A brazen healthcare fraud scheme has been exposed in Louisiana, where a medical clinic and its owner, Siranush Tulumdzhyan, were sentenced for their roles in defrauding Medicaid.
According to the investigation, patients visited the clinic, LA Medical Group Inc., for medical tests that were not performed or medically necessary. In some cases, patients were coerced into undergoing these unnecessary tests by being denied prescriptions for narcotic drugs.
Tulumdzhyan, the 28-year-old owner of LA Medical Group Inc., was not licensed or qualified to perform diagnostic tests. The scheme involved repeatedly billing Medicaid for these unnecessary services, with the clinic submitting bills totaling $494,268.
Tulumdzhyan was sentenced to three years of probation, with six months to be served in a halfway house. She was also ordered to pay restitution to Medicaid in the amount of $31,589.
LA Medical Group Inc. received a similar sentence, with the corporation being ordered to pay restitution to Medicaid in the total amount of $494,268. The government seized $269,057 from the clinic as part of the investigation.
The investigation was led by Special Agents of the Federal Bureau of Investigation, the US Department of Health and Human Services, Office of Inspector General, and the Louisiana Department of Justice, Medicaid Fraud Control Unit.
The case is being prosecuted by Assistant US Attorney Patrice Harris Sullivan. This is the latest in a string of healthcare fraud cases in Louisiana, with Metairie Health Care previously being sentenced for similar activities.
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Key Facts
- State: Louisiana
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release ↗
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