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Pain Doctor Pays to Settle Allegations of Deceptive Medicare Billing

Pain doctor pays to settle allegations of deceptive Medicare billing.

A 52-year-old pain management physician from Houston has paid $ 530,000 to resolve allegations he falsely billed Medicare for the use of electro-acupuncture devices, announced U.S. Attorney Ryan K. Patrick.

From March 1, 2019, to Oct. 31, 2019, Dr. Syed Nasir billed Medicare for the implantation of neurostimulator electrodes–a surgical procedure that usually requires use of an operating room.

The post Pain Doctor Pays to Settle Allegations of Deceptive Medicare Billing appeared first on The Coding Network.

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Office Manager and Wife of Conway Arkansas Doctor Arrested for Medicaid Fraud

Leslie Rutledge, an Attorney General for the State of Arkansas, announced today that a Conway Optometrist’s Officer Manager had been arrested and charged with for defrauding almost $ 600K from the Arkansas Medicaid Program during the course of a four-year period. Attorney General Rutledge went on record saying that “Medicaid funds are crucial to assist some of our most vulnerable Arkansans.” He went on to say that those who defraud the taxpayers must be held accountable for the actions.

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Medicare Advantage Supplier and Doctor to Pay $5 Million to Settle False Claims Act Allegations

Beaver Medical Group L.P. (BMG) and a doctor who works for it, Dr. Sherif Khalil, have agreed to pay a little over the amount of $ 5 million to resolve accusations that they falsely reported diagnosis codes to plans of Medicare Advantage, thereby causing said plans to receive inflated payments. BMG is headquartered in Redlands, CA. “The United States relies on healthcare providers to submit accurate diagnosis data to Medicare Advantage plans to ensure those plans receive the appropriate compensation,” said Jody Hunt, Assistant Attorney General of the DOJ’s Civil Division. “We will pursue those who undermine the integrity of the Medicare program and the data it relies upon.”

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Michigan doctor accused of $60M Fraud

An indictment unsealed July ten charges Vasso Godiali, MD, with orchestrating a $ 60 million care fraud scheme and lavation payoff from the scheme, per the Department of Justice.

Dr. Godiali, a vascular physician, allegedly submitted false claims to Medicaid, Medicare and Blue Cross of Michigan for services that weren’t provided and exploited Modifier fifty nine to improperly unbundle claims. Dr. Godiali allegedly claimed he was performing many separate procedures once he was solely entitled to one compensation for one procedure, per the DoJ.

The indictment additional alleges Dr. Godiali used six companies to launder roughly $ 49 million in payoff from the aid fraud scheme, per the Department of Justice.

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Doctor Sentenced to Prison for Health Care Fraud

In court in Central Islip, Hal Abrahamson, a foot doctor with offices in Plainview, Long Island, and Rego Park, Queens, was sentenced by US District judge Denis R. Hurley to at least one year and a day in jail for his role during a health care fraud scheme. The Court additionally ordered Abrahamson to pay restitution of $ 869,651, a $ 50,000 fine and forfeit $ 177,000. On June 26, 2018, Abrahamson pleaded guilty to health care fraud in reference to the operation of his medical specialty practice.

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Los Angeles Doctor Condemned In 33 Million Dollar Fraud Scheme

A United States Federal Jury found Dr. Robert Glazer guilty on June 7th for his primary role during a 33 million dollar fraud scheme concerning requests of Medicare for care services that were not actually provided. Following a seven-day trial, Dr. Glazer was found guilty of a single count of Conspiracy to Commit Fraud and twelve separate counts of actual Health Care Fraud.

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Kansas Doctor Forks Over Almost 6 Million in Settling 3rd False Claims Case in Twenty Years

Joseph P. Galichia MD, the previous owner of the Wichita-based Galichia Medical, after quite some time, reached Fraud Claim Act settlements with the Feds in 2000 and 2009 amounting to nearly 6 Million Dollars. This was his third time settling with the US Federal Government for such behavior.

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Newton Doctor Accused Of Fraud To Pay $680K In Settlement

A Newton specialist has consented to pay $ 680,000 to determine charges that he disregarded the False Claims Act by submitting expanded cases to Medicare and the Massachusetts Medicaid program (MassHealth) for consideration to nursing home patients, the US Attorney’s Office and the Attorney General reported Thursday.

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