tci Part B Insider - 2018 Issue 3

Physician Notes: Fraud and Upcoding Net MD 13 Years in Prison, Millions in Returns

The feds are on the lookout for outlier activity. Some believe they can buck the system to cash in on federal money. But recent cases show that if you are caught, enforcement agencies will deliver their wrath with hefty punishments. The Department of Justice (DOJ) points to greed as the primary factor that led New York-based surgeon, Syed Imran Ahmed, MD, to commit healthcare fraud, filing millions in fraudulent claims and then lying about them to Medicare. "Dr. Syed Ahmed treated Medicare like a personal piggy bank, stealing over $7.2 million by making fraudulent claims for medical procedures...

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