Toronto doctor surrenders licence amid investigation into improper billing, ending his 30-year medical career in Canada
2019-07-09 from thestar.com
On a January day in 2017, a woman visited family physician Rajiv Kumra at a medical clinic in Etobicoke’s Six Points Plaza.
We don’t know what the woman’s health concern was, but according to a recent disciplinary hearing, we know Kumra billed the Ontario Health Insurance Plan (OHIP) for her visit — as well as for her five children, who were not even there.
The previous summer, in August 2016, Kumra billed OHIP for a father and his six children at the same clinic, when just the father saw the doctor that day.
Between November 2012 and November 2014, Kumra billed OHIP a dozen times for another man who typically visits the doctor just once a year. On 11 of those occasions, Kumra also billed for at least 10 of the man’s other household family members.
These are just a few of more than 20 instances between 2012 and 2017 when Kumra billed for members of entire families after just one attended his medical clinic for care, according to the College of Physicians and Surgeons of Ontario (CPSO), which regulates the province’s medical profession.
Kumra did not contest the CPSO’s discipline committee findings at a hearing June 17. A “no contest” plea means a doctor isn’t admitting guilt, but does not contest the facts and accepts that the discipline committee can find the facts correct, according to the CPSO.
Kumra surrendered his licence this spring, ending his 30-year medical career in Canada.
The doctor did not agree to an interview for this story or answer specific questions about the CPSO findings.
In an emailed statement to the Star, Kumra said he denies the allegations of professional misconduct and incompetence contained in an earlier notice to appear before the CPSO’s discipline committee.
“As my counsel stated at the hearing, I ... dispute all of the factual assertions that ground the discipline findings,” he wrote.
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