Valdosta doctor found guilty of Medicare and Medicaid fraud

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By: WCTV Eyewitness News
Updated - May 15, 2019

VALDOSTA, Ga. (WCTV) -- A Valdosta doctor has been found guilty on seven counts of defrauding Medicaid and Medicare following a week-long trial.

Dr. Douglas Moss, 58, was found guilty on Tuesday after a jury deliberation of around two hours.

“Over a period of four years, Dr. Moss stole in excess of $2.5 million by fraudulently billing the U.S. government for work he claimed to perform for four nursing homes in Valdosta. Today, the jury’s verdict makes it clear that the citizens of our district will not stand for defrauding the government. I want to thank our law enforcement partners for their hard work,” said US Attorney Charles Peeler.

Moss was found guilty of conspiracy to commit health care fraud and health care fraud.

Moss has been a practicing physician at South Georgia Health Group in Valdosta since July of 2002. He also spent time as the Medical Director at four Heritage Health/Pruitt Health facilities between January 2011 and May 2016.

According to court testimony and evidence presented at trial, Dr. Moss billed the U.S. Government for more than $2.5 million by falsifying Medicare and Medicaid claims by either billing for services he didn't perform or by utilizing his Physician's Assistant as an "extender," (a non-physician practitioner) to render services that were billed as if Moss had performed them himself.

Officials say Moss faces a maximum penalty of 10 years in prison, a $250,000 fine, or both, on each count.

Sentencing is scheduled for August 14 at 9:30 a.m.


By: WCTV Eyewitness News
May 10, 2019

VALDOSTA, Ga. (WCTV) -- The health care fraud trial of a Valdosta physician continues for a fifth day at the federal courthouse.

Douglas Moss is accused of defrauding Medicaid and Medicare. The indictment alleges he submitted claims for thousands of visits and services, including some while patients were sleeping.

Court notes filed in the case show key witness Shawn Tywon testified for four and-a-half hours on Thursday.

Tywon, a physician's assistant who worked with Moss, has already entered a guilty plea to conspiracy in the case.


By: WCTV Eyewitness News
May 6, 2019

VALDOSTA, Ga. (WCTV) -- A Valdosta physician is now on trial, accused of defrauding Medicaid and Medicare.

Douglas Moss’ federal trial started Monday. He’s facing one count of conspiracy and six counts of health care fraud.

Court records show he and his physician’s assistant are accused of submitting 31,000 claims in three years for patients at local nursing homes, including claims for services that were never rendered.

The indictment alleges in one instance Moss billed for 150 visits in one day and in another instance, billed for 85 visits in four days, even though records show Moss was in Las Vegas at the time.

Federal court records show Moss’ physician's assistant, Shawn Tywon, has already entered a guilty plea to conspiracy in the case and could face up to 10 years in prison. That plea agreement estimates restitution in the case at more than $2.6 million.

Notes from Douglas Moss’ final pre-trial hearing last week indicated Tywon will be called to testify against Moss at trial this week.