Federal Jury Convicts Michigan Doctor In$6.7 Million Medicare Fraud Case

 
Federal Jury Convicts Michigan Doctor In $6.7 Million Medicare
Fraud Case
 
     May 15 (BNA - Health Care Daily Report) -- Federal
prosecutors in Detroit announced May 11 that a jury convicted a
Detroit-area physician for his role in a $6.7 million Medicare
fraud scheme.
     The Department of Justice said Jonathan Agbebiyi, an
obstetrician/gynecologist from Sterling Heights, Mich., was
convicted of one count of conspiracy to commit health care fraud
and six counts of health care fraud in the U.S. District Court
for the Eastern District of Michigan.
     Sentencing for Agbebiyi has been set for Aug. 13. Each count
of conspiracy to commit health care fraud and health care fraud
carries a maximum penalty of 10 years in prison and a $250,000
fine.
     Prosecutors said Agbebiyi was a staff physician at three
clinics that operated in Livonia, Mich., between 2007 and 2010:
Blessed Medical Clinic, Alpha and Omega Medical Clinic, and
Manuel Medical Clinic.
 
                 Unnecessary Neurological Tests
 
     DOJ said that, according to the evidence presented during
the one-week trial before Judge Arthur Tarnow, Agbebiyi joined a
conspiracy to bill Medicare for medically unnecessary
neurological tests. Some of the tests involved sending an
electrical current through the arms and legs of the patients, DOJ
said in its statement.
     According to prosecutors, clinic employees, “who lacked any
meaningful training, administered the diagnostic tests. The
patients never received any follow up treatment by neurologists.”
     DOJ said the evidence at trial showed that the patients were
not referred to the clinics by their primary care physicians, or
for any other legitimate purpose, but “rather were recruited with
prescriptions for controlled substances, cash payments, and fast
food. The three clinics then billed the Medicare program for
various diagnostic tests that were medically unnecessary.”
     Prosecutors said nine individuals involved with the three
clinics have been convicted for their roles in the scheme.
     In March, three Florida residents pleaded guilty for their
roles in a scheme to defraud Medicare by using the three
Detroit-area health clinics to submit bills for services and
tests that were never provided (51 HCDR, 3/16/12).
     DOJ said the latest case was investigated by the FBI and
Health and Human Services Office of Inspector General, and was
brought as part of the Medicare Fraud Strike Force, supervised by
the DOJ Criminal Division's Fraud Section and the U.S. Attorney's
Office for the Eastern District of Michigan.

Run {BBLR<go>} to subscribe to Bloomberg BNA Law Reports.
Press spacebar to pause and continue. Press esc to stop.

Bloomberg reserves the right to remove comments but is under no obligation to do so, or to explain individual moderation decisions.

Please enable JavaScript to view the comments powered by Disqus.