A former cardiologist from Burr Ridge, Ill., who was sentenced last month to five years in prison and restitution payment for defrauding public and private health insurers, has agreed to pay $20 million to settle allegations of fraudulent billing in a separate False Claims Act lawsuit, according to a Department of Justice news release.
The whistleblower lawsuit filed in 2006 against Sushil Sheth, MD, alleged Dr. Sheth had filed fraudulent claims between 2002 and 2007 to Medicare and Medicaid for medical services at the highest level of in-patient cardiac care when, in fact, those services were not performed.
Lokesh Chandra, MD, a fellow physician who worked with Dr. Sheth, filed the whistleblower lawsuit in 2006 and will receive a portion of the recovery collected by the federal government and Illinois under the qui tam provisions of the False Claims Act.
Read the DOJ news release about Dr. Sushil Sheth's settlement (pdf).
Read other coverage about physician fraud:
- Illinois Cardiologist Sentenced to 5 Years in Prison for Fraud
- Michigan Podiatrist Accused of Filing Fraudulent Claims
- New York Surgeon Charged With Bilking $3.5M From Healthcare Insurance Companies
The whistleblower lawsuit filed in 2006 against Sushil Sheth, MD, alleged Dr. Sheth had filed fraudulent claims between 2002 and 2007 to Medicare and Medicaid for medical services at the highest level of in-patient cardiac care when, in fact, those services were not performed.
Lokesh Chandra, MD, a fellow physician who worked with Dr. Sheth, filed the whistleblower lawsuit in 2006 and will receive a portion of the recovery collected by the federal government and Illinois under the qui tam provisions of the False Claims Act.
Read the DOJ news release about Dr. Sushil Sheth's settlement (pdf).
Read other coverage about physician fraud:
- Illinois Cardiologist Sentenced to 5 Years in Prison for Fraud
- Michigan Podiatrist Accused of Filing Fraudulent Claims
- New York Surgeon Charged With Bilking $3.5M From Healthcare Insurance Companies