July 13, 2017

CT doc charged in $5M billing scheme

PHOTO | Contributed
PHOTO | Contributed
Attorney General George Jepsen.

A Norwalk physician allegedly defrauded Connecticut's Medicaid program of at least $5 million by submitting false claims for services never provided, authorities say.

The lawsuit, filed under Connecticut's False Claims Act by state Attorney General George Jepsen and state Department of Social Services (DSS) Commissioner Roderick L. Bremby, alleges Ramil Mansourov, M.D., of Darien and his company, Ramil Mansourov LLC, billed Connecticut's Medicaid program for millions in services that were never provided to Medicaid patients at his walk-in practice known as Family Health Urgent Care Center in Norwalk.

Mansourov also faces federal criminal charges related to the alleged scheme.

The fraudulent activity allegedly occurred between Nov. 2013 and "at least" Oct. 2016, Jepsen and Bremby said. Mansourov also allegedly falsified his income information to obtain Medicaid benefits for himself and his children, the lawsuit charges.

"The audacity of the alleged fraudulent conduct in this case is astounding," Jepsen said in a statement Thursday. "In one case, this provider billed Medicaid for at least 500 visits to a particular patient that never happened, receiving $80,000 in taxpayer dollars for services never rendered, and at the same time, sought to receive Medicaid benefits himself. This sort of egregious fraud will not be tolerated."

The lawsuit is being brought in conjunction with federal criminal charges filed by the Connecticut U.S. Attorney's Office in New Haven. Mansourov was charged with federal money laundering and is currently being sought by law enforcement.

During the time period identified, the DSS reimbursed the defendants a total of at least $5.2 million for its claims, Bremby said.

The Mansourov investigation and civil suit are part of a larger effort by Connecticut's Interagency Fraud Task Force, which was created in July 2013 to investigate and prosecute healthcare fraud directed at state healthcare and human service programs.

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