About

Important information

• Pending Government Action:

  Government Action: BBB reports on known government actions involving business’ marketplace conduct:

  United States vs DR. AMEET VOHRA; VOHRA WOUND PHYSICIANS MANAGEMENT, LLC; AND, VHS HOLDINGS, P.A.. Case number 1::25-cv-21570 SDFL
  

  As of April 4, 2025

  United States Files False Claims Act Complaint Against Vohra Wound Physicians Management and Its Owner Alleging False Claims for Wound Care Services

  The United States filed a complaint under the False Claims Act against Vohra Wound Physicians Management LLC (Vohra) and its founder and majority owner, Dr. Ameet Vohra, for allegedly causing the submission of false claims to Medicare for overbilled and medically unnecessary wound care services. Vohra is one of the nation’s largest specialty wound care providers and contracts with hundreds of nursing homes and skilled nursing facilities throughout the country to provide wound care services to those facilities’ patients at their bedside.

  According to the United States’ complaint, Vohra and Dr. Vohra knowingly engaged in a nationwide scheme to falsely bill Medicare for surgical debridement procedures to maximize revenue.  Debridement is a procedure to remove impediments to healing from a wound, such as dead or unhealthy tissue, and can be accomplished in several ways including nonsurgical and surgical methods.

  The complaint alleges that the defendants pursued their fraudulent scheme in three primary ways. First, Vohra created a proprietary Electronic Medical Record (EMR) software that was programmed to bill debridements as surgical procedures even when they were not. Second, Vohra hired physicians without wound care expertise and provided training that omitted relevant Medicare payment rules and intentionally conflated the definitions of surgical and nonsurgical debridement procedures. Third, Vohra set corporate debridement targets based solely on revenue goals and pressured its physicians to meet those targets. As a result, Vohra allegedly caused the submission of claims for surgical debridement services that were not medically necessary and used billing codes that represented more complex procedures than were actually performed (commonly referred to as “upcoding”).   

  The complaint also alleges that the defendants programmed Vohra’s proprietary EMR software to improperly apply the Modifier 25 billing code and charge Medicare for exams that were not separately billable from surgical debridement procedures performed on the same day. Because surgical debridements are billed as global surgical packages and include payment for an examination, evaluation and management (E&M) services are only payable on the same day if a significant service is performed that is separately identifiable from the surgical debridement as signified by Modifier 25. According to the United States’ complaint, Vohra’s proprietary EMR software automatically added Modifier 25 to its E&M claims without regard to whether the modifier was appropriate, thereby causing the submission of claims for E&M services that were not payable.

  The claims asserted in the government’s complaint are allegations only, and there has been no determination of liability.

  https://www.justice.gov/opa/pr/united-states-files-false-claims-act-complaint-against-vohra-wound-physicians-management-and

  Click here for details