Former operator settles Medicare fraud case involving unlicensed physicians

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Former operator settles Medicare fraud case involving unlicensed physicians

Jerome F. Gorgon, Jr., U.S. Attorney’s Office for the Eastern District of Michigan | Department of Justice

Irene Oluwatoyin Oshiyoye has agreed to pay $250,000 to resolve allegations of defrauding Medicare and Medicaid, according to an announcement by United States Attorney Jerome F. Gorgon Jr. The settlement addresses claims that Oshiyoye, along with her late husband Dr. Adekunle Oshiyoye, operated Advance Visiting Physicians, P.C., which provided home health care services in Southeast Michigan from Farmington Hills.

The government alleged that between January 1, 2018, and December 31, 2021, Irene Oshiyoye submitted or caused the submission of false claims for home health visits performed by unlicensed and unsupervised foreign doctors. These actions were said to be in violation of Medicare and Medicaid regulations.

The civil settlement resolves a qui tam lawsuit filed under the whistleblower provisions of the False Claims Act. This law allows private individuals to bring lawsuits on behalf of the government and share in any recovery. The case is titled United States and the State of Michigan ex rel. Telusnor v. Advance Visiting Physicians, P.C., et al., Case No. 2:20-cv-12602 (E.D. Mich.). The amount Oshiyoye will pay was determined based on her ability to pay.

Multiple agencies contributed to resolving this matter, including the FBI, U.S. Department of Health and Human Services - Office of Inspector General, the United States Attorney’s Office for the Eastern District of Michigan, and the Michigan Attorney General Health Care Fraud Division. Assistant United States Attorney Anthony Gentner represented the government in this case.

"The investigation and resolution of this matter illustrates the government’s emphasis on combating health care fraud. One of the most powerful tools in this effort is the False Claims Act," stated officials in connection with the settlement.

Officials also encouraged reporting tips or complaints about potential fraud or abuse involving federal healthcare programs to the U.S. Department of Health and Human Services at 800-HHS-TIPS (800-447-8477).

Authorities clarified that "the claims resolved by the settlement are allegations only; there has been no determination of liability."