Nita K. Patel (53) and her husband Kirtish N. Patel (53) of Rockaway, New Jersey, pleaded guilty November 17, 2015 before U.S. District Judge William H. Walls in Newark federal court to health care fraud.
The two Patels, who owned a mobile diagnostic testing company (Biosound), have admitted receiving over $4.3 million from Medicare and private insurance companies for diagnostic testing and reports that were never interpreted by a licensed physician.
Patels – Prison Term?
Barring a miracle, the two Patels are headed for prison.
The health care fraud charge to which Nita and Kirtish Patel pleaded guilty carries a maximum potential penalty of 10 years in prison and a $250,000 fine, or twice the gross gain or loss from the offense.
According to court documents and statements, more than half of the diagnostic reports generated by Biosound from October 2008-June 2014 were never actually reviewed or interpreted by a physician.
Instead, the fraudulent diagnostic reports were written by Kirtish Patel despite having no medical license and doctors’ signatures were affixed on the reports by Nita Patel.
Referring physicians relied on the fraudulent diagnostic reports from the two crooks to make treatment decisions for their patients for serious and life-threatening conditions such as heart defects, blood clots and abdominal aortic aneurysms.
Nita and Kirtish Patel got $4.38 million by Medicare and private insurance companies for the fraudulent reports, which they used for personal expenses including multiple residences and luxury vehicles.
Sentencing for the two Patels is set for March 15, 2016.