Vipin Adhlakha, the Medicaid Fraudster with Illegal Kickbacks?
Vipin Adhlakha is a convicted criminal who was involved in a major Medicaid fraud.
Here is a brief penned to assure awareness amongst the clans.
Clinical Laboratories Charged with Medicaid Fraud
Four clinical laboratories were charged by a grand jury in Massachusetts with Medicaid fraud and paying unauthorized payments. The proprietors of the laboratories, two marketing firms, and a doctor were all accused of participating in the Medicaid fraud conspiracy by the Massachusetts Attorney General. Medicaid fraud schemes frequently target urine testing as their goal. This fraud allegedly cost MassHealth over $2 million in erroneous claims payments.
A single person, Vipin Adhlakha, links the defendants according to the news release from the Massachusetts Attorney General. Three of the clinical labs are owned by Adhlakha: Preferred Laboratory, Alpha Labs, and Aria Diagnostics (collectively, “Adhlakha Entities”).
Vipin Adhlakha is accused of breaking the Medicaid False Claims Act, theft, providing kickbacks, conspiring, and money laundering. Similar charges also apply to the other defendants.
Clinical Laboratory Referrals Received in Exchange for Illegal Kickbacks
The first plan includes Vipin Adhlakha paying marketing firms kickbacks violating Massachusetts law. Adhlakha Entities offered a portion of the resulting insurance payouts to the marketing firms in exchange for increasing the number of urine tests referred to his laboratory.
The federal anti-kickback law served as the inspiration for the Massachusetts law, which forbids giving or receiving compensation to secure government healthcare business.
Similarly to this, the accusation asserts that in return for referrals of urine samples, the Adhlakha Entities paid Lab USA illegal kickbacks. According to the allegations, the defendants all made more money the more urine tests they produced. Whether the patients or their doctors desired or required the testing didn’t matter.
False Claims by Vipin Adhlakha for Medically Unnecessary Tests Filed with Medicaid
The second aspect of the fraud was MassHealth (the Massachusetts Medicaid program) receiving claims for irrelevant residential monitoring tests. Urine drug testing that is performed on members in sober homes regularly is not “medically necessary.”
It cannot be billed to Medicaid as a result. In an alleged scheme involving a Massachusetts physician, the Adhalakha Entities billed Medicaid for millions of dollars worth of routine monitoring tests.
Woman accused in kickback investigation involving urine tests
According to a press release from the office of Massachusetts Attorney General Maura Healey on Tuesday, Preferred Laboratory LLC of Worcester and its owner, Vipin Adhlakha of Westfield, Indiana, were linked to a scheme that resulted in more than $2 million in fraudulent claims being submitted to the state insurance program MassHealth. The announcement stated the defendants were all deemed innocent until and unless proven guilty. Defendants were indicted on Monday by a statewide grand jury.
Vipin Adhlakha and other people and organizations are accused of Medicare fraud.
According to the office of Attorney General Maura Healey, a statewide grand jury has accused two laboratory marketing firms and four independent clinical laboratories of more than $2 million in fraudulent Medicare claims to Massachusetts.
The following points were accused of crimes:
- MassHealth fraud
- Money laundering
- Illicit kickbacks
- Conspiracy
The Medicare frauds:
Indiana’s Westfield resident Vipin Adhlakha, 46,
- 3 counts of false Medicaid claims
- 3 counts of theft exceeding $1200 were committed under pretense
- 3 counts of bribery, kickbacks, or rebates
- (4 counts) Conspiracy
Indiana’s Indianapolis-based Aria Diagnostics, LLC
- False claims by Medicaid (2 counts)
- 2 charges of Larceny over $1200 by False Pretenses
- Bribery, kickbacks, or rebates (3 counts)
- Four counts of conspiracy
Other Clinical Labs with their charges
Soros Clinical Solutions LLC of Indianapolis, Indiana
- Medicaid False Claims (3 counts)
- Larceny over $1200 by False Pretenses (3 counts)
- Kickbacks, Bribery, or Rebates (3 counts)
- Conspiracy (4 counts)
Preferred Laboratory LLC of Worcester
- Medicaid False Claims (2 counts)
- Larceny over $1200 by False Pretenses (2 counts)
- Kickbacks, Bribery, or Rebates (2 counts)
- Conspiracy (2 counts)
Alpha Labs, LLC formerly of East Providence, Rhode Island
- Medicaid False Claims (3 counts)
- Larceny over $1200 by False Pretenses (3 counts)
- Kickbacks, Bribery, or Rebates
- Conspiracy
Mohammad Afreedi, 64, of Methuen
- Kickbacks, Bribery, or Rebates
- Conspiracy
Lab USA, Inc. of Haverhill
- Kickbacks, Bribery, or Rebates
- Conspiracy
George Powell, 62, of Londonderry, New Hampshire
- Kickbacks, Bribery, or Rebates (2 counts)
- Conspiracy (2 counts)
Summit Diagnostics of Salem, New Hampshire
- Kickbacks, Bribery, or Rebates (2 counts)
- Conspiracy (2 counts)
Adriana Sanchez a.k.a. Adriana Vaccaro, 40, of Shrewsbury
- Kickbacks, Bribery, or Rebates
- Conspiracy
Eric Fromm, 55, of Norwood
- Kickbacks,
- Bribery, or Rebates
- Conspiracy
Darrolyn McCarroll-Lindsay, 66, of Oak Bluffs
- 3 charges of Medicaid False Claims
- Conspiracy involving kickbacks
- bribes, or rebates
Allegations on Vipin Adhlakha & others by Healey’s office, the central defendant
Alpha Labs, Aria Diagnostics, and Preferred Laboratory, three independent clinical laboratories that Vipin Adhlakha has operated, as well as the principal defendant, all submitted claims to MassHealth and MassHealth managed care companies for urine drug testing, according to Healey’s office.
Vipin Adhlakha and his businesses are accused by Healey’s office of:
- In violation of the Massachusetts anti-kickback law, he entered into kickback agreements with marketing firms OSA Exports and Summit Diagnostics to boost the number of urine drug tests referred to his laboratories in exchange for a share of insurance reimbursements.
- a second kickback arrangement with Lab USA whereby urine samples were referred for testing in return for a share of the insurance payments that were gathered.
- MassHealth received claims that were submitted with fake dates, incorrect orders from doctors or other authorized prescribers, medically inappropriate regular quantitative testing, and/or medically unnecessary residential monitoring.
Additionally, Healey’s officer believes that thousands of claims were submitted to MassHealth and its managed care organizations as a result of a conspiracy involving OSA Exports, Summit Diagnostics, and Lab USA as well as Adhlakha and his businesses.
Who is Vipin Adhlakha?
The 46-year-old molecular biologist Vipin Adhlakha claims to specialize in sophisticated laboratory tests for the medical sector. Adhlakha, the founder and CEO of Aria Diagnostics Clinical Testing Lab, and his staff assert to offer a broad range of testing services, including standard hematological, molecular, and urine toxicology testing as well as normal blood chemistry and toxicology.
Conclusion
The most important thing to note is that Vipin Adhlakha’s entire life and behavior make it clear that he is a complete liar and cheat. For the reason that he engages in money laundering, making false statements, conspiracies, etc. On the other hand, his lab reports are also not reliable.
