Owner of billing company pleads guilty in $2M Medicare fraud scheme

The owner of a medical billing company has pleaded guilty in Michigan federal court to conspiring to commit healthcare fraud after she submitted $2 million in fraudulent claims to Medicare.

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According to the plea agreement, Lama Elorr owned Advanced Medical Billing Professionals and handled billing for Allen Park, Mich.-based House Call Physicians, which was owned by one of Ms. Elorr’s co-conspirators.

As part of a fraud scheme, Ms. Elorr prepared billing documents to make it appear Medicare beneficiaries were seen and treated by licensed physicians from HCP when the patients were actually treated by physician assistants or unlicensed individuals. Ms. Elorr knew HCP would use the fraudulent documents to bill Medicare for physician services that were never provided.

According to the plea agreement, Ms. Elorr caused $2 million in fraudulent claims to be submitted to the Medicare program through her involvement in the scheme.

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