An In-depth Interview with Expert Witness & Practice Management Consultant, Dr. Daniel H. Dahan
Who is Dr. Daniel H. Dahan?
After graduating from Life College in 1988, Dr. Daniel H. Dahan developed and operated one of Southern California’s largest multidiscipline centers, with a staff ultimately consisting of a chiropractor, an orthopedist, a neurologist, an internist, a family practitioner, two physical therapists and five massage therapists.
What is a multidisciplinary center (Multi Disciplinary Center)? What does it do? How does it compete in today’s arena? Is it legal? How many different names are used to describe the same center? Is a Multi Disciplinary Center created to circumvent limits on chiropractic benefits?
This article is designed to introduce you to how and why multidisciplinary clinics make so much news.
Chiropractic Practice Builder Added
In July 2005, two neurologists (Nils Anderson and Harish Thaker) and two chiropractors (Josef Verhaerdt and Mark Sanna) were added as defendants. The amended complaint charges that VeridianHealth paid kickbacks to Verhaerdt and Sanna to recruit other doctors into the referral and testing scheme. Sanna is alleged to have received nearly a half-million dollars in annual kickback payments. Anderson and Thaker, along with a handful of other off-site neurologists recruited by VeridianHealth, allegedly “read” the worthless diagnostic testing reports. VeridianHealth then billed insurance companies as much as $10,600 per case for these purported services [3]. A few days after the amended complaint was filed, Veridian announced that it was discontinuing its business operations. In August, its some of its creditors filed a bankruptcy petition.
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In a ruling that contradicts a previous state court decision and may affect several pending lawsuits totaling almost $75 million in alleged damages, an Eastern District judge has dismissed a claim brought by an insurer that says it lost millions in no-fault benefits paid to illegally structured medical practices.
Judge Charles P. Sifton, in the Eastern District, rejected a claim brought by State Farm Mutual Automobile Insurance Co., that alleged some 36 multidisciplinary medical practices were structured illegally under New York’s Business Corporation Law and therefore were required to return $6 million in medical benefits paid by the insurer. Specifically, Judge Sifton ruled that the law did not absolve State Farm of its duty to pay the claims and did not give State Farm a private right of action to enforce the corporate structure provisions.
— It is, perhaps, rare that a federal judge sits in awe of a person the judge has just sentenced to 3 years in prison.
Friday, U.S. District Court Judge Joy Flowers Conti, Pittsburgh, said she was impressed with the ability of Brent J. Detelich to help people turn their lives around, as he had done his own.
“You are, in many ways, extremely remarkable as a person,” Judge Conti told Detelich. “You have a lot of good qualities. Look at what you’ve done to help people with their lives.”
But, the judge said, the strong, charismatic personality that Detelich has used as a force for good, can easily be turned to manipulate people to their detriment.
MULTI-DISCIPLINE PRACTICES (MDP)
Submitted by: ACA Insurance and Managed Care Committee
The American Chiropractic Association is the preeminent professional organization representing doctors of chiropractic in the United States. We have an obligation to our membership and to the profession as a whole to comment on topics that support or harm the profession and the public it serves. The topic of Multi-Discipline Practices (MDP) is receiving increased attention in the media, as a quality option for treating patients.
The goal of this policy is to provide general education as opposed to specific legal or practice advice. It is incumbent upon each doctor of chiropractic to determine relevant state or federal laws, local board regulations and/or association recommendations that may be pre-emptive.
Law, rules and regulations, not Alerts, specify the requirements for practice and violating them constitutes professional misconduct. Not adhering to this Alert may be interpreted as professional misconduct only if the conduct also violates pertinent law, rules and regulations, some citations of which are listed at the end of this Alert.
The health care professions constantly evolve. A variety of forces, sometimes in competition with one another, continue to shape and reshape the methods, procedures and the manner in which health care is provided to the public.
For many years, Ron Halstead D.C., a non-practicing chiropractor, worked as a healthcare consultant who presented well-publicized seminars to chiropractors on how to boost their incomes. On February 4, 2003, a federal jury in Clarksburg, West Virginia found Halstead guilty of conspiracy, healthcare fraud, and money laundering in connection with advice he gave to Robert B. Burns, Jr., D.C. Two chiropractors who worked at Burns’ chiropractic office in Morgantown, West Virginia, William C. Filcheck, D.C. and Scott G. Taylor, D.C. were also found guilty of conspiracy and healthcare fraud. Burns fled the United States and was fighting extradition from Ireland at the time of the trial.
The lawsuit was amended on July 8, 2005 to include Mark Sanna, DC, president of Breakthrough Coaching, Inc., as one of the defendants. The second amended complaint alleges:
Dr. Daniel H. Dahan
Practice Perfect Management & Consulting Services
1050 East Wardlow Rd., Long Beach, CA 90807
Phone: 877-331-9251
Fax: (562) 437-1440
E-mail: dahan@dahan.com
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