Corporate Compliance

Detroit man sentenced for Medicare fraud

Compliance Monitor, June 13, 2012

Victor Jayasundera, 59, of Detroit, faces 30 months in prison for his role in a scheme that defrauded Medicare of more than $1.9 million, according to a Department of Justice press release.

Jayasundera co-owned Jos Campau Physical Therapy, a Detroit-area physical and occupational therapy company. Jayasundera and codefendant Fatima Hassan paid recruiters to provide Medicare beneficiary information and signatures so they could create fictitious physical and occupational therapy files.

Jayasundera falsified patient evaluation forms and created patient notes for therapy he did not perform.

Jos Campau Physical Therapy did not have a Medicare provider number and could not bill Medicare directly. Jayasundera and Hassan sold the fictitious physical and occupational therapy files to multiple fraudulent therapy companies that had Medicare provider numbers. Those companies then billed Medicare and paid kickbacks to Jos Campau Physical Therapy.

From approximately June 2005 through May 2007, the therapy companies submitted approximately $1.9 million in false claims to Medicare for physical and occupational therapy services that Jos Campau Physical Therapy never provided.

Jayasundera pleaded guilty to one count of conspiracy to commit healthcare fraud and six counts of healthcare fraud. Hassan also pleaded guilty and was sentenced to 48 months in prison.

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