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Physician to Settle Medicare Fraud Case for $20M

Cheryl Clark, for HealthLeaders Media, October 1, 2010

Sheth, of Burr Ridge, and whose office was in Flossmoor, also was ordered to pay restitution totaling approximately $13 million and agreed to forfeit property and funds totaling more than $11.3 million that the government seized from him, according to the statement.

In a related criminal proceeding, "Sheth admitted using his hospital privileges to obtain information about patients without their knowledge or consent," the DoJ statement said. "He then hired individuals to bill Medicare and other insurance providers for medical services that he purportedly rendered to patients whom he knew he never treated."

Sheth submitted more than 14,800 false claims for care that required hands-on treatment in an intensive care unit on multiple days during the patients stay, the DOJ statement says. He "regularly submitted claims seeking payment that, when added together, had him providing more than 24 hours of medical services and treatment in a single day."

Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.

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