Illegal Immigrant Convicted to 60 Months In Prison For Participating In 4.7 Million Healthcare/Mail/Wire Fraud Money Laundering Plot

Illegal Immigrant Convicted to 60 Months In Prison For Participating In 4.7 Million Healthcare/Mail/Wire Fraud Money Laundering Plot

Nevada and Washington Inhabitant Convicted in Federal Court


Spokane- On 25th September 2020, United States Attorney for the Eastern District of Washington, William D. Hyslop, announced that Misael Reyes-Tajimaroa, 36, from Michoacán, Mexico, was convicted after admitting guilt to a single count of health care fraud conspiracy, a single count of mail fraud and wire fraud, 8 counts of mail fraud, a single count of wire fraud, a single count of money laundering conspiracy, and a single count of money laundering. United States District Thomas O. Rice convicted Reyes-Tajimaroa to sixty-months in federal prison, to be followed by a three-year court administration after he was liberated from prison. Judge Rice also directed Reyes-Tajimaroa to remit a remuneration in the sum of 500,000 USD.

As per the information revealed during the court trial, Reyes-Tajimaroa, an illicit immigrant who was living at a number of times in Clark County, Nevada, and Spokane County, Washington, was an essential member of a large mail/wire fraud/ healthcare plot that organized slip and fall, boating, and automobile accidents in Liberty Lake, Washington, Shingle Springs, California, Coeur d’Alene, Idaho, Rescue, California, Spokane, Washington, Nevada, Henderson, Nevada, and Las Vegas that swindled insurance enterprises out of nearly 4.7 million USD by presenting fraudulent bodily injury allegations. Reyes-Tajimaroa acted as an “injured” victim, “getaway” driver, or “lookout” in nearly sixteen of the sham accidents and acquired medical remedy for false or deliberate inflicted injuries to several parts of his body. After one false accident, Reyes-Tajimaroa was airlifted using a helicopter to a hospital by emergency responders. As part of the scheme in a different accident, Reyes-Tajimaroa utilized pliers to remove his teeth. Reyes-Tajimaroa further conspired with other accomplices to launder money from the fraudulent insurance allegations.

The United States Attorney Hyslop said that Reyes-Tajimaroa engaged in a complex and sophisticated fraud and money laundering plot that ran in 4 several states. He added that fraud plots like the one in question ultimately maximized insurance premiums and health care expenses for law-abiding taxpayers. He further added that the United States Attorney’s Office for the Eastern District of Washington was dedicated to immensely prosecuting those who participated in such behavior. He applauded the work done by the IRS Criminal Investigation, United States Marshals Service, and the FBI in conducting the investigation for the case.

Special Agent in Charge of the Federal Bureau of Investigation Raymond Duda said that gluttony tempted individuals to do various things, and in the matter, even resulting in self-injury. He added that the harm imposed on honest customers did not seem to bother the defendant and his accomplices. He further added that Reyes-Tajimaroa would serve the next forty-two months in prison to reflect on whether his role in the fraud plot was worth it.

Special Agent in Charge of the IRS-CI (IRS Criminal Investigation) Justin Campbell said that Misael Reyes-Tajimaroa took part in planning accidents to purposely misdirect emergency responders about his and his accomplices’’ body injuries, and by so doing, he risked the public who faced actual emergencies. He added that IRS-CI would proceed to collaborate with the U.S Attorney’s Office and its law enforcement liaisons to hold all those who conspired to perpetrate fraud liable for their illegal acts.

The Internal Revenue Service Criminal Investigation, U.S. Attorney’s Office for the Eastern District of Washington Criminal Healthcare Fraud Investigator, the Federal Bureau of Investigation, and U.S. Marshals Service investigated this case. The United States Assistant  Attorney for the Eastern District of Washington Brian Donovan AND George J.C. Jacobs, III prosecuted this case.

Breaking the False Claim Act, the Anti-Kickback Statute, and the Controlled Substance Statute is severely punished by the law. Additionally, scheming to execute health care fraud such as defrauding federally-funded health care programs, including TRICARE, Medicaid, or Medicare programs, is a serious crime. Any person who executes these crimes breaks the law and is severely penalized if found guilty of the accusations. Once charged with these offenses, you should seek the best legal advice or representation to safeguard and pursue your rights. Hire our qualified team of top-rated defense and criminal attorneys if you want the best legal representation and assistance, which will result in achieving positive results for your matter. At Health Care Fraud Group, we have an experienced team of lawyers with tremendous experience in handling Health Care Fraud related cases related to the Federal Health Care Program; they are highly knowledgeable when it comes to civil and federal issues. The defense lawyers are well recognized across the U.S. due to their excellent and outstanding work and professionalism when handling health care fraud cases and inquiries. Our lawyers are well-equipped with previous knowledge of each aspect of Health Care fraud defense, medical, and legal issues.

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