Michigan physician to pay $6.5M to settle Medicare, Medicaid fraud allegations

A Michigan pain management specialist will pay $6.5 million to settle allegations he billed Medicare and Medicaid for medically unnecessary services. 

Advertisement

Rajendra Bothra, MD, owned two clinics, the Pain Center USA and Interventional Pain Center in Warren, Mich. The Justice Department alleged the clinics billed for medically unnecessary services between 2015 and 2018, according to a Aug. 24 news release. 

The Justice Department alleged the clinic charged Medicare and Medicaid for medically unnecessary urine drug tests, sedation services and back braces. 

In 2022, Dr. Bothra and three other physicians were found not guilty in an alleged $500 million scheme to defraud Medicaid and Medicare through illegally prescribing opioids, according to a Detroit Free-Press report.

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.