Physician-owned medical company guilty of submitting nearly $1M in false claims — 6 insights

A medical management company pled guilty to submitting nearly $1 million in false claims to two insurance companies, The Dallas News reports.

Here's what you should know:

1. Herbert C. Brown, MD, Brian David Rudman, MD, and Maulik Parikh, MD, formed their medical management company, Limbic Partners, in 2011. The physicians' company pled guilty to mail fraud in federal court over their false billing practices. None of the physicians were charged with any crimes.

2. The scheme was perpetrated from April 2011 to April 2013. The company filed plea documents Dec. 12. A federal judge has to accept the plea for it to become official, then the company will be sentenced.

3. Limbic Partners could face up to five years' probation, victim restitution and a fine up to $500,000.

4. The company told employees to add anesthesiologists and anesthesia nurses to claims regardless if they performed the services.

The charging document said, "Limbic Partners caused to be submitted claims for anesthesia services that were impossible to perform because the CRNA was performing a procedure at another facility at the same time."

In other false claims, anesthesiologists performing services were not credentialed with the patient's insurance company, so Limbic substituted an anesthesiologist that was credentialed to receive the payment.

5. In the plea deal, Limbic Partners agreed to pay $933,251 of the false claims. The company already paid back $133,000.

6. Limbic Partners was the management company for Irving, Texas-based Atlas Anesthesia Associates. AAA provided anesthesia services to hospitals and surgery centers in Dallas.

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