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Boardman psychiatrist decertified after fraud uncovered



Published: Sat, December 22, 2012 @ 12:06 a.m.

Staff report

COLUMBUS

A Boardman psychiatrist has been decertified as a provider for the Ohio Bureau of Workers’ Compensation and has repaid more than $70,000 after pleading guilty to workers’ compensation fraud.

Surveillance video captured by an undercover agent from BWC’s Special Investigations Department posing as a patient in need of psychotherapy services showed Dr. Anil C. Nalluri providing inadequate care. He later billed BWC for services he never provided.

Nalluri was indicted in March and pleaded guilty to workers’ compensation fraud Dec. 13. He paid $71,669.62 in restitution and investigative costs. He also was voluntarily decertified as a BWC provider.

“This video shows Mr. Nalluri’s appalling lack of concern for his patient and a substandard level of care that is clear even to a layperson,” said BWC Administrator/CEO Steve Buehrer. “The care of his patients should have been Mr. Nalluri’s first concern but he instead chose to put his patients at risk in order to squeeze the most dollars out of BWC as possible.”

SID began investigating Nalluri in 2003 after receiving a complaint from an injured worker that he was providing only 10 minutes of psychotherapy services during what was supposed to be a 45-minute session. The injured worker confronted Nalluri about the lack of care, and Nalluri informed the patient that he would receive payment from BWC regardless of the treatment provided. Nalluri later removed the injured worker from treatment at the office and failed to provide the patient his medical records when requested.

Agents conducted an undercover operation and observed several patients exiting the office very soon after arriving. An agent also posed as a patient, visiting Nalluri 12 times and capturing video supporting the allegation, including an appointment that lasted one minute.

In another instance, BWC was billed for a 20- to 30-minute psychotherapy session that video showed lasted 31/2 minutes and consisted mostly of discussions about the economy.

After the undercover operation, investigators conducted interviews with Nalluri’s employees and patients. A number of patients reported the services they received were less than adequate and often lasted just enough time for Nalluri to write a prescription.

Additionally, an expert witness who reviewed the video and documentation reported sub-optimal treatment that did not meet the standard of care. The expert reported Nalluri falsified documents to obtain payment from BWC and failed to justify the prescriptions he wrote for the agent.


Comments

1meandoctorx(15 comments)posted 2 years ago

about time they take him down ! you better bet there's even more fraud than just with BWC !

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2sue(173 comments)posted 2 years ago

Did the state revoke his license to practice medicine?

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3kensgirl(643 comments)posted 2 years ago

You talk about fraud. I tried to warn people about certain doctors in this area practicing fraud and I was called every name in the book. Psychiatrists are the biggest offenders. I could write a book. Working as a nurse I saw fraud as an every day accepted practice. This has been going on for years. The bigest offenders are Dr.s who participate in the suboxine program. It's all cash up front and I know for a fact they don't claim it on their W2's. They can defend themselves all they want but they are con artists who put their bank account ahead of their patients care. Mental health care is a joke in this country. We are going to see more and more incidents such as Sandy Hook in the future. Sinful.

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4NoBS(2013 comments)posted 2 years ago

It took TEN YEARS to expose one quack? That's an astoundingly long time.

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5mjnovaksr(95 comments)posted 2 years ago

It is too bad this quack isn't barred from practicing medicine completely! In 1993 my elderly father had occasion to be treated by this man, and after watching my dad turn into a veritable vegetable under his care we ordered him off my fathers caregiving team through his longtime family physician. After my fathers death, low and behold he billed Medicare for many visits in the hospital AFTER being removed from Dad's case. I filed a fraud case with Medicare and their inadequate response was to pay him for the days he signed my fathers orders in the hospital and to not pay him only for the days he did not sign those orders! They totally ignored the fact we had removed him by order earlier! Now 20 years later I wonder how many more of our hard earned tax dollars will still continue to be wasted on his fraudulent billing! Kudos to the BWC for actually looking into this criminal activity, and shame on Medicare for continuing to allow this man to bilk the system!

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6carol4091(1 comment)posted 2 years ago

Hmmmph!! This is the time of year that we should have goodwill towards our fellow man...I know doc..he's a great guy and he does spend time with his patients.

Just remember if your house is glass why are you throwing stones??

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