Nursing home psychiatrist in federal custody on 52 counts of fraud, including upcoding
Authorities have arrested a nursing home psychiatrist and charged him with 52 counts of healthcare fraud, the U.S. Attorney for the Northern District of Texas announced Thursday.
Robert Hadley Gross, M.D., filed Medicare and Medicaid claims for services he did not perform and upcoded to get overpaid for services he did render, according to the charges. The indictment states that he often filed claims for nursing home patients who already had died, and that “for numerous dates of service” he filed claims for more services than he could possibly provide in a given day.
His wrongdoing began in 2009 and continued through this year, during which time he racked up nearly $1.75 million in fraudulent payments, according to U.S. Attorney Sarah R. Saldana of the Northern District of Texas. Gross worked in nursing homes in San Angelo, TX, and in other communities in and around Tom Green County.
If convicted, Gross could face 10 years in federal prison and a $250,000 fine for each count of fraud. He was arrested Wednesday and was scheduled to appear in court Thursday, according to Saldana's office.