The Eagle Review - Federal

Four Houston Area People Have Been Charged in $32M Health Care Fraud Scheme

The Department of Justice has charged a medical director, operator and two unlicensed practitioners whom worked at a Texas medical clinic. They are facing charges related to their alleged participation in a $32 million health care fraud scheme.

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Image retrieved from Hillcrofts Physician P.A.

Farrah Forough Farizani, D.O., 57, Hamid Reza Razavi, 60, Elie Hanna Hajjar, 48, and Juan Acuña, 64, are all of Houston.

Farizani and Razavi are the medical director of Hillcroft Physicians. They also operate the location. The other two, Hajjar and Acuña were former unlicensed practitioners who worked at the location.

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Image retrieved from Hillcrofts Physician P.A.

The unsealed indictment charges all four with one count of conspiracy to commit health care fraud. All but Acuna have five additional charges of making false statements relating to health care matters.

The Department of Justice (DOJ) Press Release: states the following:

“They allegedly submitted false and fraudulent claims to Medicaid and Medicare for services that were not provided as billed or were not provided by a licensed, qualified and enrolled provider. Farizani, Razavi, Hajjar,and Acuña allegedly misled patients and staff to believe that Hajjar and Acuña were licensed to practice medicine in Texas.”

“According to the indictment, Farizani and Razavi directed Hajjar and Acuña to pose as licensed medical professionals. Hajjar and Acuña then allegedly examined, diagnosed, treated, referred and prescribed drugs for patients, many of whom were non-English speaking Medicaid clients unfamiliar with the American medical system. Farizani and Razavi allegedly directed Hillcroft Physicians’ billing staff to submit false claims to Medicaid and Medicare as though Farizani had seen and treated the patients, even when Farizani was out of the country.”

“The indictment alleges that the defendants submitted or caused the submission of approximately $31 million in claims to Medicaid for which Medicaid paid approximately $12.2 million. They also submitted approximately $600,000 in claims to Medicare for which Medicare paid approximately $250,000.”

An indictment is a formal accusation of criminal conduct, not evidence. A defendant is presumed innocent unless convicted through due process of law.”

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