MI physician accused of fraudulently billing insurers

Doctor sought reimbursement for office visits and other services that were not medically necessary

MI physician accused of fraudulently billing insurers

Life & Health

By Lyle Adriano

A physician in Monroe, MI has been accused in federal court of prescribing medically unnecessary drugs to his patients, as well as charging insurers for services he never provided.

According to the US Attorney’s Office, Dr. Lesly Pompy, 57, was charged with unlawful distribution of prescription drugs and healthcare fraud.

MLive reported that a grand jury returned the 37-count indictment on June 26, 2018.

Federal prosecutors said that the doctor unlawfully gave his patients over six million dosage units of controlled substances outside the course of professional medical practice from 2012 to 2016. Pompy was also accused of submitting nearly $17 million in claims to Medicare, Medicaid and Blue Cross Blue Shield around the same period.

The majority of the claims Pompy submitted at the time were fraudulent in nature – he was seeking reimbursement for office visits and other services that were not medically necessary, the US Attorney’s office said.

“The damage that the proliferation of opioid distribution has done to our community, like many others across the United States has been devastating,” US Attorney Matthew Schneider said in a statement. “It’s particularly disturbing when the distributor is a medical professional.”

 

 

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