The United States filed a complaint under the False Claims Act against Vohra Wound Physicians Management LLC (Vohra) and its founder and majority owner, Dr. Ameet Vohra, for allegedly causing the submission of false claims to Medicare for overbilled and medically unnecessary wound care services. Vohra is one of the nation’s largest specialty wound care providers and contracts with hundreds of nursing homes and skilled nursing facilities throughout the country to provide wound care services to those facilities’ patients at their bedside.
The complaint alleges that the defendants pursued their fraudulent scheme in three primary ways. First, Vohra created a proprietary Electronic Medical Record (EMR) software that was programmed to bill debridements as surgical procedures even when they were not. Second, Vohra hired physicians without wound care expertise and provided training that omitted relevant Medicare payment rules and intentionally conflated the definitions of surgical and nonsurgical debridement procedures. Third, Vohra set corporate debridement targets based solely on revenue goals and pressured its physicians to meet those targets. As a result, Vohra allegedly caused the submission of claims for surgical debridement services that were not medically necessary and used billing codes that represented more complex procedures than were actually performed (commonly referred to as “upcoding”).
