A look back at a worrying case of healthcare fraud
Each month, we strive to bring you, the general obstetrician-gynecologist, the most relevant information that will keep you up to date and provide you with the latest research in peer-reviewed clinical articles. Sometimes that means tackling difficult topics.
In last month’s Legally Speaking, we posted “Healthcare fraud exposedBy James M. Shwayder, MD, JD. The case should be discussed among peer groups and through mentorship. It is disturbing in its details but exposes fraud and medical malpractice that have lasted for years.
Maybe you’ve heard of the case before.
The obstetrician at the center, Javaid Perwaiz, was recently sentenced to 59 years in prison.1
Major media including CNN, NPR and the Washington post covered it. the Washington post the report included details of the doctor’s alleged activities, including prosecutors saying he performed unnecessary and irreversible hysterectomies on his patients; inappropriate sterilizations; and other procedures, including regular dilation and curettages which he called “annual cleanings”.1
Shwayder provides many more details, but the question remains: how could this doctor have gotten away with so much for so long? As Shwayder acknowledges, this case is extreme, but it’s also an example of the collapse of many checks and balances that are supposed to exist.
Shwayder gives his expert advice on strengthening best practices. Since some of the patients were Medicaid recipients, Shwayder reminds the reader that Medicaid requires a valid consent form for all sterilization procedures, as well as a 30 day waiting period between the date of the patient’s consent and the procedure itself.
We also want to hear your take on how these types of high profile lawsuits affect the practice of obstetrics and gynecology and the ability of the general population to trust physicians. According to news reports, Perwaiz was also a longtime practitioner in his community and had many patients under his care for years.2
Reasonable people will know that this case is an extreme example, but the fact remains that obstetrics and gynecology is one of the medical specialties most vulnerable to malpractice lawsuits. We recently published an article from a sister publication’s perspective. Physician Practice® which takes an in-depth look at the different elements involved in malpractice lawsuits and asset protection.
Written by Ike Devji, JD, it provides data on the most pursued medical specialties, the highest paid medical specialties, the states most at risk of being sued, and the states that pay physicians the most. We hope you will give us your opinion on this matter.
Mike Hennessy Sr.
President and Founder, MJH Life Sciences ™