Wednesday, January 3, 2018

Texas Anesthesia Group Pleads Guilty To Fraud

So sad when I read about anesthesiologists who wind up on the wrong side of the law, either out of stupidity or greed. Limbic Partners, LLC, an Irving, TX medical management group started by three anesthesiologists, pleaded guilty to defrauding insurance companies

The founding physician partners, Herbert Brown, Brian Rudman, and Maulik Parikh, were accused by the government of billing insurance companies for millions of dollars for anesthesia services that were not performed. The cases in question took place from 2011 to 2013.

The company would send bills for work done by a CRNA when that person was already working at a different facility at the same time. Or an anesthesiologist with the company would take care of a patient but the doctor was not in the insurance company's network. They would just tell the billing company to insert a different doctor's name who was in the network. Not terribly slick. 

The attorney general's office accepted the plea and Limbic Partners will pay $933,251 in restitution. They've also paid back over $133,000 to the insurance companies that they defrauded. However, like the massive bank fraud that nearly collapsed the U.S. economy in 2008, none of the leadership of the company are being held accountable. Isn't American capitalism great?

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