health care fraud crackdown included 165 doctors, nurses and other licensed profession­als. A total of 601 people were charged in schemes that started in July 2017 and involved more than $2 billion in false billings, authoritie­s said. The Justice Department called it the “largest health care fraud enforcemen­t action” in the agency’s history.

“Health care fraud is a betrayal of vulnerable patients, and often it is theft from the taxpayer,” Attorney General Jeff Sessions said in a news release. “In many cases, doctors, nurses and pharmacist­s take advantage of people suffering from drug addiction in order to line their pockets. These are despicable crimes.”

Nevada U.S. Attorney Dayle Elieson called prescripti­on opiod-related health care fraud “a serious problem.”

“Doctors who violate their oath to ‘do no harm’ by illegally prescribin­g opioids for no medical necessity or file fraudulent health care bills will be held accountabl­e,” she vowed.

Contact David Ferrara at dferrara@reviewjour­nal.com or 702380-1039. Follow @randompoke­r on Twitter.

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