NY: Dansville doctor settles Medicare, Medicaid fraud allegations

MM Curator summary

[MM Curator Summary]: James Sakr stole $600k with a services not provided scam for ENT procedures.


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A Livingston County physician has agreed to pay more than $600,000 to resolve allegations that he fraudulently billed Medicare and Medicaid from 2014 through 2019.

U.S. Attorney Trini E. Ross said James A Sakr, an ear, nose and throat doctor with an office in Dansville, will pay $602,661.61 under an agreement announced Tuesday.

Prosecutors alleged Sakr billed the federal programs for procedures he did not perform or failed to document in patient records.

“The resolution of this case holds Dr. Sakr accountable for his actions and requires him to return the money he should not have received from Medicare and Medicaid,” Ross said. “Our office will continue to root out fraud in federal healthcare programs and hold those who defraud the public accountable.”

The civil settlement includes the resolution of claims by Dr. Lee M. Mandel under the whistleblower provisions of the False Claims Act. Under those provisions, a private party can file an action on behalf of the United States and receive a portion of any recovery. Mandel will receive a share of the settlement.

David M. Coriell, assistant U.S. attorney  for the Western District of New York, handled the case.

Officials said the U.S. Attorney’s Office coordinated with the U.S. Department of Health and Human Services Office of Inspector General and the New York State Attorney General’s Office Medicaid Fraud Control Unit.

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Clipped from: https://www.eveningtribune.com/story/news/2022/06/07/dansville-doctor-settles-medicare-medicaid-fraud-allegations/10002382002/