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Cardiologist must cough up $17M in false Medicare billing case

Fri, 08/02/2013 - 1:13pm
Mass Device

A Washington, D.C., cardiologist must pay a $17 million penalty for false claims he filed against Medicare and state health programs.

Cardiologist must cough up $17M in false Medicare billing case

A Washington, D.C., cardiologist was hit with a $17 million judgment after being found guilty of submitting false claims for nuclear imaging tests to Medicare and state health programs.

Federal authorities accused Dr. Ishtiaq Malik of double-billing and submitting false claims for myocardial perfusion studies or "nuclear stress tests."  Ordinarily performed in 2 stages, the tests are billed as 1 test for reimbursement purposes. Malik allegedly billed Medicare, District of Columbia Medicaid, Maryland Medicaid, TRICARE and the Federal Employees Health Benefits Plan for 2 tests for each set of tests.

The feds also accused Malik of using billing codes not applicable to nuclear stress tests, of billing for services already included in the nuclear stress test payments such as intravenous injections or 3D rendering, and of billing for services he didn't deliver.

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