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Jefferson County Doctor Convicted of Health Care Fraud Violations

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by U.S. Attorney’s OfficeTuesday, November 17th 2020 AA
Source: 6KFDM

Beaumont — BEAUMONT, Texas — A 43-year-old physician practicing in Beaumont has been found guilty of federal health care fraud violations in the Eastern District of Texas, announced U.S. Attorney Stephen J. Cox today.

Grigoriy T. Rodonaia, of Port Neches, Texas, was convicted by a jury this afternoon of 12 counts of health care fraud, three counts of aggravated identity theft, one count of making a false statement, and two counts of accepting kickbacks. The guilty verdict came following a four-day trial before U.S. District Judge Marcia Crone.

Rodonaia, a physician practicing in Beaumont with Rodonaia Family Medicine and Aesthetics, was indicted on March 18, 2020. According to information presented in court, beginning in January 2015, Rodonaia participated in a health care fraud scheme by issuing prescriptions for specially compounded scar creams using the names, dates of birth, and Health Insurance Claim Numbers of TRICARE beneficiaries, and caused the prescriptions to be forwarded directly to Memorial Compounding Pharmacy in Houston, Texas. These prescriptions were issued without consultation with the patient and without the patient’s knowledge. The prescriptions were billed to the military health care program, TRICARE, by the pharmacy at approximately $9,000 to $13,000 per prescription, with multiple refills authorized per prescription. Rodanaia issued over 600 prescriptions in the names of approximately 140 beneficiaries in furtherance of this scheme. Before the scheme could be detected, TRICARE paid approximately $6.7 million in TRICARE funds to Memorial Compounding Pharmacy. Further, to conceal his criminal activity, Rodonaia created fictitious patient files and records that falsely indicated that he had examined or consulted with those patients, and submitted those false records to the Defense Health Agency in response to an audit.

Rodonaia additionally violated the Anti-Kickback Statute by requiring Medicare and Medicaid beneficiaries seeking opioid treatment to pay cash for an office visit in excess of the amount which would have been reimbursed by the Medicare and Medicaid programs.ADVERTISING

Rodonaia remains released on conditions under supervision of the U.S. Pretrial Services office of the U.S. District Court. He faces up to 10 years in prison for each count of health care fraud and an additional two year consecutive term of imprisonment for each count of aggravated identity theft. A sentencing date has not been set.

This case was investigated by the Defense Criminal Investigative Service, the Drug Enforcement Administration, Health and Human Services – Office of Inspector General, and the Texas Medicaid Fraud Control Unit. Assistant U.S. Attorney Robert L. Rawls prosecuted this case.

What does health care fraud look like? Would you recognize health care fraud if you saw it? Have you been a victim of health care fraud?

Share your comments with the community by posting them below. Share the wealth of health with your friends and family by sharing this article with 3 people today. As always you are the best part of what we do. Keep sharing!

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Former Virginia doctor Javaid Perwaiz guilty of health-care fraud, performing unnecessary hysterectomies

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By Katie Mettler and Samantha Schmidt
November 9, 2020 at 3:51 p.m. EST
Source: The Washington Post

Javaid Perwaiz, a longtime OB/GYN in Virginia whose arrest last year shocked and confused hundreds of his patients, was convicted Monday of 52 counts related to what prosecutors called his scheme to defraud insurance companies by giving women life-altering hysterectomies and other surgeries they did not need.

Perwaiz, who practiced medicine in the Hampton Roads region for nearly four decades, faces a maximum sentence of 465 years in prison, according to the U.S. attorney’s office for the Eastern District of Virginia. The former doctor’s sentencing is scheduled for March 31. His attorneys did not respond to a request for comment.

“Doctors are in positions of authority and trust and take an oath to do no harm to their patients,” Karl Schumann, acting special agent in charge of the FBI’s Norfolk field office, said in a statement. “With unnecessary, invasive medical procedures, Dr. Perwaiz not only caused enduring complications, pain and anxiety to his patients, but he assaulted the most personal part of their lives and even robbed some of their future.”

A doctor is accused of years of unnecessary hysterectomies. The women who trusted him want answers.

Perwaiz, 70, was arrested last fall after an FBI investigation found that since at least 2010, the doctor had been carrying out a health-care fraud scheme that included performing diagnostic procedures with broken equipment and scaring patients into surgery by falsely claiming they had cancer.

Would you recognize health care if you saw it? What would it look like? What should one do?

Share your comments with the community by posting them below. Share the wealth of health with your friends and family by sharing this article with 3 people today. As always you are the best part of what we do. Keep sharing!

If these articles have been helpful to you and yours, give a donation to Shidonna Raven Garden and Cook Ezine today.