Another Married Couple Gets Charged and Sentenced for Cheating on the Health Care System

Another Married Couple Gets Charged and Sentenced for Cheating on the Health Care System

Compounded medicines often run at a high price. It’s because these are specially prescribed medicine, completely different from the ones you can buy commercially. A doctor would need to create a prescription for this and detail the dosage, amounts, and the exact mixture of the different compounding drugs for the patient. These medicines often come in the form of ointments and creams. But they can also be in the form of injectables, liquids, and capsules. They’re not sold in bulk because of the premise that they are specific formulations for a specific patient. And prescriptions usually indicate amounts for a one-month supply of the compounded medicine. Other cases may ask for longer and more amounts, but that’s rare.

 

Because of its nature of being expensive, many healthcare frauds target compounding medicines when they scheme and defraud the medical industry.

A couple who hails from Maryland was sentenced to imprisonment because of defrauding the health care system. The wife, named Kakra Gyambibi, was a doctor. While her husband, named Kwasi Gyambibi, was connected to Advantage Pharmacy. Advantage Pharmacy is a compounding pharmacy, and they cater to those who are in need of a specific mixture and dosage of a certain medication.

Kakra and Kwasi Gyambibi plotted and executed an illegal scheme to earn money. Kakra created and provided falsified prescriptions that resulted in sales in Advantage Pharmacy. These sales then translated to commissions for Kwasi, who worked under the company’s sales department. Kwasi would get around 35% of the sale price of the medicines. And remember these compounded medications can cost even thousands of dollars for just a small amount.

 

These prescriptions that Kakra produced were for non-existent patients or patients that she never really met or assessed. And their entire scheme added up to $1.6 million dollars in claims paid by health insurance programs. That’s also 1.6 million dollars of money that are not supposed to be theirs. And that equates to a whole lot of lives put at risk because of their greed for money.

Kakra has been sentenced to jail. She is spending three months in prison and will be on parole and probation for three years. Kwasi, on the other hand, was found guilty for the case of health care fraud. And the authorities are looking at pushing for a reinstatement of the $1.6 million dollars that were paid out illegally.

However, tempting these big sales and amounts can be in the medical industry, it’s very important to keep in mind that the medical industry deals with medicines, treatments, the health and the lives of people. When you are in a position that manages, operates, or influences a healthcare process in any way, you need to act with the utmost integrity and genuine compassion for others.

 

If you are aware of situations that jeopardize the health care system’s integrity, or if you know someone who is acting illegally or defrauding others or the government and its programs and you need help resolving this, please feel free to contact us here at the Healthcare Fraud Group. You may call us at 888-402-4054  and we’ll talk about your concern.

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