Prominent Cardiologist Dr. Jose Katz Pleads Guilty to $19 Million Medicare Fraud Scheme By Tod Aronovitz | 04/16/13 | 0 Comment

Dr. Jose Katz, founder, CEO and owner of Cardio-Med Services LLC and Comprehensive Healthcare & Medical Services LLC, with offices in New York and New Jersey, pleaded guilty in federal court to conspiracy to commit healthcare fraud in a scheme that cost insurers $19 million, and subjected thousands of patients to unnecessary procedures and treatment by unlicensed personnel.

Katz admitted to falsifying patient charts and diagnosing a majority of his Medicare and Medicaid patients with coronary artery disease and debilitating and inoperable angina to justify prescribing and administering enhanced external counter pulsation (EECP).

Medicare and Medicaid paid Katz more than $15.6 million from 2005 through 2012 just for his EECP treatments, most of which were unwarranted. In addition, the cardiologist allowed conspirator Mario Roncal to treat patients knowing he was not licensed to practice medicine in the United States. Roncal, who entered a guilty plea in January, awaits sentencing.

The loss sustained by Medicare Part B, Medicaid, Empire, BCBS, Aetna and other insurers victimized by Dr. Katz’s fraudulent billings totaled $19 million from 2004 through 2012, the largest recorded in New Jersey, New York and Connecticut for an individual practitioner.

“Katz was so focused on illegal profits that he directed unlicensed and unqualified providers to treat his patients, ordered unnecessary tests, and cavalierly ordered treatments that could have caused patient harm,” according to the U.S. Attorney’s Office in New Jersey.

On a separate charge, Dr. Katz pleaded guilty to one count of Social Security fraud resulting from false W-2 forms reflecting $1,251,604 in earnings for his wife, who was on Cardio-Med’s payroll from 2005 through 2011, even though she didn’t show up for work.

Dr. Katz is free on $200,000 bail and scheduled for sentencing on July 23. He is expected to face fines and be ordered to pay restitution, in addition to serving his sentence.

How to Report Miami Medicare Fraud

Healthcare or medical billing employees who have inside knowledge of questionable Medicare billing practices can file a confidential legal claim under the False Claims Act. By acting as a “whistleblower” in what is known as a “qui tam” lawsuit, a private party may collect between 10 to 30 percent of the amount recovered, depending on how the case is prosecuted.

ARONOVITZ LAW: Miami Whistleblower / Qui Tam Law Firm

The Miami law firm of ARONOVITZ LAW routinely works with Miami whistleblowers to document Medicare fraud and other forms of fraud against the government. Click on the link to read more about our Miami Whistleblower / Qui Tam law firm services.

Contact Miami whistleblower attorney Tod Aronovitz for a confidential discussion of your potential Miami Medicare fraud case.