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Shore Cardiologist Charged with Health Insurance Fraud

A cardiologist from Wayside whose license was suspended two years ago is now accused of billing insurors $52,717 for services never performed.

Ahmad Mossavi, aka Seyed A. Mossavizadeh, 52, was charged Tuesday with 48 second-degree counts of health care claims fraud and one third-degree charge of theft by deception, according to information from the office of acting New Jersey Attorney General John Hoffman.

Mossavi maintains practices in Monmouth’s Ocean Township as well as in South Plainfield.

The indictment against Mossavi targets the time from January 20, 2008 to October 9, 2009 as the period in which he allegedly submitted bogus patient-care claims to Aetna, CIGNA, Emblem Health, Horizon Blue Cross/Blue Shield and QualCare.

Prosecutors contend that Mossavi was not in the United States during the times in which he claimed to be treating patients. The New Jersey Board of Medical Examiners suspended his medical license on September 23, 2011.

Acting Insurance Fraud Prosecutor Ronald Chillemi reinforced New Jersey’s zero tolerance policy for health care fraud.

“When licensed professionals unlawfully bill for services they do not provide, the cost of the fraud is passed onto the rest of us, the consumers,” acting Attorney General Hoffman added.  “We are doing our part to aggressively control rising health care costs.”

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