News

Doctor found guilty in medical-billing scheme

A physician faces charges for fraudulent billing practices—learn what went wrong and how to avoid such pitfalls.

DJ
RCM Manager · 24/7 Medical Billing Services
Reviewed for accuracy by 247MBS certified coders
Published September 30, 2015 1 min read

CLEVELAND — A federal court jury in Cleveland has convicted a cardiologist of ordering unnecessary medical tests, performing unnecessary procedures and submitting fraudulent bills totaling $7.2 million.

Harold Persaud, 56, of Westlake, was convicted on Friday of one count of health-care fraud, 13 counts of making false statements and one count of engaging in illegal monetary transactions.

Prosecutors say Persaud billed Medicare and private insurers for more-expensive procedures than were performed, falsified stress tests to justify unnecessary heart catheterizations and referred patients for heart bypasses they didn’t need.

Persaud was accused of engaging in the scheme between 2006 and 2012. Prosecutors say the $7.2 million in fraudulent bills led to payments by insurers totaling $1.5 million.

Source: http://www.dispatch.com/

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DJ
RCM Manager · 24/7 Medical Billing Services
Danny writes on specialty medical billing, coding compliance, and revenue-cycle strategy, translating complex CMS and payer rules into practical guidance for practice administrators and physicians.
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