|TRENTON - Acting Attorney General John J. Hoffman and the Office of the Insurance Fraud Prosecutor (OIFP) today announced that a Bergen County cardiologist has been indicted for allegedly double-billing insurance companies for medical services he provided through two or more of the three health-care entities he owned in Paramus.
Dr. Roger Coletti, 69, of Wyckoff, was charged by a state grand jury with nine counts of health care claims fraud (second degree) for allegedly filing fraudulent bills to Horizon Blue Cross Blue Shield of New Jersey and UnitedHealthcare Inc. over an eight-month period beginning December 2010. He is also charged with one count each of second-degree insurance fraud and second-degree attempted theft by deception for allegedly submitting fraudulent claims to those companies and Aetna Insurance Company between April 2006 and October 2011.
According to the indictment, Coletti filed multiple claims for the same service to the same person under the different tax identification numbers assigned to three facilities he owned and operated on Sears Drive: North American Diagnostics, Interventional Cardiovascular Associates, and Bergen Medical Images. The total amount of the alleged double-billing exceeded $600,000. The case was referred to the Office of The Insurance Fraud Prosecutor by Horizon Blue Cross Blue Shield.
“Doctors who file false claims undermine the integrity of the health care claims process, a system that depends on the trustworthiness of the licensed professionals,” said Acting Attorney General Hoffman. “Breaking the law in the name of greed is as egregious as it gets for a health care provider.”
“Our office will thoroughly investigate any allegations of fraud on the part of licensed professionals to protect the veracity of the health care system and ensure that anyone who violates the law is held responsible for their crimes, “said Acting Insurance Fraud Prosecutor Christopher Iu.
The indictment is merely an accusation and the defendants are presumed innocent until proven guilty. Second-degree crimes carry a sentence of five to 10 years in state prison and a criminal fine of up to $150,000.
Deputy Attorney General Dennis Kwasnik presented the case to the grand jury. Detectives Amy Carson and Heather Pittman coordinated the investigation. Acting Insurance Fraud Prosecutor Iu noted that some important cases have started with anonymous tips. People who are concerned about insurance cheating and have information about a fraud can report it anonymously by calling the toll‑free hotline at 1‑877‑55‑FRAUD, or visiting the Web site at www.NJInsurancefraud.org. State regulations permit a reward to be paid to an eligible person who provides information that leads to an arrest, prosecution and conviction for insurance fraud.