A doctor with an office in Park Ridge NJ faces criminal charges for healthcare fraud after he allegedly turned in fraudulent medical bills to a health insurance carrier.
According to Passaic County officials, the suspect tried to defraud the government out of a large amount of money by submitting fake insurance documents. The suspect reportedly wanted to receive compensation for medical services that he never actually provided to the patient listed on the insurance paperwork.
Beyond that, the suspect reportedly attempted to cover up his health care insurance fraud by faking the patient’s medical records and attempting to make appear as though the patient had been to his office and received examinations on several occasions.
The suspect allegedly committed the fraud in October 2015 and April 2016. According to authorities, the suspect initially submitted the fraudulent forms to Horizon Blue Cross in October 2015. When insurance company officials spotted discrepancies in the medical records, they launched an investigation and alerted the Passaic County Prosecutor’s Office Insurance Fraud Unit. Prosecutors then started their own investigation.
The suspect is a 49-year-old doctor with an osteopathic practice in both Passaic NJ and Park Ridge, New Jersey. He now faces multiple criminal charges, including healthcare claims fraud and falsification of medical records.
If the suspect is eventually convicted on the very serious criminal charges, he could receive a maximum sentence of 31 years in prison.
For additional information about this case, see the Patch.com article, “Bergen County Doctor Charged with Healthcare Fraud.”