A federal jury convicted a third Detroit-area physician Monday for his role in a $17 million Medicare fraud scheme involving medically unnecessary visits, according to officials.
Gerald Daneshvar, M.D., 40, of West Bloomfield, Michigan, was convicted of one count of conspiracy to commit health care fraud after a jury trial lasting approximately two weeks.
Daneshvar was a physician for Lake MI Mobile Doctors, a home visiting physician service based in Chicago, with an office in Southfield, Michigan, from 2012 to 2013.
Daneshvar was also acquitted of two counts of health care fraud today.
The evidence at trial showed that Daneshvar visited patients who did not qualify for visiting physician services, and these visits were then billed to Medicare at the highest billing codes.
For example, the evidence showed that Daneshvar billed Medicare for home visits that required complex, 40- or 60- minute examinations, but would instead rush through as many as 22 home visits per day, averaging about 15 minutes or less with each patient, so he could make more money.
The evidence also showed that he ordered unnecessary tests, in order to receive larger bonuses.
In connection with this case, Leonard Van Gelder, M.D., 69, of Caledonia, Michigan, and Stephen Mason, M.D., 46, of Indianapolis, each pleaded guilty to one count of conspiracy to commit health care fraud in March 2017 and December 2016, respectively.
As part of their guilty pleas, Van Gelder and Mason admitted to seeing patients who did not need their services and for whom bills were submitted to Medicare at the highest billing codes. Both Van Gelder and Mason testified at trial.
Lake MI Mobile Doctors billed Medicare about $17.1 million as a result of the scheme in which these doctors participated, the evidence showed.Warning: file_get_contents(): https:// wrapper is disabled in the server configuration by allow_url_fopen=0 in /hermes/bosnacweb02/bosnacweb02af/b360/ipg.sbnotebookcom/wp-content/themes/goodnews5/framework/functions/posts_share.php on line 151 Warning: file_get_contents(https://plusone.google.com/_/+1/fastbutton?url=http%3A%2F%2Fwww.cjnotebook.com%2Fthird-doctor-convicted-of-17-1-million-scam-making-unnecessary-medical-visits%2F): failed to open stream: no suitable wrapper could be found in /hermes/bosnacweb02/bosnacweb02af/b360/ipg.sbnotebookcom/wp-content/themes/goodnews5/framework/functions/posts_share.php on line 151