Third Detroit-Area Physician Convicted in $17.1 Million Health Care Fraud Scheme

[nitpicker]

https://www.justice.gov/opa/pr/third-detroit-area-physician-convicted-171-million-health-care-fraud-scheme

Department of Justice
Office of Public Affairs

FOR IMMEDIATE RELEASE
Monday, May 8, 2017

Third Detroit-Area Physician Convicted in $17.1 Million Health Care Fraud Scheme

A third Detroit-area physician was convicted today for his role in a $17 million Medicare fraud scheme involving medically unnecessary physician visits.
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Gerald Daneshvar, M.D., 40, of West Bloomfield, Michigan, was convicted of one count of conspiracy to commit health care fraud after a jury trial lasting approximately two weeks. Daneshvar was a physician for Lake MI Mobile Doctors, a home visiting physician service based in Chicago, with an office in Southfield, Michigan, from 2012 to 2013. Daneshvar was also acquitted of two counts of health care fraud today.

The evidence at trial showed that Daneshvar visited patients who did not qualify for visiting physician services, and these visits were then billed to Medicare at the highest billing codes. For example, the evidence showed that Daneshvar billed Medicare for home visits that required complex, 40- or 60- minute examinations, but would instead rush through as many as 22 home visits per day, averaging about 15 minutes or less with each patient, so he could make more money. The evidence also showed that he ordered unnecessary tests, in order to receive larger bonuses.
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