Thursday, September 8, 2011

Operator Of Defunct Medical Labs Sentenced In Medicaid Fraud Scheme

Operator Of Defunct Medical Labs Sentenced In Medicaid Fraud Scheme

The former operator of medical laboratories in East Hartford and West Hartford was sentenced today to serve two years in prison and ordered to pay $20,000 restitution for billing the government for lab tests and other services that were never provided.

TAHIR SAEED SHERANI, age 46, formerly of South Orange, New Jersey, was sentenced in Hartford Superior Court, G.A. No. 14, by the Honorable Judge Elpedio N. Vitale to two years imprisonment and ordered to pay $20,000 restitution.

Mr. Sherani pled guilty in July to one count of Larceny in the First Degree By Defrauding A Public Community and one count of Attempted Larceny in the First Degree By Defrauding A Public Community, both class B felonies.

Mr. Sherani operated American Diagnostic Laboratories, Inc., in East Hartford and Immediate Medical Care, Inc., in West Hartford, until the businesses were shut down by federal and state authorities in 2003. Mr. Sherani subsequently moved to California, where he was convicted in 2005 of defrauding that state's Medicaid program.

In 2010 Mr. Sherani was returned to Connecticut to face charges involving more than 3,800 false claims for Medicaid reimbursement for services that were never provided. Medicaid is a government-funded health care program that serves low-income individuals.

The case was prosecuted by the Medicaid Fraud Control Unit in the Chief State's Attorney's Office. The unit is grateful for the assistance it received in this investigation from the State of Connecticut Department of Social Services Office of Quality Assurance, the Federal Bureau of Investigation, the Office of the Inspector General of the U.S. Department of Health and Human Services and the West Hartford and Windsor Locks Police Departments.

2 comments:

Apu MridhaJuly 27, 2017 at 2:02 PM
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Apu

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SergeyOctober 15, 2019 at 2:27 PM
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What is Single Payer

What is Single Payer?

Single-payer is a term used to describe a type of financing system. It refers to one entity acting as administrator, or “payer.” In the case of health care, a single-payer system would be setup such that one entity—a government run organization—would collect all health care fees, and pay out all health care costs. In the current US system, there are literally tens of thousands of different health care organizations—HMOs, billing agencies, etc. By having so many different payers of health care fees, there is an enormous amount of administrative waste generated in the system. (Just imagine how complex billing must be in a doctor’s office, when each insurance company requires a different form to be completed, has a different billing system, different billing contacts and phone numbers—it’s very confusing.) In a single-payer system, all hospitals, doctors, and other health care providers would bill one entity for their services. This alone reduces administrative waste greatly, and saves money, which can be used to provide care and insurance to those who currently don’t have it.

What is Single Audit?

Each year, the Federal Government provides over $400 billion in grants to State, local and tribal governments, colleges, universities and other non-profit organizations (non-Federal entities). The Single Audit Act of 1984 (with amendment in 1996) and OMB Circular A-133 ("Audits of State, Local Governments, and Non-Profit Organizations") provide audit requirements for ensuring that these funds are expended properly. All non-Federal entities that expend $500,000 or more of Federal awards in a year ($300,000 for fiscal year ending on or before December 30, 2003) are required to obtain an annual audit in accordance with the Single Audit Act Amendments of 1996 (pdf), OMB Circular A-133, the OMB Circular Compliance Supplement and Government Auditing Standards. A single audit is intended to provide a cost-effective audit for non-Federal entities in that one audit is conducted in lieu of multiple audits of individual programs. The Single Audit provides the Federal government with assurance that these recipients comply with such directives by having anindependent external source (the CPA) report on such compliance.

OMB Circular A-133 Compliance Supplement 2009