Dishonest Charging Tapped Million of USD from Medicare
Savannah, Georgia-On May 21, 2020, over a dozen defendants, comprising of ten doctors and other medical experts, were indicted for their purported involvement in a huge healthcare fraud scheme liable for – in the Southern Georgia District alone- over 4,000 million USD in loses to Medicare.
U.S. Attorney for the Southern Georgia District Bobby L. Christine said that the indictments against nineteen accused in the Southern Georgia District on September 27 were part of a countrywide Department of Justice action into a project that entailed trafficking requests and authorization from a genetic examination, pain lotions, and orthotic braces. She added that the claims were a division of Operation Double Helix. This majored in fraudulent charges of genetic examination. The claims announced in court-involved tens of millions of USD charged to Medicare and spawning over seven million USD in fraudulent genetic examinations billings to the Georgia Medicaid Program.
The medical care fraud scheme billed was the biggest in the history of the Southern Georgia District. The Medicaid and Medicare recipients whose names were utilized as a part of the plot were situated all over Southern Georgia District, including Savannah, Dublin, Waycross Division, Augusta, Statesboro, and Brunswick, as well as other areas in the U.S.
U.S. Attorney Christine said that the magnitude and advancement of the health care fraud identified in Operation Double Helix and the connected Operation Brace Yourself are almost unmatched. She added that Southern Georgia District citizens should be aware that his office made an unmatched response. She proceeded to say that her office indicted many defendants liable for most health fraud losses, and they were not the end to be held liable.
The United States Justice department unveiled that the indictments filed in Southern Georgia District were part of a countrywide action into the persons and institutions that peddled patient’s records and authorization of genetic examination, pain lotions, and orthotic braces. The Justice Department announced that the allegations against thirty-five defendants were associated with the scheme, which was approximated to have caused over 1.7 billion USD in fraudulent charges to the Medicare program Countrywide.
Assistant Attorney General Brian A. Benczkowski of the Justice Department Criminal Division said that the defendants purportedly fraud Medicare recipients into listing for unrequired genetic examination, pain lotions, and orthotic braces. He added that in collaboration with law enforcement liaisons, his office would safeguard the public members and persecute those who rob citizen’s funds.
As part of the countrywide enforcement conduct, U.S. Attorney Bobby L. Christine announced the measure below in the Southern Georgia District:
- A federal grand jury sitting in Savannah convicted Dr. Anthony Securo from Columbus, Georgia, on 5 counts of falsified records connected with healthcare and 5 healthcare fraud counts. The conviction claims the Securo requested over 25,000 products of durable treatment items of Medicare recipients he alleged to be” curing” but, in reality, never laid eyes on. These thousands of products were charged to Medicare for over 23 million USD. As per the charge, Securo requested for this medically unrequired equipment after making a telephone call with the patients but then signed medical statements indicating that he had conducted tests or physical examinations of the patients that were really never conducted.
- The U.S. billed proprietors of 2 “telemedicine” doctors recruiting enterprises who, as per the affidavit in court, ran enterprises that in identified medical experts to write requests in trade for remittance, and facilitated such remittance. The affidavit claims that the two indicted persons, who were indicted by criminal info with one count of conspiracy, enables doctor requests that were finally charged to Medicare for a total of 170 million USD.
- The United States indicted 9 medical experts together with Securo for their participation in a healthcare fraud scheme, in which, as per the affidavit in court, the doctors and nurse professions requested orthotic braces on behalf of Medicare recipients they did not test. Each was indicted by criminal information with isolated counts of conspiracy for generating requests for orthotics, lotions, and lab examinations that were charged to the Georgia Medicaid Program and Medicare for a total of 185 million USD.
Others indicted in the investigation in the Southern Georgia District include the following:
- The United States indicted 2 persons by criminal information with isolated counts of conspiracy for running enterprises that purchased and traded Medicare recipient’s data and running enterprises that presented allegations for orthotic braces to Medicare program. Court affidavits claim that the two indicted persons brokered the trading of doctors’ orders that were eventually charged to Medicare for over 10 million USD.
- The United States indicted one enterprise by criminal information with an isolated count of conspiracy. As per the affidavit in court, the enterprise brokered the trading of doctors’ orders that were eventually charged to Medicare for over 10 million USD.
- The United States also indicted, by criminal information, 4 enterprises that were made for the sole purpose of charging connected to this scheme and charged a minimum of 8 million USD.
Indictment or charges are only allegations; defendants are considered innocent unless and until found guilty.
Georgia Attorney General Chris Carr said that through the devoted effort of the FBI, Medicaid Fraud Unit, HHS-OIG, and U.S. Attorney Christine’s Office, those who tried to defraud government programs would be held liable for their actions. He added that he was proud of the cooperated attempt to end the planners and facilitators of those unmatched healthcare schemes in their traces.
Special Agent in Charge Chris Hacker of the FBI Atlanta said that the Savannah Resident Agency and FBI were honored to have taken part in the countrywide attempt to assist safeguard the much-required federal finances that Medicare offer. He added that when providers are guided by gluttony and misuse the Medicare program, every public member is a victim, mainly those who utilize federal finances for their heal care requirements. He further said that improper charging increase costs, and the FBI and law enforcement liaisons were dedicated to holding those who did it liable.
Special Agent in Charge Derrick L. Jackson, with the Department of Health and Human Services Office of Inspector General, said that being a medical expert in the Medicare program was an honor and not a right. He added that when doctors and other medical care providers put their financial interests above the patient- welfare and honest charge of government projects, they breach the basic fundamental trust that citizens bestowed on health experts. He further added that the claims made corrupt medical experts aware that law enforcement would do anything in its power to remove all forms of abuse, fraud, and waste in the federal medical programs.
Resident Agent in Charge of the U.S. Secret Service Glenn M. Kessler said that this sort of dishonesty involving Medicaid and Medicare managed to defraud American citizens of millions and millions of USD. He added that U.S. Secret Service was ready to take quick and organized action to hold these medical experts and phone salesperson liable for putting personal gluttony above the citizens’ benefit.
The investigation is still underway. Any medical expert or doctor who has engaged in the purported medical equipment and telemedicine fraud plot should report this endeavor to the FBI hotline at 1-800-CALL-FBI. The recipient who thinks that their name might have been utilized fraudulently should also call the FBI hotline.
U.S. Attorney Bobby L. Christine commended the investigation team’s effort and dedication, led by the U.S. Secret Service, the FBI, Office of the Attorney General of Georgia, and the Department of Health and Human Services Office of Inspector General.
The prosecutions for these cases were conducted by Assistant U.S. Attorneys Jonathan A. Porter and J. Thomas Clarkson on behalf of the United States, and Assistant Attorney General James P. Mooney represented the Georgia Medicaid Fraud Control Unit in prosecuting these cases.
People who plan or participate in a plan to execute Health Care Fraud, such as Medicare and Medicaid, are criminals who break the law. If these individuals are proven guilty of the offenses, they are severely punished or fined. Defrauding the Health Care programs such as Medicare or Medicaid is a serious offense that is severely punished under the law. You must search for legal advice or legal representation when accused of Health Care Fraud or the offenses mentioned above to protect and pursue your rights. The Healthcare Fraud Group skillful team of extremely educated attorneys comprises the superlative criminal defense attorneys with excellent practice and offers the best possible service to achieve positive results. Our highly knowledgeable team understands the need to prove innocence after indictments of any crime mentioned above. Phone us now or at your convenience at 888-402-4054 for any legal help or representation, you may need.