Edinburg doctor re-indicted on Medicaid fraud charges

An Edinburg doctor was arrested and released Friday on a combined $400,000 in bonds on four charges of Medicaid fraud.

A Hidalgo County grand jury on Thursday indicted 64-year-old Osama Bachir Nahas on accusations he defrauded Texas Medicaid from Jan. 1, 2011, to Jan. 31, 2012.

Nahas, a high managerial agent at Crosspoint Medical Clinic, was previously indicted in May 2017 on two counts of Medicaid fraud on allegations that he and Gerardo “Jerry” Jackson defrauded Texas Medicaid from Jan. 1, 2009, to Feb. 27, 2012, for claims totaling $200,000 or more for physical therapy treatment rendered by someone who was not a licensed physical therapist and without the supervision of a doctor.

Those charges were dismissed against both men on May 10, 2018, and a search of court records did not return a new indictment for Jackson.

The new four-count indictment against Nahas alleges he defrauded Texas Medicaid during a period of a little more than a year between 2011 and 2012.

He’s accused of making a claim for payment for a service rendered by a person who was not licensed when a license is required for the service while that person was not supervised by a doctor or licensed physical therapist.

“The defendant presented claims for payment for physical therapy represented as services rendered by a physician or persons who were being supervised by a physician or a licensed physical therapist,” the indictment states. “When in truth and fact said physical therapy services were rendered by persons who were not licensed to perform physical therapy and who were not directly supervised by a physician or licensed physical therapist.”

He’s also accused of presenting claims for payment for substantially inadequate or inappropriate service compared to generally recognized standards because a person who rendered the physical therapy had not received formal training or study and was not supervised.

“The defendant presented claims for payment for treatment consisting of physical therapy services rendered by persons employed by the defendant on patients of the defendant without first obtaining informed consent for the treatment from the patients,” the indictment states.

Nahas is also accused of presenting claims that contained false statements or misrepresentations, namely, a false place of service location, according to the indictment.

The Texas Attorney General’s Office is prosecuting the case.