Updated on: June 22, 2012

Federal Agents Posing as Patients Snag Chicago Doctor

By
Original story posted on: March 16, 2012

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Two undercover federal agents were part of an investigation that led to the conviction March 13 of a Chicago doctor on five health care fraud charges and four counts of making false statements involving a health care benefits program.

 

In a scheme that spanned from 2007 to July 2010, Jaswinder Chhibber administered echocardiograms, electrocardiograms, nerve conduction studies and carotid doppler and abdominal ultrasounds for "an unusually high percentage" of Medicare and Blue Cross patients, according to the U.S. Attorney's Office in northern Illinois.

 

The doctor ordered medically unnecessary tests, falsified patient's records and use false diagnosis codes on insurance claims, including for the two federal agents posing as patients, the U.S. Attorney's Office stated.

 

He faces up to 10 years in prison for each count of health care fraud and five years in prison for each count of making false statements, plus up to $250,000 in fines on each count, the U.S. Attorney's Office noted.

 

Eight New RAC Issues Posted

 

Region D RAC HealthDataInsights and Region B RAC CGI posted a total of eight new hospital inpatient issues in the past week. For more detail, see the chart below.

 

CLICK TO DOWNLOAD RAC ISSUES

 

About the Author

 

Karen Long is the compliance product manager for DecisionHealth and oversees products that relate to fraud and abuse and HIPAA compliance for physician offices and home health agencies, and accreditation compliance for hospitals. In her almost four years at DecisionHealth, Karen also has been the compliance editor and a reporter for Home Health Line, nation's leading independent authority on home healthcare business, regulation and reimbursement.

 

Contact the Author

 

KLong@decisionhealth.com

 

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