Corporate Compliance

Detroit physical therapist admits to falsifying Medicare claims worth $1.68M

Compliance Monitor, September 2, 2009

On August 26, Jay Jha, a Detroit-area physical therapist, admitted his involvement in a conspiracy that defrauded Medicare of approximately $18.6 million, according to a Department of Justice (DOJ) release.
 
According to the DOJ, Jha worked as a licensed therapist for a co-conspirator who owned and operated several companies that claimed to provide physical therapy and occupational therapy services to Medicare beneficiaries. Jha admitted that he and co-conspirators paid Mecicare beneficiaries kickbacks in exchange for their Medicare numbers and signatures on false claims.
 
Jha admitted signing approximately 336 physical therapy files for services that were never provided. Those files supported false claims to Medicare totaling approximately $18.6 million. Jha was paid between $90 and $110 for each file that he falsified.
 
The case was brought by the Medicare Fraud Strike Force. The Strike Force has targeted Miami, Los Angeles, Detroit, and Houston since its inception in March 2007 and has obtained indictments of more than 293 individuals and organizations that collectively have billed the Medicare program for more than $680 million.

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