Massachusetts physician faces well being care fraud fees | Well being and Health

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BOSTON (AP) — A Massachusetts physician was charged Tuesday with defrauding well being care advantages applications by billing for providers that weren’t offered, federal prosecutors stated.

Olarewaju James Oladipo, 57, of Canton, faces 11 counts of well being care fraud, in keeping with an announcement from the U.S. lawyer’s workplace in Boston. Oladipo, an orthopedic surgeon, was scheduled to face a Justice of the Peace choose later Tuesday.

An electronic mail in search of remark was despatched to his federal public defender.

Oladipo falsified medical information of affected person visits to replicate examinations and providers that weren’t carried out for a interval from January 2016 till December 2019, prosecutors alleged. He did so by utilizing billing codes for extra advanced and subsequently costlier providers that weren’t offered, a follow often known as “upcoding,” prosecutors stated.

He usually billed for greater than 60 sufferers per day and typically greater than 90 sufferers per day, that means that the majority visits may have solely lasted about 5 minutes, prosecutors stated. Nevertheless, he allegedly used billing codes that sometimes corresponded to visits that might have lasted for much longer, as much as 45 minutes in some circumstances.

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