Cardiologist Sentenced To Prison For Decade-Long Health Care Fraud Scheme | USAO-SDNY

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Ilan T. Graff, the Lawyer for the US, Performing Underneath Authority Conferred by 28 U.S.C. § 515, introduced right now that heart specialist ASIM HAMEEDI was sentenced to twenty months in jail for orchestrating a widespread healthcare fraud scheme from roughly 2003 to 2015.  HAMEEDI owned a Queens, New York, medical clinic, Metropolis Medical Associates (“CMA”), via which he perpetrated a fraud scheme involving, amongst different issues, fraudulent reimbursement claims and false representations to insurers concerning medical checks and procedures.  HAMEEDI beforehand pled responsible to conspiracy to commit well being care fraud earlier than U.S. District Choose John G. Koeltl, who imposed right now’s sentence.

Mr. Graff stated:  “Docs and medical clinics needs to be targeted on their sufferers’ wellbeing, not on fraudulently lining their very own pockets.  Because of the dogged investigative work of our companions on the FBI, HHS, and NYPD, Asim Hameedi is headed to jail for defrauding Medicare, Medicaid, and personal medical health insurance firms.”

Based on the Indictment, different court docket filings, and statements made in public court docket proceedings:

CMA, a cardiology and neurology clinic based mostly in Bayside, Queens, performed a multifaceted scheme spanning roughly 12 years and involving hundreds of thousands of {dollars} in falsified claims.  HAMEEDI, a board-certified interventional heart specialist, was CMA’s president and proprietor.  As HAMEEDI has acknowledged, he was a pacesetter of this long-running, wide-ranging fraud scheme, which concerned varied co-conspirators and a number of other codefendants. 

HAMEEDI’s healthcare fraud scheme included, amongst different issues: (1) making false representations to insurance coverage suppliers about sufferers’ signs with a purpose to acquire preauthorization for medical checks and procedures; (2) backdating payments with a purpose to create the misunderstanding that medical procedures had not been carried out till after CMA obtained “pre”-authorization from an insurer; (3) submitting false claims to insurance coverage suppliers for elements of checks that weren’t carried out, in addition to for drug objects not used or offered; (4) evading scrutiny from insurers for the massive quantity of claims that CMA submitted by falsely representing that a number of docs – who didn’t work at CMA – had purportedly ordered or carried out checks or procedures there; and (5) violating HIPAA by accessing, with out authorization, digital well being information of sufferers at a selected hospital on Lengthy Island, New York, with a purpose to determine sufferers to be recruited to CMA.  Moreover, HAMEEDI tried to hinder an investigation by hospital officers into misconduct by his nephew, codefendant Fawad Hameedi.

Along with his jail sentence, HAMEEDI, 50, of New York, New York, was sentenced to 2 years of supervised launch, restitution of $554,331, and a $100,000 advantageous.

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Fawad Hameedi, 35, pled responsible on February 7, 2018, to 1 rely of conspiracy to commit well being care fraud.

Arif Hameedi, 59, pled responsible on February 6, 2018, to 1 rely of conspiracy to commit cash laundering.

Absar Haaris, 51, pled responsible on November 15, 2016, to conspiracy to commit well being care fraud and wire fraud, well being care fraud, false statements referring to well being care issues, conspiracy to commit fraud in reference to identification info, aggravated identification theft, conspiracy to violate the anti-kickback statute, conspiracy to commit cash laundering, and conspiracy to wrongfully acquire and disclose individually identifiable well being info.  Haaris was beforehand sentenced, by the Honorable Jed S. Rakoff, principally to time served, three years of supervised launch, and restitution of $544,331.51.

Michelle Landoy, 40, pled responsible on January 29, 2018, to conspiracy to commit well being care fraud and wire fraud, well being care fraud, wire fraud, false statements referring to well being care issues, conspiracy to commit fraud in reference to identification info, and aggravated identification theft.

Desiree Scott, 41, pled responsible on February 6, 2018, to conspiracy to commit well being care fraud and wire fraud, well being care fraud, wire fraud, false statements referring to well being care issues, conspiracy to commit fraud in reference to identification info, and aggravated identification theft.

Mr. Graff praised the excellent investigative work of the New York Area Workplace of the Federal Bureau of Investigation, the New York Regional Workplace of the US Division of Well being and Human Providers Workplace of the Inspector Common, and the New York Metropolis Police Division.  Mr. Graff additionally thanked the New York State Division of Monetary Providers.

The Workplace’s Complicated Frauds and Cybercrime Unit is dealing with this felony case.  Assistant U.S. Attorneys Michael D. Neff, David M. Abramowicz, and Kristy J. Greenberg are in control of the prosecution.

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