A federal grand jury returned an indictment charging Chesapeake Regional Medical Center (CRMC) with healthcare fraud and conspiracy to defraud the United States and interference with government functions. As alleged in the indictment, CRMC, formerly known as Chesapeake Regional Hospital, granted privileges to Javaid Perwaiz from 1984 until his arrest in 2019, despite knowing that Perwaiz’ privileges had been terminated at another hospital for performing unnecessary surgeries and that he was convicted of two federal felonies in 1996. From 2010 to 2019, CRMC allegedly received approximately $18.5 million in reimbursements from healthcare benefit programs for surgical and obstetric procedures Perwaiz performed at the facility.
Beginning at least as early as January 2010 and continuing until November 2019, CRMC, Perwaiz, and others allegedly conspired to defraud the Centers for Medicare and Medicaid Services, Medicare, Medicaid, the Virginia Department of Medical Assistance Services, and TRICARE. CRMC and Perwaiz allegedly agreed to Perwaiz continually performing surgeries and other procedures at CRMC that were in violation of the rules and regulations of the healthcare benefit programs. CRMC also allegedly defrauded Medicare, Medicaid, TRICARE, Anthem, Optima, Humana, Cigna, Aetna, United, and others to obtain reimbursements for obstetric deliveries that were elective inductions for no medical reason before 39 weeks of gestation, contrary to medical necessity and the standard of care. CRMC allegedly submitted such reimbursements itself, and aided and abetted Perwaiz to do the same.
