Showing posts with label Medicare Fraud case. Show all posts
Showing posts with label Medicare Fraud case. Show all posts

Wednesday, November 4, 2020

Tennessee doctors agree to pay $340K in Medicare fraud case


MEMPHIS, Tenn. (AP) — Two Tennessee doctors and their associated clinics have agreed to pay $341,690 to resolve claims that they defrauded Medicare, according to a Friday news release from the U.S. Justice Department.

In a federal lawsuit filed in Memphis, the United States accused Dr. Shoaib Qureshi, Dr. Imran Mirza and their clinics of billing Medicare for services rendered by nurse practitioners at the higher reimbursement rate for physician services.

At times when the billing occurred, the physicians were out of the office or even out of the country, the lawsuit alleged. It claimed the improper billing took place from 2015-2018.

The settlement resolves allegations filed in a lawsuit by Michael Grace under a provision of the False Claims Act that permits private individuals to sue on behalf of the government and to share in any recovery. As part of this settlement, Grace will receive $58,087.

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Saturday, February 16, 2019

News Florida News Jury selection starts in $1 billion Florida Medicare fraud case

Chicago Tribune reporter David Jackson explains how wealthy nursing home operator Philip Esformes allegedly became the orchestrator of a $1 billion Medicaid and Medicare bribery and kickback scheme. Oct. 4, 2016.
Jury selection is set to begin in the trial of a health care executive accused of defrauding Medicare of $1 billion, one of the nation's biggest such cases.

Jurors chosen beginning Monday will decide the fate of 50-year-old Philip Esformes, who operated a network of 30 nursing homes and assisted living facilities in Florida. Prosecutors say Esformes and other conspirators referred thousands of Medicare patients to their facilities even if they didn't qualify for services.

He has a history of running nursing homes in Florida, Missouri and Illinois.

Esformes is also accused of accepting kickbacks for steering Medicare patients to other health care providers, which then billed the government program for unnecessary services.

Esformes has pleaded not guilty and has been jailed since his 2016 arrest. Two others involved in the scheme have pleaded guilty.

Esformes faces a lengthy prison sentence if convicted.

Full Article & Source:
News Florida News Jury selection starts in $1 billion Florida Medicare fraud case