Massachusetts physician to pay $680K to resolve false billing claims

Massachusetts geriatric medicine physician Hooshang Poor, MD, agreed to pay $680,000 to resolve allegations that he submitted inflated claims to Medicare and the Massachusetts Medicaid program, according to the U.S. Department of Justice.

The Justice Department claimed Dr. Poor submitted inflated claims for nursing home care by falsifying procedural codes that overstated the length, extent and scope of services he and his employees provided to nursing home residents between June 1, 2011, and May 31, 2017.

Federal officials also said Dr. Poor did not abide by MassHealth limitations on the frequency of billable visits, among other issues, causing MassHealth to reimburse inflated amounts for those services.

Under the settlement agreement, Dr. Poor will pay $265,896 to the federal Medicare program and $414,103 to the Medicaid program.

To access the full report, click here.

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