Source: Office of United States Attorneys
ATLANTA – Health Wealth Safe, Inc. and Dr. Subodh Agrawal have paid $1.29 million to settle allegations that they knowingly caused false claims to be presented to Medicare.
“Knowingly billing Medicare for services that do not meet Medicare’s requirements is a fraud against taxpayers,” said U.S. Attorney Theodore S. Hertzberg. “Our office will continue to enforce the False Claims Act to recover government payments that result from such misconduct.”
“Healthcare professionals have a sworn duty to prioritize patient health and to ensure all services billed to the federal government are fully compliant with program requirements,” said Kelly Blackmon, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG). “HHS-OIG will continue to collaborate with our law enforcement partners to safeguard the integrity of the Medicare program.”
The investigation began when former employees of Health Wealth Safe, Inc. (“Health Wealth”) filed a whistleblower lawsuit under the False Claims Act referred to as a qui tam suit. The False Claims Act is a federal law that imposes civil liability on any person who submits false claims to the federal government or its contractors. The law imposes treble damages and civil penalties on those who submit false claims. Under the law, whistleblowers (also called “relators”) who bring fraud to the government’s attention share in any recovery obtained by the government.
The United States alleged that, at the direction of owner Dr. Subodh Agrawal, Health Wealth caused claims to be presented to Medicare for remote physiologic monitoring (RPM) services that were not reimbursable. RPM involves the use of non-face-to-face technology to monitor and analyze a patient’s physiological metrics, such as oxygen saturation, blood pressure, weight, and blood-sugar or blood-oxygen levels. For monitoring services to be covered by Medicare, the monitoring devices must automatically report readings to the monitoring company without further human intervention. The United States alleged that Health Wealth knowingly billed for RPM services even though it failed to provide patients with devices that met these requirements between September 2019 and January 2021.
The settlement resolved the underlying lawsuit filed in the U.S. District Court for the Northern District of Georgia, United States ex rel. Chavous v. Health Wealth Safe, Inc., No. 1:22-cv-02553. The relator will receive $238,650 from the settlement in this matter, plus attorney’s fees.
This case was investigated by the U.S. Attorney’s Office for the Northern District of Georgia and the U.S. Department of Health and Human Services, Office of Inspector General.
The civil settlement was reached by Assistant U.S. Attorney Anthony DeCinque.
The claims resolved by the settlement are allegations only, and there has been no determination of liability.
For further information please contact the U.S. Attorney’s Public Affairs Office at USAGAN.PressEmails@usdoj.gov or (404) 581-6185. The Internet address for the U.S. Attorney’s Office for the Northern District of Georgia is http://www.justice.gov/usao-ndga.