March 5, 2010 - NEW ORLEANS, LA—DR. GREGORY KHOURY, age 55, a resident of Oklahoma City, Oklahoma, was charged by a Federal Grand Jury sitting in New Orleans in a superseding indictment adding 10 additional charges of health care fraud to the original indictment returned on November 12, 2009, announced U.S. Attorney Jim Letten.
According to today’s indictment, between 1999 until about June, 2006, DR. GREGORY KHOURY defrauded Medicare, the Federal Employee Health Benefit Plan (FEHBP) and its associated health care benefit providers, as well as Blue Cross and Blue Shield (BCBS); Tricare—the health care provided for active and retired members of the armed services and their families; CIGNA; Travelers Insurance Company—who processed worker’s compensation claims; and Medigap insurance carriers. Specifically, the superseding indictment alleges KHOURY fraudulently submitted claims to Medicare, FEHBP, BCBS, Tricare, Travelers, CIGNA, and Medigap carriers for patients who were not physically present in his office.
According to the superseding indictment, KHOURY met with an interested person or family member instead of the patient and falsely the insurance carriers for services he claimed to have performed for the absent patient. As a result of the alleged fraud, KHOURY was paid approximately $1,512,939.14 he was not entitled to receive.
U.S. Attorney Letten reiterated that the superseding indictment is merely a charge and that the guilt of the defendant must be proven beyond a reasonable doubt.
The case was investigated by the U.S. Department of Health and Human Services, Office of Inspector General; the Federal Bureau of Investigation; Defense Criminal Investigative Service; and the U.S. Office of Personnel Management, Office of Inspector General, with the assistance of Blue Cross/Blue Shield of Louisiana. The case is being prosecuted by Assistant United States Attorneys Patrice Harris Sullivan (Health Care Fraud Coordinator) and Jordan Ginsberg.
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