DOJ: Scottsdale Physicians Group may have ‘upcoded’ and ‘improperly admitted’ patients

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DOJ: Scottsdale Physicians Group may have ‘upcoded’ and ‘improperly admitted’ patients
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A prominent Valley doctor was hailed as a “healthcare hero” during the pandemic, but now his companies are in bankruptcy and the DOJ is accusing them of 'at least three separate schemes.' MORE ⬇️

SCOTTSDALE, AZ — A prominent Valley doctor was hailed as a “healthcare hero” during the pandemic, but now his companies are in bankruptcy and the Department of Justice is accusing them of unnecessarily admitting patients to a Scottsdale hospital and submitting false billing claims to Medicare.

The trustee also wrote in court filings that, in the years that followed, Ghadimi fraudulently transferred millions from the companies to his personal accounts. “That's how they generally hone in on what is a problem,” said Jim Belanger, a Valley defense attorney who has been involved in many complex healthcare fraud cases.

“And then how that was coded and billed to Medicare, Medicaid, or commercial insurance plans,” said Arrigo. “What the government will try and prove is that there's been intent – intent to deceive [or] submit claims that are false or fraudulent.” In the proof of claim, though, the DOJ attorney writes: “these loans would not have been forgiven had the United States been aware that the applications contained false information related to [the] number of employees and that funds were not used for the stated purpose for which it was intended.”

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