Health Care Fraud at $133,418 - I
April 2, 2010
It’s 2005, and the FBI’s Washington, D.C. office gets called about possible fraudulent Medicaid billing by a doctor.
Mr. Schiff: It’s 2005, and the FBI’s Washington, D.C. office gets called about possible fraudulent Medicaid billing by a doctor.
Mr. Foster: "The group that processes the Medicaid billing contacted the District of Columbia Office of Inspector General. And they had noticed some irregularities in the billing that was being performed by the doctor.”
Mr. Schiff: That’s FBI Special Agent Tim Foster, who says the company processing the billing did an audit and patients were interviewed.
Mr. Foster: "Based on the results of those interviews, then a search warrant was obtained for the doctor’s office. More records were obtained; more interviews were conducted.”
Mr. Schiff: Foster says the doctor was involved in several schemes.
Mr. Foster: "The predominate scheme was what we call ‘ghost visits’ where he was billing his patients, that were legitimately his patients, for services that he either never performed or stuff that he did perform were billed at a higher rate.”
Mr. Schiff: The doctor was convicted at trial, sentenced to more than four years in prison, and ordered to forfeit more than $133,000. I’m Neal Schiff of the Bureau, and that’s the FBI’s Closed Case of the Week.
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