Indian-origin doctor Jitesh Patel to pay $14 million in fraud settlement in US: ‘Unnecessary procedures, false billing’

Mint
Indian-origin urologist Jitesh Patel will pay $14 million to settle fraud allegations involving unnecessary medical procedures and false billing.

Summary

Jitesh Patel, an Indian-origin urologist practicing in the US, has agreed to a $14 million settlement with the US Department of Justice to resolve allegations of healthcare fraud. The claims, brought under the False Claims Act and the Georgia False Medicaid Claims Act, centered around accusations that Dr. Patel and his practice, Advanced Urology Inc., billed Medicare and Medicaid for procedures that were either medically unnecessary or not performed at all. The investigation was initiated by whistleblower complaints from a former employee and physician, alleging a focus on maximizing revenue through excessive interventions.

Specifically, allegations included performing device implantations without adequate medical evaluation, ordering unnecessary diagnostic tests (including widespread ultrasound use), and billing for services never rendered. Authorities emphasized that such practices constitute misuse of public healthcare funds and patient exploitation. As part of the settlement, the whistleblowers will receive $2.94 million.

The settlement resolves the allegations but does not represent an admission of liability by Dr. Patel or his practice. US Attorney Theodore S. Hertzberg stated that authorities will continue to pursue strict action against healthcare fraud, highlighting the importance of protecting public healthcare funds and patients.

(Source:Mint)

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