Indian-Oro Pharma Tycoon Tonmoy Sharma was arrested for more than $ 149 million in Los Angeles for healthcare fraud
Indian-origin doctors and businessmen, now-difuction Sovereign Health Group founder and former CEO, was recently arrested with more than $ 149 million medical fraud. The 61 -year -old psychiatrist has been accused of three cases of wire fraud, a count of conspiracy and three illegal remuneration cases for referral for clinical treatment facilities.
What was a medical fraud? What was Sharma’s Modus Aperandi?
Tonmoy Sharma’s sovereign health group was a major addiction treatment provider in the entire southern California and many other states. According to court documents, the company billed private insurance companies for drug addicts and mentally sick patients at extremely high rates between 2014 and 2020. Sovereign forced the company to be admitted to the treatment facilities of aggressively through various forms of marketing. Patients were told that their treatment would be paid by a foundation funded by donations from pre -donated SDPVEREGN patients. There was no such real foundation and it was an argument for sovereign employees. He obtained the names, date of birth and social security numbers of the patients and then received health insurance coverage on his behalf, while the patients remained in darkness. Sovereign employees sometimes pretended to be a patient while calling in these insurance companies. Under the direction of Sharma, court documents said, the employees had claimed to have qualifying life events that were not there to get new insurance outside the enrollment period and to increase or reduce their income, so that the patients would qualify for the government-Sabsidi private insurance instead of the patients’ instead of the Medicid.Sovereign paid more than $ 21 million in an illegal kickback for patient referrals to patient brokers. Originally from Dibrugraha in Assam, Sharma studied MBBS from Dibrugar University. Sharma’s medical license was once canceled, when he was practicing in the UK before setting his career in California.
