Health Care Fraud

Healthcare Fraud: Tariq Mahmood Convicted To Commit Seven Counts Of Health Care Fraud, And Seven Counts Of Aggravated Identity Theft

<h2>United States Prevails in Civil Action against Convicted Doctor<&sol;h2>&NewLine;<p>Monday&comma; October 31&comma; 2016<&sol;p>&NewLine;<p>TYLER&comma; Texas &&num;8211&semi; The United States has obtained a civil judgment for &dollar;1&comma;223&comma;414&period;50 against Tariq Mahmood&comma; who owned and operated multiple rural hospitals across Texas&comma; announced Acting U&period;S&period; Attorney Brit Featherston&period;<&sol;p>&NewLine;<p><em><strong>In July 2014&comma; a jury found Tariq Mahmood&comma; of Cedar Hill&comma; Texas&comma; guilty of conspiracy to commit health care fraud&comma; seven counts of health care fraud&comma; and seven counts of aggravated identity theft following a four-day trial before U&period;S&period; District Judge Michael Schneider&period;  A federal grand jury indicted Mahmood on April 11&comma; 2013&period; <&sol;strong><&sol;em><&sol;p>&NewLine;<p>Following his conviction&comma; the United States brought a False Claims Act action against Mahmood in the Eastern District of Texas captioned <em>United States of America v&period; Tariq Mahmood<&sol;em>&comma; Case Number 6&colon;15-cv-948&period;  The Government alleged in its Motion for Summary Judgment that Mahmood was estopped from denying liability under the False Claims Act as a result of his criminal health care fraud and conspiracy convictions&period;<&sol;p>&NewLine;<p>In the Court’s Final Judgment dated Oct&period; 28&comma; 2016&comma; U&period;S&period; Magistrate Judge K&period; Nicole Mitchell ordered Mahmood to pay the United States &dollar;1&comma;223&comma;414&period;50&period;  The amount owed to the United States includes &dollar;288&comma;414&period;50 in damages plus an additional &dollar;935&comma;000&period;00 in civil penalties arising from the submission of 85 false claims&period;  The Court awarded the United States the highest applicable civil penalty for each false claim Mahmood caused to be submitted to Medicare and Medicaid&period;<&sol;p>&NewLine;<p>&OpenCurlyDoubleQuote;The Department of Justice and the United States Attorney’s Office for the Eastern District of Texas aggressively prosecute health care fraud&comma; both criminally and civilly&comma;” said Acting U&period;S&period; Attorney Featherston&period;  &OpenCurlyDoubleQuote;When our national programs are defrauded&comma; the public wants its money back&period;  Our office is committed to recovering those public funds&period;”<&sol;p>&NewLine;<p>The criminal case was investigated by the Texas Office of the Attorney General – Medicaid Fraud Control Unit &lpar;OAG-MFCU&rpar;&comma; the U&period;S&period; Department of Health and Human Services – Office of the Inspector General &lpar;HHS-OIG&rpar;&comma; the Federal Bureau of Investigation &lpar;FBI&rpar;&comma; and the U&period;S&period; Postal Inspection Service &lpar;USPIS&rpar;&period;  The civil action was prosecuted by Assistant U&period;S&period; Attorneys Joshua Russ and James Gillingham&period;<&sol;p>&NewLine;<h2>Texas Doctor Resentenced to Prison Following Appeal<&sol;h2>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>Thursday&comma; September 15&comma; 2016<&sol;p>&NewLine;<p>According to information presented in court&comma; Mahmood&comma; a general practitioner&comma; owned and operated several hospitals in the state of Texas&comma; including Cozby Germany Hospital in Grand Saline&comma; Renaissance Terrell Hospital in Terrell&comma; Central Texas Hospital in Cameron&comma; Community General Hospital in Dilley&comma; and Lake Whitney Medical Center in Whitney&period;  From January 2010 to April 2013&comma; Mahmood and others carried out a scheme to defraud Medicare and Medicaid through the submission of false and fraudulent claims&period;  Mahmood and others added&comma; changed&comma; and incorrectly sequenced diagnostic codes in a way that did not reflect the actual diagnoses and conditions of the patients and often did so without reviewing the medical records&period;  They submitted false and fraudulent claims to Medicare and Medicaid based on the added&comma; changed&comma; and incorrectly sequenced diagnostic codes&period;  Mahmood and others also unlawfully used Medicare beneficiaries’ names and Medicare numbers in order to commit health care fraud&period;<&sol;p>&NewLine;<p>Following his appeal&comma; Mahmood was resentenced to 135 months in federal prison and ordered to pay restitution in the amount of &dollar;145&comma;358&period;23 to Medicare&comma; Medicaid&comma; and Blue Cross Blue Shield of Texas&period;<&sol;p>&NewLine;<p>The case was investigated by the Texas Office of the Attorney General – Medicaid Fraud Control Unit &lpar;OAG-MFCU&rpar;&comma; the U&period;S&period; Department of Health and Human Services – Office of the Inspector General &lpar;HHS-OIG&rpar;&comma; the Federal Bureau of Investigation &lpar;FBI&rpar;&comma; and the U&period;S&period; Postal Inspection Service &lpar;USPIS&rpar;&period;  This case was prosecuted by Assistant U&period;S&period; Attorneys Nathaniel C&period; Kummerfeld and Frank Coan and Special Assistant U&period;S&period; Attorney Ken McGurk&period;<&sol;p>&NewLine;<p>Any individuals with knowledge of these or other health care fraud violations are encouraged to contact the Department of Health and Human Services’ fraud hotline at 1-800-HHS-TIPS &lpar;447-8477&rpar;<&sol;p>&NewLine;<p>Original PressReleases&colon; <a href&equals;"https&colon;&sol;&sol;www&period;justice&period;gov&sol;usao-edtx&sol;pr&sol;united-states-prevails-civil-action-against-convicted-doctor">October 31&comma; 2016<&sol;a> and <a href&equals;"https&colon;&sol;&sol;www&period;justice&period;gov&sol;usao-edtx&sol;pr&sol;texas-doctor-resentenced-prison-following-appeal">September 15&comma; 2016<&sol;a><&sol;p>&NewLine;

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