Sushil Sheth, MD, a former Chicago-area cardiologist, has been sentenced to five years in prison and ordered to pay $13 million in restitution for defrauding public and private health insurers, according to Chicago Tribune report.
Between Jan. 2002 and July 2007, Dr. Sheth admitted he defrauded more than 30 insurers by billing them for the highest level of cardiac care when in fact those services were not performed. He used his access at three unidentified hospitals to obtain patient information and then hired individuals to bill insurers for treatments that never occurred. His fraudulent billings included $8.3 million to Medicare and approximately $5 million to other public and private payors, according to the report.
Dr. Sheth pleaded guilty after being charged in Jan. 2009 with healthcare fraud. Dr. Sheth surrendered his medical license in March. He will begin his jail term in October.
Read the Chicago Tribune report on Dr. Sheth.
Read more coverage on healthcare fraud:
- Georgia Internist Charged With Filling $2.2M in False Claims, Other Fraud Charges
Between Jan. 2002 and July 2007, Dr. Sheth admitted he defrauded more than 30 insurers by billing them for the highest level of cardiac care when in fact those services were not performed. He used his access at three unidentified hospitals to obtain patient information and then hired individuals to bill insurers for treatments that never occurred. His fraudulent billings included $8.3 million to Medicare and approximately $5 million to other public and private payors, according to the report.
Dr. Sheth pleaded guilty after being charged in Jan. 2009 with healthcare fraud. Dr. Sheth surrendered his medical license in March. He will begin his jail term in October.
Read the Chicago Tribune report on Dr. Sheth.
Read more coverage on healthcare fraud:
- Georgia Internist Charged With Filling $2.2M in False Claims, Other Fraud Charges