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US Files False Claim Act Complaint Against Delaware Medical Provider

Acting United States Attorney Dylan J. Steinberg announced that the United States has filed a civil complaint under the False Claims Act against Dr. Shayasta S. Mufti, a Delaware medical provider, alleging that she caused the submission of false claims to Medicare for medically unnecessary genetic laboratory tests. In its complaint, the United States alleges that between April 2019 and November 2019, Dr. Mufti referred more than 100 Medicare beneficiaries for medically unnecessary genetic tests that were paid for by Medicare. To be covered by Medicare, a diagnostic laboratory test, including a genetic test, must be ordered by the physician who is treating the beneficiary for a specific medical problem and who uses the results in the management of that problem. The United States alleges that Dr. Mufti had no medical relationship with the beneficiaries she referred for genetic testing, never examined them, and never used the test results to manage their medical conditions. Her referrals were based on brief telemedicine consultations and, in some instances, no consultation at all. The genetic tests that Dr. Mufti ordered often cost thousands of dollars per patient.