Corporate Compliance

MA physician charged in $5.4 million fraud scheme

Compliance Monitor, March 23, 2005

A Brookline, MA, physician was charged last week with mail fraud, healthcare fraud, obstruction of justice, and money laundering in connection with allegedly defrauding Medicare of approximately $5.4 million, Michael J. Sullivan, U.S. Attorney for the District of Massachusetts, announced March 16.

The indictment alleges that from 1997 to 2001, Dr. Abdul Razzaque Ahmed, 56, falsified diagnoses for a number of patients in order to obtain payment from Medicare for expensive IV treatments, according to Sullivan's release. The Department of Justice further alleges that Ahmed mixed the blood sera of patients who had a Medicare-eligible disease with the blood of patients who did not in order to obtain false test results so he could prescribe certain tests that brought in high levels of Medicare reimbursement.

If convicted, Dr. Ahmed faces maximum penalties of five years in prison on each mail fraud and obstruction count; 10 years on each healthcare fraud count; and 20 years on each money laundering count. The money laundering charges also carry a maximum fine of $500,000; all other charges have maximum fines of $250,000.

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