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$45M Settlement: Vohra Wound Physicians Accused of Medicare Fraud Wound Care

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Medicare Fraud Wound Care

Medicare Fraud Wound Care

Dr. Ameet Vohra and his companies, including Vohra Wound Physicians Management LLC, have agreed to pay $45 million to resolve allegations of widespread Medicare fraud related to wound care services. According to the U.S. Department of Justice, Vohra and his team knowingly caused the submission of false claims for medically unnecessary surgical procedures, inflated billing, and improper evaluation services linked to Medicare Fraud Wound Care.

Allegations of Fraud
  • The government alleged Vohra pressured and incentivized physicians to perform surgical debridement procedures during routine patient visits, regardless of medical necessity.
  • Vohra’s electronic health record and billing software were allegedly programmed to bill Medicare for the higher‑reimbursed surgical excisional procedure, even when only routine wound care was provided, contributing to Medicare Fraud Wound Care.
  • False documentation was allegedly created to support these inflated claims concerning wound care fraud.
Impact on Patients and Taxpayers

Officials emphasized that fraudulent billing practices not only waste taxpayer dollars but also put vulnerable patients at risk. Medicare fraud wound care compromises patient safety.

  • Assistant Attorney General Brett A. Shumate stated that manipulating electronic health records undermines the integrity of Medicare.
  • U.S. Attorneys in Florida and Georgia stressed that corporations exploiting public programs for profit are stealing from the American people.
  • The HHS Office of Inspector General warned that billing for unnecessary procedures jeopardizes patient safety and drives up healthcare costs.
Corporate Integrity Agreement

As part of the settlement, Vohra will enter into a five‑year Corporate Integrity Agreement (CIA) with the Department of Health and Human Services.

  • The CIA requires Vohra to implement a compliance program and risk assessment process associated with wound care practices.
  • An independent review organization will monitor claims and health IT systems.
  • Company executives must certify compliance annually, ensuring accountability and oversight.
Government’s Enforcement Efforts

This resolution reflects the government’s commitment to combating healthcare fraud through the False Claims Act. The coordinated investigation involved the DOJ’s Civil Division, U.S. Attorneys’ Offices in Florida and Georgia, and HHS‑OIG.

  • Officials encourage tips and complaints about fraud, waste, and abuse related to Medicare Fraud Wound Care to be reported to HHS at 800‑HHS‑TIPS (800‑447‑8477).
  • While the settlement resolves allegations, the claims remain allegations only, with no determination of liability.

$37M Settlement in Medicare Fraud Device Scheme: Semler & Bard Misled Providers on PAD Tests

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Two medical device companies—Semler Scientific Inc. and Bard Peripheral Vascular Inc.—will pay nearly $37 million to resolve allegations tied to a Medicare Fraud Device Scheme. The U.S. Department of Justice (DOJ) claims both companies knowingly caused healthcare providers to submit false Medicare claims for vascular tests using Semler’s FloChec and QuantaFlo devices. These devices, which rely on photoplethysmography—a method not covered by Medicare—were falsely promoted as qualifying for reimbursement under CPT codes 93922, 93923, and 93924. The settlement addresses claims that both companies knowingly caused healthcare providers to submit false Medicare claims for tests using Semler’s FloChec and QuantaFlo devices. … Read More