Trinitas Hospital physician accused of bilking Medicare and Medicaid

U.S. Attorney Paul J. Fishman said the government has filed a complaint against a Union County doctor and his medical practice companies for knowingly submitting millions of dollars in false claims to Medicare and Medicaid for thousands of diagnostic tests that were never performed and for physical therapy services performed by unqualified personnel.

The civil complaint, filed in Newark federal court, charges Dr. Labib E. Riachi, 47, of Westfield, and two companies that he owns and operates, Riachi, Inc. and Center for Advanced Pelvic Surgery, LLC, both based in Westfield, with violating the False Claims Act, among other illegal conduct.

According to the complaint:

The defendants routinely billed Medicare and Medicaid for anorectal manometry, an invasive diagnostic test, and electromyography, another diagnostic test, even though most of the tests were never performed.

In addition, the defendants submitted claims to Medicare for physical therapy services that should not have been paid because they were not performed by a qualified therapist.

This scheme resulted in millions of dollars of reimbursement that would not have been paid but for the defendants’ misconduct.

Fishman reorganized the health care fraud practice at the New Jersey U.S. Attorney’s Office shortly after taking office, including creating a stand-alone Health Care and Government Fraud Unit to handle both criminal and civil investigations and prosecutions of health care fraud offenses.

Since 2010, the office has recovered more than $640 million in health care fraud and government fraud settlements, judgments, fines, restitution and forfeiture under the False Claims Act, the Food, Drug and Cosmetic Act and other statutes.

A Trinitas Hospital new release said Riachi is an international leader in the provision of minimally invasive treatment for female incontinence and pelvic organ prolapse and said he was the first physician in Union County to begin using a new, minimally invasive treatment option.

The doctor has received substantial news coverage for other achievements.

 


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