Rafael Chikvashvili, PhD, owner of Owings Mills, a Maryland based diagnostic service has been sentenced to 10 years in prison on counts of healthcare fraud resulting in death, according to the Department of Justice. According to evidence presented at trial, Dr. Chikvashvili was involved in a scheme to defraud Medicare and Medicaid. He and others allegedly conspired to create false radiology, ultrasound and cardiologic interpretation reports. He also allegedly submitted insurance claims for medical examination interpretations that were never completed by licensed physicians, according to the DOJ. Dr. Chikvashvili allegedly instructed his nonphysician employees to interpret X-rays, ultrasounds and cardiologic examinations, which, according to testimony provided at trial, ultimately resulted in two patient deaths due to the employees’ incompetence to accurately diagnose them.
In one case, an Alpha employee who was not a physician reviewed X-ray images and failed to detect congestive heart failure. As a result, the patient was not transferred to an acute care facility and died four days later. In the second case, an Alpha employee misread a patient’s pre-operation X-ray and failed to detect congestive heart failure, which put the patient at an increased risk of bleeding during and after an upcoming elective surgery. Due to the misinterpretation, the patient was cleared for surgery, experienced significant bleeding, and died six days after her chest X-ray was misread.
Dr. Chikvashvili and his co-conspirators allegedly defrauded Medicare and Medicaid of more than $6 million through the scheme, which occurred from 1997 through 2013, according to the DOJ.
In addition to healthcare fraud, Dr. Chikvashvili was also found guilty of wire fraud, false statements and aggravated identity theft.
Jeffrey Newman represents whistleblowers