Galco.jpg                 

  

50 club.jpg

 

Houston-area cardiologist settles allegations
Houston, Texas
   
 
More Today's News:
ߦ   Coast Guard corrects aids to navigation after Hurricane Laura
ߦ   Crimes, Criminals, and the Cops Who Chase Them
ߦ   Deputies honored for distinguished service
ߦ   Four Police Officers Charged With Conspiracy To Commit Robbery
ߦ   Stolen mail bust on Katy Freeway leads to federal investigation
ߦ   Virginia Senate passes bill allowing assaulting a police officer to be a misdemeanor
ߦ   Maryland trooper fatally shoots DUI suspect while being dragged by vehicle for half a mile, police say
ߦ   NEW - Recommended Reading - Special Crimes
ߦ   15-year-old with disability and his sister escape carjacker near Channelview
ߦ   74 People Facing Federal Charges for Crimes Committed During Portland Demonstrations
ߦ   AG Paxton Urges Congress to Adopt Measures to Expand Funding for Crime Victims
ߦ   AG Paxton Warns Texans of Scammers in Wake of Hurricane Laura
ߦ   Corrupt Judge’s Request For Resentencing Denied
ߦ   Court: Portland journalists, observers not exempt from crowd control
ߦ   COVID-19 Put Domestic Violence Victims at Greater Risk; Coalitions Nationwide Stepped Up

 
Search Archives:

HOUSTON – Advanced Cardiovascular Care Center P.A. and its owner and administrator have agreed to pay $400,000 to resolve allegations they violated the False Claims Act (FCA), announced U.S. Attorney Ryan K. Patrick.

Owner Dr. Annie T. Varughese, 57, and administrator Babu Varughese, 64, both of Spring, conducted business in three clinics located in Houston, Conroe and The Woodlands.

From June 4, 2013, through June 4, 2016, the company submitted claims to Medicare for cardiology services. These included cardiac external counterpulsation treatments, transthoracic echocardiography studies and duplex scans that were not reasonable and medically necessary. Therefore, they failed to meet the Medicare coverage and documentation requirements.

Further, patient files lacked documentation that Varughese directly supervised the cardiology services as Medicare requires. The company billed Medicare for services under Varughese’s provider number when she was not in the office and, at times, not even in the United States.

“Putting financial gain ahead of medical necessity undermines the integrity of the Medicare program,” said Special Agent in Charge Miranda Bennett of the Department of Health and Human Services – Office of Inspector General (DHHS-OIG).  “We will continue investigate and hold accountable those who submit false claims to federal health care programs.”

“The largest area of fraud committed against the federal government today is by unethical healthcare providers who inflate or fabricate Medicare or Medicaid bills,” said Special Agent in Charge Perrye K. Turner of the FBI. “Billing Medicare for services that are not necessary and/or not provided constitutes fraud. American taxpayers are the ones who ultimately bear the financial burden created by this, as healthcare fraud translates into higher premiums and out-of-pocket expenses for consumers. We ask for the public's help in reporting and exposing dishonest healthcare providers."

The investigation began in 2016 after a former cardiologist filed a sealed lawsuit under the qui tam provisions of the FCA. It allows private citizens with knowledge of fraud to bring a lawsuit on behalf of the United States. They may be entitled to a share of the proceeds of the action or any settlement.

DHHS-OIG and FBI conducted the investigation. Assistant U.S. Attorney Julie Redlinger handled the matter.

Post a comment
Name/Nickname:
(required)
Email Address: (must be a valid address)
(will not be published or shared)
Comments: (plain text only)
Printer Friendly Format  Printer Friendly Format    Send to a Friend  Send to a Friend    RSS Feed  RSS Feed
© 1999-2020 The Police News. All rights reserved.