Federal judge sentences former manager of Kalamazoo-area OB-GYN practice.

Federal officials said U.S. District Judge Janet Neff found that Sabor was complicit in several fraud schemes committed by the practice, resulting in about $ 914,000 in false claims submitted by Urological Solutions of Michigan and paid by Medicare.

Scheme included billing pelvic muscle rehabilitation therapy using improper—and more lucrative—diagnostic codes, billing for evaluation and management (“E&M”) services that did not occur, upcoding ultrasound services, and billing for the services of an unlicensed nurse assistant.

As the government emphasized in its sentencing memorandum, ‘If you bill the government, learn the rules; if you are audited and found to be doing something wrong, rectify your practices; if a judge tells you to stop billing improperly, stop it.

Sabor was the manager of Urological Solutions of Michigan from 2007 to 2019, a mobile medical practice providing urological services to patients in their homes and assisted living facilities in the greater Traverse City, Grand Rapids, and Kalamazoo areas.

On May 15, 2020, Beyer and Susan Wright, his wife, both pleaded guilty to federal charges of health care fraud and reusing medical devices on multiple patients.

In total, they paid $ 1,260,000 for submitting or causing the submission of false claims for reimbursement to Medicare as part of numerous alleged healthcare fraud schemes.

The post Federal Judge Sentences Former Manager of Kalamazoo-area OB-GYN Practice appeared first on The Coding Network.

The Coding Network