Michigan Surgeon Faces Health Care Fraud And Money Laundering Charges

It’s almost as if there is some sort of underground
 ring of physicians and other medical professionals who are in competition with
 each other for pulling off the biggest health care fraud schemes possible. The
 crazy idea isn’t so far-fetched when you consider the litany of charges being
 levied on fraudsters from the medical profession all over this country. Not to
 mention, some members of this “ring” really seem to want to win it all.

If there were such an unscrupulous organization, we imagine that Dr. Vasso G. Godiali of Bay City, Michigan would be a front runner for title of “top fraudster”. As reported by the Eastern District of Michigan branch of the United States Department of Justice this week, the 56 year-old has been charged in connection with his orchestration of a $60 million health care fraud scheme.

According to the DoJ, the indictment states that “Godiali
 submitted false and fraudulent claims for the placement of stents in dialysis
 patients and for the treatment of arterial blood clots. The indictment further
 alleges that Godiali exploited medical billing software to improperly maximize
 payments from Medicare, Medicaid, and Blue Cross Blue Shield of Michigan”.

In addition, he submitted false and fraudulent
 claims to said insurance programs for services that were not rendered. The
 vascular surgeon also “unbundled” claims by falsely claiming he was performing
 many separate and distinct procedures. In actuality, Godiali was only entitled
 to a single reimbursement for a single procedure.

Covering this story on Mlive.com, Cole Waterman reveals that money laundering is a 20-year felony and fraud is punishable by up to 10 years in prison. He also offers further details about the indictment which reveals that from 2009 to 2015, Godiali defrauded Medicare, Medicaid and Blue Cross Blue Shield of Michigan by making numerous claims of placing vascular stents in his patients.

“In 2009, Medicare paid the doctor $73,896 for
 placing 41 vascular stents, the indictment states,” writes Waterman, “In subsequent
 years, Godiali increased the number of stents for which he was paid by
 Medicare. In 2013, he reported having placed 250 stents and received $792,789
 from Medicare; the following year, he reported having placed 245 stents and
 received $713,356.11, the indictment reads.”

Over the course of the following years, Godiali
 continued to raise the number of patients on whom he claimed to perform
 procedures. In 2014, for example, the surgeon reported that he performed no
 less than 815 blood-clot-removal procedures (known as “mechanical
 thrombectomies”). For these alleged procedures, Godiali was paid more than $1.1
 million by Medicare.

To launder the money he was earning through his
 fraudulent billings, Godiali also used six different corporations. Laundering
 approximately $49 million, the doctor both funded investment accounts at
 multiple financial institutions and paid property taxes on a Houghton Lake
 residence. Godiali’s next court date is pending.

Please don’t hesitate to contact Allegiant Experts to find out how our clinical expertise may help your case. Give us a call at 407-217-5831 or email us at info@allegiantexperts.com.

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