Maryland man convicted of COVID-19 check billing fraud scheme in opposition to insurers

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An Arnold, Maryland physician was convicted Friday for a fraud scheme by which his staff had been directed to invoice for high-level medical visits together with COVID-19 assessments, the Justice Department introduced.

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Through the scheme, Ron Elfenbein, 49, defrauded Medicare and different insurers of over $15 million. Elfenbein was the proprietor of Drs ERgent Care, which did enterprise as First Call Medical Center and Chesapeake ERgent Care.

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Drs ERgent Care ran drive-thru COVID-19 testing websites in Prince George’s and Anne Arundel Counties in Maryland, serving primarily asymptomatic individuals who wished to make certain of their COVID-19 standing in addition to these required to check for journey or work.

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As a part of that work, Elfenbein defined to his staff that sufferers had been “there for one reason only – to be tested,” and that Drs ERgent Care was “not there to solve complex medical issues,” as quoted by the Justice Department.

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However, Elfenbein additionally instructed staff to tack on well being administration and analysis visits with increased billing codes, regardless of explicitly not offering these providers on the drive-thru COVID-19 testing websites. 

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Elfenbein was convicted on 5 counts of healthcare fraud, and faces as much as 10 years in jail on every rely when he's sentenced on Nov. 7, 2023. 

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Elfenbein can be the primary physician convicted by the Justice Department at trial for fraudulent billing concerning visits for COVID-19 testing.

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Content Source: www.washingtontimes.com

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