PLANO, TEXAS — Heal 360 Urgent Care PLLC, Heal 360 Primary Care PLLC and their owner, Dr. Mohammed Amer Mohiuddin, agreed to pay the United States $20 million to resolve False Claims Act allegations that they knowingly submitted false claims for evaluation and management services that were not performed. The allegations cover claims submitted from January 1, 2021, through March 23, 2022.

Heal 360 entities are medical clinics located in Plano, Texas. During this period, Heal 360 submitted hundreds of thousands of false claims to the Uninsured Program. Fictitious medical records were generated by remote scribes located overseas to support the false claims. Dr. Mohiuddin was listed as the rendering physician on the majority of claims despite not treating the patients.

During the COVID-19 Public Health Emergency, Heal 360 provided healthcare services including specimen collection for COVID-19 tests. Relators will receive $3,400,000 of the settlement proceeds. "This settlement is a great example of this Administration’s commitment to using all available tools at its disposal to combat waste, fraud, and abuse in federal healthcare programs," U.S. Attorney for the Northern District of Texas Ryan Raybould said. "The message should be crystal clear to anyone seeking to defraud federal healthcare programs — we will find you, we will find the money and assets, and we will do everything within our power to hold you accountable."

Assistant Attorney General of the Justice Department’s Civil Division Brett A. Shumate said "the Department is committed to rooting out fraud by healthcare providers who bill for services they did not provide." "Today’s settlement demonstrates that we will hold accountable those providers who exploit federal healthcare programs for their own financial gain," Shumate said.

Acting Deputy Inspector General for Investigations at the U.S. Department of Health and Human Services Office of Inspector General Miranda L. Bennett said ensuring federal funds dedicated to public health emergency response are used appropriately is a core oversight priority for HHS-OIG. "Billing for services that were never provided undermines trust in the health care system and diverts resources from patients who need them," Bennett said.

Timeline

May 2020: The Uninsured Program began reimbursing eligible providers for COVID-19 tests, testing-related items and services, treatment, and vaccines performed on uninsured individuals. January 1, 2021: The period covered by the allegations begins. March 23, 2022: The period covered by the allegations ends. April 2022: The Uninsured Program ceased operations.