Standing Ovation!
AG names 28 in civil complaint alleging illegal Medicaid billing scheme
From ConnecticutPlus.com
Jun 1, 2012 - 9:25 AM
HARTFORD, CT - Attorney General George Jepsen has brought a civil action against 28 individuals, dental practices and corporations alleging an elaborate and illegal scheme, which resulted in more than $24 million in fraudulent Medicaid clams over two years in violation of the Connecticut False Claims Act and Connecticut Unfair Trade Practices Act.
The complaint seeks restitution, treble damages and civil penalties as well as a permanent injunction against the unlawful acts and practices alleged in the complaint.
The individuals named in the State’s complaint are Gary Anusavice (former DDS)of North Kingston, R.I., Mehran Zamani, DDS of Pound Ridge, N.Y. and Stamford; Paul Anusavice of North Grafton, MA; John Gallagher of Manchester, MA; David Wu,DDS of Cheshire and Alphonso Mack,DDS of Bloomfield.
Gary Anusavice and Zamani were arrested last week on federal criminal charges for their alleged involvement in the same billing scheme.
“This is the first case the state has initiated under the Connecticut False Claims Act,” Attorney General Jepsen said. “It gives the State the rightful ability to seek compensation for taxpayers from those who seek to abuse the system with false claims for reimbursements they are not eligible to receive.”
The Attorney General brought the unfair trade practices complaints at the request of Consumer Protection Commissioner William Rubenstein. “The allegations of the complaint are serious, and our consumer laws against unfair and deceptive practices protect state taxpayer dollars whenever medical providers make wrongful claims for reimbursement from the Medicaid program,” Rubenstein said.
Department of Social Services Commissioner Roderick L. Bremby, said “We greatly appreciate the Attorney General’s dedication of both resources and expertise to bring forward this major case of alleged provider fraud. DSS investigators first identified the suspected fraudulent activity and worked with the AG’s Office and federal authorities to develop the case. The role of the Department of Consumer Protection is also important in our collective efforts to root out fraud and abuse on behalf of taxpayers.”
The DSS administers the Connecticut Medical Assistance Program, which includes Medicaid, a joint federal-state program, which provides medical benefits for more than 500,000 low-income Connecticut residents.
The State complaint also names the dental practices and other corporations created or controlled by the various individuals. They include
E.G.A. Mangement, Inc.
Haven Consulting, Inc.
AMZ Consulting, Inc.,
Dental Care of Connecticut, Inc.,
N.B. Dental, Inc.
Electron Marketing, Inc. of Fall River, MA
Dental Group of Stamford, LLC
Dentists Group of Stamford, PC.
Mehran Zamani, LLC,
Mehran Zamani, DDS, PC;
Dental Group of Connecticut, LLC,
Dentists Group of Connecticut, PC;
Dental Group of Waterbury, LLC,
Dentists Group of Waterbury, PC;
Dental Group of Danbury, PC;
Dental Group of New Britain, PC;
Dental Group of Hartford, PC;
Hartford Dental Care, LLC;
Hartford Dental Incorporated, PC;
Arbor Dental Association, LLC;
Alpha Dental Group, PC;
Wintonbury Dental Associates, PC.
