Medical practice settles billing fraud allegations

The owners of a Newburgh, N.Y.-based medical practice agreed to pay $600,000 to settle allegations that they fraudulently billed for services rendered by nurse practitioners and physician assistants not enrolled with Medicare and Medicaid, without physician involvement.

Ashikkumar Raval, MD, and Manish Raval, MD, own and operate Orange Medical, according to an Aug. 19 Justice Department news release. The Ravals settled allegations that between 2006 and 2022, they submitted claims to Medicare and Medicaid that listed one of them as the rendering provider, even though the services had been rendered by non-credentialed providers, without direct supervision.

The parties also executed a consent judgment of more than $1.6 million, which may be enforced if they do not make the settlement payments.

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