Dearborn doctor pleads guilty in $4.2M fraud scheme

Holly Fournier
The Detroit News

A doctor from Dearborn pleaded guilty in federal court to participating in a $4.2 million health care fraud scheme at his Allen Park medical practice.

Dr. Hicham Elhorr, 47, pleaded guilty before Judge Nancy G. Edmunds to one count conspiracy to commit health care fraud. His sentencing is scheduled for Oct. 20.

The plea was announced Wednesday by Assistant Attorney General Leslie Caldwell, with U.S. Attorney Barbara McQuade, FBI Special Agent in Charge Paul Abbate, and other officials.

Elhorr owned House Calls Physicians PLLC in Allen Park, where he conspired to bill Medicare for in-home physician services that were not provided by licensed physicians, officials said. The doctor hired unlicensed individuals to perform the services and to fill out medical documentation that Elhorr and other licensed physicians signed.

The visits then were billed to Medicare as if performed by the licensed physicians, officials said.

House Calls Physicians billed Medicare more than $11.5 million for in-home services from March 2008 to September 2012, officials said. Of that amount, approximately $4.2 million stemmed from fraudulent claims.

The case against Elhorr was investigated by the FBI and Human Services Office of the Inspector General as part of the Medicare Fraud Strike Force, officials said. Since its March 2007 inception, the Medicare Fraud Strike Force has opened operations in nine cities and has charged nearly 2,100 defendants, who collectively have billed Medicare for more than $6.5 million.

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