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PRAC Reports on the Use and Integrity of Federal Telehealth Programs During the Pandemic
The Pandemic Response Accountability Committee (PRAC) released Insights on Telehealth Use and Program Integrity Risks Across Selected Health Care Programs During the Pandemic, a report assessing telehealth utilization and fraud, waste, and abuse risks across six federal agencies during the first year of the pandemic.
Maryland Doctor Convicted After Three-Week Trial for COVID-19 Healthcare Fraud Scheme
A federal jury in Maryland convicted Ron Elfenbein, M.D., age 49, of Arnold, Maryland, for five counts of healthcare fraud for submitting over $15 million in false and fraudulent claims to Medicare and other insurers for patients who received COVID-19 tests at sites operated by the defendant. Elfenbein is the first doctor convicted at trial by the Justice Department for health care fraud in billing for office visits in connection with patients seeking COVID-19 tests.
Physician Partners of America to Pay $24.5 Million to Settle Allegations of Unnecessary Testing, Improper Remuneration to Physicians and a False Statement in Connection with COVID-19 Relief Funds
Physician Partners of America LLC (PPOA), headquartered in Tampa, Florida, its founder, Rodolfo Gari, and its former chief medical officer, Dr. Abraham Rivera, have agreed to pay $24.5 million to resolve allegations that they violated the False Claims Act by billing federal healthcare programs for unnecessary medical testing and services, paying unlawful remuneration to its physician employees and making a false statement in connection with a loan obtained through the Small Business Administration’s (SBA) Paycheck Protection Program (PPP).