Kenner doctor pleads guilty to Medicaid fraud

Kenner doctor pleads guilty to Medicaid fraud
Photo provided by MGN Online

POSTED: Sunday, November 10, 2013 - 6:00pm

UPDATED: Sunday, November 10, 2013 - 6:04pm

A Kenner doctor pleaded guilty to 35 counts of Medicaid fraud for running a scheme out of his medical practice aimed at defrauding the state’s Medicaid program.

Dr. Fiaz Afzal, 49, owner and internist at Claiborne Medical Corporation of 1000 Veterans Boulevard, was indicted in November 2010 by an East Baton Rouge Parish grand jury after an investigation revealed that Afzal submitted fraudulent claims regarding patient care to the Medicaid program for the purpose of obtaining greater compensation.

“Dr. Afzal used his medical license to take advantage of the state’s Medicaid program and, most reprehensibly, his own patients,” said Louisiana Attorney General Buddy Caldwell. “My office will continue to do what is necessary to protect vulnerable citizens as well as the Louisiana taxpayer.”

During the course of the investigation, agents with the Attorney General’s Medicaid Fraud Control Unit discovered that on multiple occasions from January 2009 to March 2010, Afzal billed the Medicaid program for services such as tests, procedures and treatments not rendered and knowingly falsified documents to support the fraudulent billing of those services. Afzal also recorded bogus diagnoses and symptoms to justify billing for services such as tests and treatments, which his patients denied having. The investigation resulted in Afzal’s September 2010 arrest.

Afzal faces up to five years in prison on each count of Medicaid fraud.

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