April 28, 2023 Source: Patch
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The doctor was accused of submitting nearly $840,000 in fraudulent claims to Medicaid for services that patients didn't receive: Officials STRATFORD, CT — A Stratford doctor has been sentenced to four years in prison in connection with health care fraud and illegal kickback offenses, according to officials.
Ananthakumar Thillainathan, MD, 45, of Stratford, was also sentenced Thursday to three years of supervised release following the prison term, U.S. Attorney for Connecticut Vanessa Roberts Avery announced.
Thillainathan is a medical doctor and the owner and president of MDCareNow LLC, a medical practice with offices in Stratford and Milford, according to officials. MDCareNow has been a participating provider enrolled as both an internal medicine group and as a behavioral health clinician group in the Connecticut Medicaid program.
“Between approximately June 2019 and May 2022, Thillainathan submitted or caused to be submitted to Connecticut Medicaid approximately $839,724 in fraudulent claims for psychotherapy services that he knew patients did not receive from his employees,” officials wrote in a news release. “Thillainathan knew that the billed psychotherapy Current Procedural Terminology (CPT) codes, which identify the nature and complexity of the services provided, were not supported by medical records provided by his employees, and that the services were not provided. The investigation revealed that Thillainathan submitted fraudulent claims to Medicaid for reimbursement that falsely represented his employees had rendered 60-minute psychotherapy sessions when, in fact, his employees only had very brief conversations with patients, had only left a voicemail for patients, or had no contact with patients at all.”
In addition, in violation of his Connecticut Medical Assistance Program provider agreement, Thillainathan paid a third-party “patient recruiting” company for each Connecticut Medicaid patient the company recruited and provided with transportation to MDCareNow for medical services, according to officials.
“Thillainathan paid the patient recruiting company approximately $100 per patient for an initial visit to MDCareNow and approximately $40 per patient for any subsequent visit,” the news release states. “Between approximately November 2019 and May 2021, Thillainathan paid the patient recruiting company for the recruitment of approximately 1,018 Connecticut Medicaid patients, and Connecticut Medicaid reimbursed MDCareNow a total of approximately $1,071,328 for services provided to these patients.”
Thillainathan was ordered to pay $1,674,880 in restitution, with $500,000 due within 60 days, according to officials.
Thillainathan pleaded guilty in November to one count of health care fraud and one count of kickbacks involving federal health care programs.
“While he was released on bond and awaiting sentencing, Thillainathan surrendered his Connecticut Controlled Substance Certificate of Registration,” officials wrote in the news release. “Despite no longer holding a valid controlled substance license, Thillainathan wrote at least 34 prescriptions for controlled substances, including 14 prescriptions for oxycodone.”
Thillainathan’s bond was revoked, and he has been detained since January 13, 2023, officials said.
Thillainathan, a citizen of Sri Lanka and a lawful permanent resident of the U.S., faces immigration proceedings when he completes his prison term, according to officials.
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