Tag Archives: Medicare Fraud

$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.

Burbank Lab Owner Admits $11M Medicare Tax Fraud Evasion

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LOS ANGELES — A Burbank man has pleaded guilty to orchestrating a multi-million-dollar Medicare fraud tax evasion and evading over $11.2 million in federal taxes, according to the U.S. Department of Justice. Armen Muradyan, 60, admitted to conspiracy to commit health care fraud, wire fraud, and tax evasion. He used a longtime friend as a front to illegally collect Medicare reimbursements through his blood-testing company, Genex Laboratories Inc., which had been barred from submitting claims. Muradyan paid the friend $2,000 monthly to pose as Genex’s owner, allowing him to funnel millions in reimbursements into bank accounts he secretly controlled. These … Read More

Health Agency CEO Sentenced in Houston Medicare Fraud Case

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At Medical Fraud Exposed, we spotlight the schemes that exploit our healthcare system— and the recent sentencing of a Houston man is another glaring example. Houston Health Agency CEO Sentenced in Medicare Fraud CaseAt Medical Fraud Exposed, we spotlight the schemes that exploit our healthcare system—and the recent sentencing of a Houston man is another glaring example. Paul Njoku, 64, owner and CEO of Opnet Health Care Services Inc. (doing business as P & P Health Care Services), has been sentenced to 75 months in federal prison after being found guilty of orchestrating a Houston Medicare fraud scheme that netted his … Read More

Telemedicine Fraud: Telemedicine Scheme Uncovered

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🚨 Overview Federal prosecutors have charged Alabama physician Tommie Robinson, 43, in connection with a sweeping Medicare fraud telemedicine scheme that generated over $6 million in false claims. First, the fraudulent documentation sparked a telemedicine scheme, which in turn led to over $6 million in Medicare fraud claims.  Additionally, these claims involved equipment and tests that were neither medically necessary nor properly authorized. 🧬 Scheme Details Between December 2018 and March 2021, Robinson allegedly collaborated with telemedicine companies to authorize medical orders for durable medical equipment (DME) and cancer-related genetic testing—without ever examining or speaking to the patients.  Telemarketing scripts targeting … Read More

💊 Pennsylvania Pharmacy Pays $825K to Resolve Medicare Fraud Allegations

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🧠 Overview West End Services, Inc. (WES), a Pennsylvania pharmacy, and its owner-pharmacist Christopher Leon have agreed to pay $825,000 to settle allegations that they violated the False Claims Act by billing Medicare for prescription drugs that were never dispensed. Between January 1, 2014, and February 24, 2019, WES submitted claims for medications such as Latuda, Humira, Abilify, Invega Sustenna, Seroquel, Acyclovir, Flovent, and Truvada—none of which were actually provided to patients. 🗣️ Federal Response “Pharmacy fraud remains a priority for our office,” said U.S. Attorney David Metcalf. “Taxpayer dollars should be spent on needed medications—not wasted on fraud and … Read More