Thursday, November 21, 2013

3 McAllen doctors, clinic to pay $5.5M for Medicaid fraud claim settlement - HispanicBusiness.com

3 McAllen doctors, clinic to pay $5.5M for Medicaid fraud claim settlement - HispanicBusiness.com

Nov. 21 -- MCALLEN -- Three local doctors and their clinic entered into a settlement with the Texas Attorney General's Office to avoid further proceedings tied to the state's action against them for Medicaid fraud. As part of the settlement, Carlos Mego , Pedro Mego , Subbaro Yarra and their clinic, Valley Heart Consultants , will have to pay $5.5 million in a five-installment plan beginning next month. The settlement doesn't affect the doctors' status as medical providers in the Texas Medicaid program, said Thomas Kelley , a spokesman with the AG's Office. The settlement was reached earlier this month, confirming the state's allegations that the cardiology practice improperly billed Medicaid patients for a series of unnecessary tests that were performed by unlicensed technicians and below the required standards of practice. Carlos Mego and Yarra were also named in a similar settlement for $27 million reached with the federal government in 2009 that named five other doctors and South Texas Health System in a scheme that resulted in more than $50 million in Medicare payments, Monitor archives show. 

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