Amgad Hessein, MD, a pain management physician and anesthesiologist from Newark, N.J., has been arrested on charges he had submitted approximately $52 million in false claims to Medicare and private insurers, according to a New Jersey Newsroom report.
Dr. Hessein, who practiced at Advanced Pain Management Specialists in Belleville, N.J., allegedly conspired with his brother Ashraf Sami, officer manager at Advanced Pain Management Specialists, to bill Medicare for treatments for which he did not possess the necessary equipment to perform. Dr. Hessein also allegedly filed fraudulent bills for more complex and expensive treatments than were actually rendered and sometimes billed for office visits that never took place or for procedures that purportedly took place while he was out of the country, according to the report.
A prosecutor in the investigation against the pair said Dr. Hessein submitted claims every day of the year in 2006 and 2008. Allegedly, his billable hours sometimes exceeded normal 24-hour days, according to the report.
Read the New Jersey Newsroom report about Dr. Amgad Hessein's alleged fraud.
Read other coverage about physician fraud:
- Michigan Plastic Surgeon Charged With Filing False Claims to Medicaid and BCBS
- Los Angeles Physicians Charged for Roles in $5M Medicare Scam
- Kentucky Podiatrist Accused of 23 Counts of Medicaid Fraud
Dr. Hessein, who practiced at Advanced Pain Management Specialists in Belleville, N.J., allegedly conspired with his brother Ashraf Sami, officer manager at Advanced Pain Management Specialists, to bill Medicare for treatments for which he did not possess the necessary equipment to perform. Dr. Hessein also allegedly filed fraudulent bills for more complex and expensive treatments than were actually rendered and sometimes billed for office visits that never took place or for procedures that purportedly took place while he was out of the country, according to the report.
A prosecutor in the investigation against the pair said Dr. Hessein submitted claims every day of the year in 2006 and 2008. Allegedly, his billable hours sometimes exceeded normal 24-hour days, according to the report.
Read the New Jersey Newsroom report about Dr. Amgad Hessein's alleged fraud.
Read other coverage about physician fraud:
- Michigan Plastic Surgeon Charged With Filing False Claims to Medicaid and BCBS
- Los Angeles Physicians Charged for Roles in $5M Medicare Scam
- Kentucky Podiatrist Accused of 23 Counts of Medicaid Fraud