Carl Ceder: Dallas anesthesiologist with garage full of fancy cars indicted on 17 counts of health care fraud

Dallas anesthesiologist with garage full of fancy cars indicted on 17 counts of health care fraud Robert Wilonsky

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Notice anything missing on the Ascendant Anesthesia website?

Dr. Richard Ferdinand Toussaint Jr. is a licensed anesthesiologist who founded Dallas’ Ascendant Anesthesia, which has 16 practice locations scattered around the area. He’s also just been indicted by a Dallas federal grand jury on 17 counts of health care fraud.

The full indictment’s below, but the 11-page document unsealed today alleges that Toussaint submitted phony claims to Blue Cross Blue Shield of Texas, United Healthcare and the Federal Employees Health Benefits Program. Says the indictment, during 18 months in 2009 and 2010, the 57-year-old “falsely” claimed he was doing his job when he wasn’t anywhere near the operating room — except for that time “he was under anesthesia undergoing surgery himself.” The indictment alleges that at other times he was out of the state, at another hospital or “flying on his private jet.”

The 2016 Bentley Mulsanne, because you’ve probably never seen one

“The indictment further alleges that Toussaint also inflated the amount of time the procedures took and pre-signed patients’ medical records representing the services were provided before the procedures even took place,” says the U.S. Attorney’s Office. “In addition to personally creating false medical records and inflating anesthesia procedure time, Toussaint directed others to do the same, representing he was present for procedures when he knew he was not.”

The indictment alleges that the scheme was a particularly profitable one: The feds allege that Toussaint billed Blue Cross Blue Shield of Texas, United Healthcare and the Federal Employees Health Benefits Program for more than $8 million — “of which at least $5 million was fraudulent,” says the U.S. Attorney’s Office. The indictment also comes with a laundry list of nice things he’d have to turn over if convicted, including a 2016 Bentley Mulsanne (which was bought on April 1), a 2015 McLaren 650S, a 2012 McLaren MP4-12C and other extremely fancy rides.

If found guilty he’s looking at a lot of time behind bars: The feds say each count of health care fraud comes with a max federal prison sentence of 10 years behind bars, along with a $250,000 find — in addition to restitution, which could be also be ordered. … [visit site to read more]

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Carl Ceder

Wednesday, May 20, 2015

Dallas anesthesiologist with garage full of fancy cars indicted on 17 counts of health care fraud

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