tci Medicare Compliance & Reimbursement - 2017 Issue 10

Industry Notes: Dermatologist's Fraud Conviction Could Bring a Sentence of Up to 120 Years in Prison

Medical necessity continues to be the defining factor in most fraud cases, a Chicago dermatologist discovered last week. Chicago dermatologist, Omeed Memar, submitted false claims for “actinic keratosis, a precancerous condition that he knew many of his patients did not actually have,” a Department of Justice release from May 11, 2017 said. The physician lied about the symptoms andneed for treatment from 2007 to 2013, never showing the medical necessity for the patients’ “fictitious diagnosis.” The sentencing is set for Sept. 28, 2017 and could hold up to a 120-year prison term. Take a look...

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