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Prominent Cardiologist Sued for Fraud

Dr. Asad Qamar
Dr. Asad Qamar

One of the top Medicare billers in the country, Central Florida cardiologist Asad Qamar, is the target of two lawsuits accusing him of systematic Medicare fraud, including padding bills and performing unnecessary procedures.

Dr. Asad Qamar
Dr. Asad Qamar

The U.S. Department of Justice’s civil division has joined in thewhistleblowers' cases on behalf of Medicare and Medicaid taxpayers.  The lawsuits, filed in 2011 and 2014, were kept secret while the DOJ investigated and debated whether to join them. 

DOJ tends to limit participation to cases in which it thinks it can win a substantial recovery. They were unsealed last week by federal judges in Tampa and Ocala.

One of the whistleblowers is a medical billing consultant, Holly Taylor of  Sarasota. The other plaintiff so far has been called only “John Doe.” Under the False Claims Act, the initiators of the lawsuits stand to gain part of the money if a case ends in a settlement or a win at trial.

A call from Health News Florida to Qamar’s practice, the Institute of Cardiovascular Excellence, brought an e-mail response from attorney Greg Kehoe of the law firm Greenberg Traurig. He called the allegations “unsubstantiated” and “baseless,” and promised a vigorous defense. 

“Dr. Qamar practices under the highest medical and ethical standards,” Kehoe wrote.

On Thursday, Qamar posted a video statement on his practice’s YouTube channel. In it, he called the allegations “fiction.” https://www.youtube.com/watch?v=NSWC6TsuPg8&feature=youtu.be

The John Doe complaintaccusesQamarof routinely performing unnecessary tests that brought a high Medicare payment. They include ultrasounds of blood flow in the legs, stress tests andHoltermonitoring for the heart, and nuclear imaging.  Records would be falsified to include symptoms that would justify the tests, his complaint says.

In a scarier allegation, Doe’s complaint says Qamar performed unnecessary catheterizations of the heart, a procedure that can have life-threatening complications. Cardiac catheterization involves inserting a flexible tube into a blood vessel and snaking it to the heart, injecting radioactive dye and taking nuclear images to show whether the blood is flowing properly in the coronary arteries and within the heart itself.  Some patients were also subjected to unnecessary catheterization of blood vessels in arms and legs, the complaint says.

The complaint filed by Holly Taylor focuses more on billing. The consulting company that employed her assigned her as the account manager for Dr. Qamar and the Institute, reviewing their Medicare billings. She alleges that from 2008 to 2011, the US and the state of Florida were defrauded of “tens of millions of dollars.”

Taylor’s complaint says Qamar and the Institute regularly billed for procedures that were not performed at all through “upcoding,” instructing billers to code for more expensive procedures than the ones actually done. Also the physician routinely waived the 20 percent co-payment that Medicare requires patients to pay, Taylor said, probably to keep them from questioning why they were getting so many tests.

Her suit alleges that Qamar sometimes went ahead with catheterizations without first taking a history, examining the patient or checking labs.  One patient died,Taylor’s complaint says, because she needed referral to a heart surgeon but Qamar delayed it to put stents in her leg vessels.

If there was any wrongdoing at the Institute, as the suits allege, the Florida Department of Health has not found it. Both of the Qamars have clear disciplinary records with no pending state complaints, according to the DOH web site.Qamar and the Institute are named as defendants in both lawsuits. One also lists his wife, Dr. Humera Qamar.

The Institute, which was launched in 2009, is based in Ocala and boasts two cardiac catheterization labs. The practice has grown swiftly, with offices  in Williston and two in The Villages.

According to the  practice’s website, Qamar has recently launched two affiliates, the Institute of Medical Excellence in The Villages and Williston and the Limbstitute Center for Limb Salvage in Tavares.

In a  New York Times article in April, Dr. Qamar said his organization has 150 employees and 23,000 patients. The article reported that in a study of U.S. physicians’ Medicare billings in 2012, Qamar was second in the nation, receiving $18.2 million. Medicare paid him four times as much as any other cardiologist.

--Health News Florida special correspondent Carol Gentry is part of WUSF Public Media in Tampa. Contact Gentry at cgentry@wusf.org. Health News Florida receives support from the Corporation for Public Broadcasting.

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Carol Gentry, founder and special correspondent of Health News Florida, has four decades of experience covering health finance and policy, with an emphasis on consumer education and protection.After serving two years as a Peace Corps volunteer in Colombia, Gentry worked for a number of newspapers including The Wall Street Journal, St. Petersburg Times (now Tampa Bay Times), the Tampa Tribune and Orlando Sentinel. She was a Kaiser Foundation Media Fellow in 1994-95 and earned an Master's in Public Administration at Harvard’s Kennedy School of Government in 1996. She directed a journalism fellowship program at the Centers for Disease Control and Prevention for four years.Gentry created Health News Florida, an independent non-profit health journalism publication, in 2006, and served as editor until September, 2014, when she became a special correspondent. She and Health News Florida joined WUSF in 2012.
Carol Gentry
Carol Gentry, founder and special correspondent of Health News Florida, has four decades of experience covering health finance and policy, with an emphasis on consumer education and protection.
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