MIAMI — Federal prosecutors in Miami announced Friday that a physician has agreed to a $45 million settlement in a Medicare fraud case.
Prosecutors identified Dr. Ameet Vohra as one of the country’s largest providers of bedside specialty wound care for nursing home patients.
Investigators accused Vohra, who owns Vohra Wound Physicians Management LLC, of carrying out a “nationwide scheme to bill Medicare” for surgical procedures that “were either not medically necessary or had not been performed.”
According to the lawsuit, Vohra allegedly “pressured, trained, and provided financial incentives” to physicians and configured the company’s electronic health record and billing software to ensure Medicare was billed for the highest-reimbursed surgical excisional procedures. Prosecutors said the software also created false documentation to support the claims.
As part of the settlement, Vohra will enter a five-year Corporate Integrity Agreement with the Office of Inspector General for the Department of Health and Human Services. He also agreed to develop and maintain a compliance program, implement a risk assessment process, and hire an independent review organization to examine the company’s claims and health information technology systems.
Federal investigators encouraged anyone with information about fraud, waste, abuse, or mismanagement to call the Department of Health and Human Services at 1-800-447-8477.
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