Dayton Daily News

Springfiel­d couple face fraud charges A Springfiel­d cardiologi­st and his wife were two of hundreds of defendants federally charged with health care fraud after a massive investigat­ion. The indictment­s were part of an initiative announced Thursday by U.S

Cardiologi­st, wife among hundreds in federal health care case.

- By Mark Gokavi and Katie Wedell

District Court. The indictment against the

Dahdahs alleges that the doctor and his wife — who owns and operates Accubil, a company that handles the billing for OICC — received more than $2 million from Medicare and Medicaid for medically unnecessar­y nuclear stress tests and medically unnecessar­y coronary

interventi­ons such as pacemaker insertion and stent procedures, according to a Department of Justice press release.

Messages left for the Dahdahs were not immediatel­y returned.

Nationally, the Medicare Fraud Strike Force charged 412 defendants in 41 federal districts, including 115 doctors, nurses and other

licensed medical profession­als, for their alleged participat­ion in health care fraud schemes involving approximat­ely $1.3 billion in false billings.

Of those charged nationally, over 120 defendants,

including doctors, were charged for prescribin­g and distributi­ng opioids and other dangerous narcotics.

In announcing the action, Sessions called it the, “largest health care fraud takedown

operation in American history” and said it indicates that some doctors, nurses and pharmacist­s “have chosen to violate their oaths and put greed ahead of their patients.” In one local case, Salim

Dahdah allegedly told a patient in their 30s that they needed an implantabl­e car

dioverter-defibrilla­tor (ICD) or they would die, court doc- uments said. The patient got a second opinion and needed a second heart surgery to remove the device.

The indictment against Salim Dahdah indicated he first incorporat­ed a medical business in 1986 and also had an office in Dayton. It said Dahdah focused on treating elderly and poor patients with cardiac-related illnesses.

The Dahdahs allegedly conspired to defraud health care benefit programs by billing for medically unnecessar­y medical tests and procedures from May 2, 2007, until Jan. 13, 2015, according to court documents.

On Jan. 21, 2015, one of Salim Dahdah’s two offices in Springfiel­d was raided by agents from the FBI, the Ohio Attorney General’s Office and the U.S. Department of Health and Human Services’ Office of the Inspector General. A month later, he was suspended from submitting Medicaid claims.

The practice soon moved out of that office, but continued to operate out of a building the Dahdahs owned on South Limestone Street through October when the building was sold. OICC then opened another Springfiel­d office at 2200 N. Limestone St.

“It was further part of the scheme that to ensure that

OICC testing protocols would be strictly followed, defen- dant Cindy Dahdah would reprimand, humiliate or threaten to terminate employees who refused to schedule medical tests according to OICC protocols,” the indictment said, later stating that she would “send intimidat

ing emails to pressure staff to schedule tests according to protocols regardless of whether the test was ordered by a treating physician or medically necessary.”

The health care conspir- acy and health care fraud charges carry penalties up to 10 years in prison, and the false statements charge carries a maximum sentence of five years.

“Health care fraud creates victims out of patients, providers, and taxpayers,” U.S. Attorney for the Southern District of Ohio Benjamin Glassman said. “It’s a crime that breaks the bonds of trust between doctor and patient, and between government and the people, just for the sake of personal greed.”

Nationally, nearly 300 health care providers are being suspended or banned from participat­ing in federal health care programs, Sessions said.

“The charges announced today should send a strong message to criminals that theft from vital health care programs will not be tolerated,” said Lamont Pugh of HHS Office of Inspector General. The other three defendants in the Southern District of Ohio — Darrell Bryant, Gifty Kusi (Bryant’s wife) and Dr. Jornel Rivera — worked at the Health and Wellness Pharmacy in Dublin.

An indictment alleges those three defendants fraudulent­ly received more than $3 million from the Ohio Department of Medicaid and Medicaid Managed Care Organizati­ons (MCOs) through multiple schemes.

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