{"id":53748,"date":"2023-08-07T09:16:24","date_gmt":"2023-08-07T16:16:24","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=53748"},"modified":"2023-08-07T09:17:06","modified_gmt":"2023-08-07T16:17:06","slug":"doctor-facing-up-to-50-years-in-prison-after-conviction-for-15-million-medicare-and-insurance-fraud","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=53748","title":{"rendered":"Doctor Facing Up to 50 Years in Prison After Conviction for $15 Million Medicare and Insurance Fraud"},"content":{"rendered":"<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-53751 alignright\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/08\/th-23.jpg\" alt=\"\" width=\"184\" height=\"268\" \/>A federal jury in Baltimore convicted a Maryland doctor Monday for submitting over $15 million in false and fraudulent claims to Medicare and insurance companies.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Dr. Ron Elfenbein fraudulently billed Medicare and Insurance companies for patients who received COVID-19 tests at his testing sites.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">According to the evidence during trial,\u00a0 Elfenbein, 49, of Arnold, was an owner and the medical director of Drs ERgent Care LLC, dba First Call Medical Center and Chesapeake ERgent Care. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12931 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2015\/06\/fraud-medicare-card-cube-e1499997089362-300x278.jpg\" alt=\"\" width=\"300\" height=\"278\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2015\/06\/fraud-medicare-card-cube-e1499997089362-300x278.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2015\/06\/fraud-medicare-card-cube-e1499997089362.jpg 417w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Drs ERgent Care operated multiple drive-through COVID-19 testing sites in Anne Arundel and Prince George\u2019s counties. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Elfenbein instructed the employees of Drs ERgent Care that, in addition to billing for COVID-19 tests, the employees were to bill for high-level evaluation and management visits. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">In reality, these visits were not provided to patients as represented. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Rather, Elfenbein instructed his employees that the patients were \u201cthere for one reason only \u2013 to be tested,\u201d that it was \u201csimple and straightforward,\u201d and that the providers were \u201cnot there to solve complex medical issues.\u201d<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-53752 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/08\/pxzeg4hnyvw-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/08\/pxzeg4hnyvw-300x200.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/08\/pxzeg4hnyvw-1024x683.jpg 1024w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/08\/pxzeg4hnyvw-768x512.jpg 768w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/08\/pxzeg4hnyvw-1536x1024.jpg 1536w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/08\/pxzeg4hnyvw.jpg 1600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Elfenbein ordered these high-level visits to be billed for all patients, including those who were asymptomatic, getting tested for COVID-19 for their employment requirements, and being tested for COVID-19 so that they could travel. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Through Drs ERgent Care, Elfenbein caused the submission of millions of dollars in claims to Medicare and a commercial insurer for tens of thousands of high-level visits that were not provided as represented and were ineligible for reimbursement.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-53513 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/07\/ujpmmc5z1pg-225x300.jpg\" alt=\"tufted black chairs inside building with no people\" width=\"225\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/07\/ujpmmc5z1pg-225x300.jpg 225w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/07\/ujpmmc5z1pg-768x1024.jpg 768w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2023\/07\/ujpmmc5z1pg.jpg 900w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/>The jury convicted Elfenbein of five counts of healthcare fraud. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">He is scheduled to be sentenced on Nov. 7 and faces a maximum penalty of 10 years in prison on each of the five counts. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Elfenbein is the first doctor convicted at trial by the Justice Department for healthcare fraud in billing for office visits in connection with patients seeking COVID-19 tests.\u00a0<\/span><\/p>\n<p><iframe loading=\"lazy\" title=\"Medicare stops paying for COVID-19 tests after complaints\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/ILGBbNlGiN8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p><strong>(Related Maryland Investigative News Report filed last month about Unwanted COVID-19 Testing Kits)<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">The HHS-OIG, DCIS, FBI, and OPM-OIG investigated the case.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">In the past three years, the Health Care Fraud Strike Force has rooted out healthcare fraud related to the COVID-19 pandemic. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">To date, 53 defendants have been charged in nationwide COVID-19 Health Care Fraud Enforcement Actions for causing over $784 million in loss associated with the pandemic, including this case.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3918 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/06\/Department-of-Justice-300x300.png\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/06\/Department-of-Justice-300x300.png 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/06\/Department-of-Justice-150x150.png 150w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/06\/Department-of-Justice.png 350w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Trial Attorney D. Keith Clouser of the Criminal Division\u2019s Fraud Section and Assistant U.S. Attorney Matthew P. Phelps for the District of Maryland are prosecuting the case.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">The Fraud Section leads the Criminal Division\u2019s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Since March 2007, this program, comprised of 15 strike forces operating in 25 federal districts, has charged more than 5,000 defendants who collectively have billed the Medicare program for more than $24 billion.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">More information can be found at <a href=\"https:\/\/www.justice.gov\/criminal-fraud\/health-care-fraud-unit\">www.justice.gov\/criminal-fraud\/health-care-fraud-unit<\/a>.<\/span><\/p>\n<p style=\"text-align: center;\">\n","protected":false},"excerpt":{"rendered":"<p>A federal jury in Baltimore convicted a Maryland doctor Monday for submitting over $15 million in false and fraudulent claims to Medicare and insurance companies. Dr. Ron Elfenbein fraudulently billed Medicare and&#8230;<\/p>\n","protected":false},"author":1,"featured_media":53749,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-53748","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-u-s-department-of-justice"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Doctor Facing Up to 50 Years in Prison After Conviction for $15 Million Medicare and Insurance Fraud<\/title>\n<meta name=\"description\" content=\"A federal jury in Baltimore convicted a Maryland doctor Monday for submitting over $15 million in false and fraudulent claims to Medicare and insurance\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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