Clinic denies wrong doing amid national undercover report
Sat, 03 Mar 2012 01:55:54 GMT —
A home health clinic in Pharr claimed they did not commit Medicare fraud.
It comes on the heels of a national undercover report targeting a doctor in Las Milpas.
The report called the Rio Grande Valley a hotbed of Medicare fraud.
The undercover investigation from ABC news targeted the Harmony Internal Medicine Clinic in Las Milpas.
The doctor allegedly diagnosed a healthy elderly woman with type two diabetes.
The woman was referred to that doctor by the My Morning Star Home Health clinic in Pharr.
"On behalf of My Morning Star we are happy that we are visited by undercover grandma," CEO Estela Sotelo said. She said they gave the elderly woman a list of providers and the woman was the one who chose the doctor.
"Usually what we do is if they do not have a doctor then we know that we have to give names," she said.
The report stated the woman met with the doctor, who on their visit prescribed her with type two diabetes, even though she did not have it.
Sotelo said her clinic received the doctor's referral and visited the woman at home for an assessment to see if she qualified for home health service.
"We do not have diabetes in our 485, she said, referring to the assessment form. The woman, during the assessment, said she was not a diabetic."
Because they did not find reason to bill for diabetes, Sotelo said her clinic did not.
She added that it is proof that their system works in weeding out Medicare fraud.
Action 4 News visited the clinic of Dr. Padmini Bhadriraju in Las Milpas, but the doors were locked and no one appeared to be inside.
A lawyer for doctor featured on national TV denied wrong doing on her part.Click here to follow Rafael on Twitter