Six Sentenced for Health Care Fraud.

Six Sentenced for Health Care Fraud.

Alexandria, Virginia – On 16th April 2021, the last of six accused individuals were convicted of engaging in multiple health care fraud schemes involving illicit kickbacks and deceitful billings that led to about 8 million U.S. dollars in losses to the state, federal, and private health care benefit systems.

As per the court affidavits, Mohamed Abdalla, age 48, from Allendale, New Jersey, owned several pharmacies in northern Virginia, such as Medex Health Pharmacy located in Falls Church and Royal Care Pharmacy located in Fairfax. As these pharmacies’ owner, Mohamed Abdalla supervised and committed two related conspiracies to steal health care benefit systems. One conspiracy involved the reimbursement or receipt of illicit kickbacks for costly medications and devices in breach of the federal Anti-Kickback Act. Another conspiracy involved charging state, federal, and private health care benefit systems for multiple costly medications and devices that were medically unnecessary, not directed by a doctor, or were not obtained by a beneficiary.

Between Jan. 2014 and Dec. 2018, Mohammed Abdalla participated in numerous conspiracies to reimburse kickbacks for the referral of compound medication prescriptions and a costly naloxone auto-injector device utilized in opioid emergency treatment. Mohammed Abdalla and his schemers later charged federally-funded health care benefit systems, such as the Medicare program and TRICARE program, in breach of the Anti-Kickback Act. Mohammed Abdalla received more than 2 million U.S. dollars from these conspiracies.

Additionally, Mohammed Abdalla and workers at his pharmacies schemed to steal state, federal, and private health care benefit systems by taking part in multiple other conspiracies, such as charging for prescriptions in the of theirs names, names of kin, and names of other pharmacy workers that were medically unnecessary and/or not directed by a certified doctor, and charging for prescriptions for pharmacy clients that were not filled. These extra conspiracies led to a loss of about 6,216,434.39 U.S. dollars to these health care benefit systems.

On 19th March 2021, Mohammed Abdalla was convicted to 48 months in prison for his participation in the schemes. Five other accused persons have pled guilty and been convicted of their individual roles in scheming to reimburse kickbacks and steal health insurance providers:

Onkur Lal, age 30, from Alexandria, was hired by Mohammed Abdalla as a pharmacy intern and pharmacy technician prior to ultimately working as a certified pharmacist. Between about Jan. 2014 and April 2019, Onkur Lal participated in multiple health care fraud conspiracies leading to millions of U.S. dollars in losses. In some instances, Onkur Lal utilized his expert knowledge to evade reviews and investigations by 3rd parties, who were inquiring about fraud on health benefit programs’ behalf. On 5th March 2021, Onkur Lal was convicted to 36 months in prison.

Mohammed Tariq Amin, age 35, from Fairfax, hired by Mohammed Abdalla as a pharmacy technician and was the Royal Care’s general manager for nearly two years. Between Jan. 2015 and Nov. 2018, Mohammed Amin schemed with Mohammed Abdalla and others to reimburse illicit kickbacks for the referral of costly naloxone auto-injector device prescriptions. He further engaged in several other conspiracies that stole health care benefit systems and utilized his expert knowledge to evade investigations and audits. Mohammed Amin was sentenced on 16th April 2021 to 36 months in prison.

Daniel Tyler Walker, age 51, from Lewes, Delaware, employed as a pharmaceutical firm’s pharmaceutical sales specialist and was liable for marketing a costly naloxone auto-injector device utilized in opioid emergency treatment. Between Aug. 2015 and April 2017, Daniel Walker received illicit kickbacks from Mohammed Abdalla and Mohammed Amin for the referral of this device prescriptions, which were later charged to federally-funded health care systems. Daniel Walker was sentenced on 16th April 2021 to one year and three months in prison.

Seth Michael Myers, age 53, from Crystal Lake, Illinois, between around spring of 2013 and mid-2016, schemed with Mohammed Abdalla, another schemer who was a certified doctor, and others to obtain illicit kickbacks for the referral of costly compound drugs that were charged to federally-funded health care benefit systems. A firm that was formed by Seth Myers and the certified doctor was reimbursed more than 2.5 million U.S. dollars during the conspiracy. On 19th March 2021, Seth Myers was convicted to 24 months in prison.

Michael Beatty, age 53, from Finksburg, Maryland, employed as a certified pharmacist at Fallston Pharmacy based in Fallston, Maryland. Between around the summer of 2013 and the fall of 2014, Michael Beatty schemed with Seth Myers and a certified doctor to reimburse illicit kickbacks for the referral of costly compound drugs, which were charged to federally-funded health care benefit systems. On 5th March 2021, Michael Beatty was convicted to 12 months and one day in prison.

The announcement was made by Virginia’s Eastern District Acting U.S. Attorney Raj Parekh; the FBI – Washington Field Office Criminal Division Special Agent in Charge James A. Dawson; the Defense Criminal Investigative Service – Mid-Atlantic Field Office Special Agent in Charge Chris Dillard; the HHS – Office of Inspector General, Philadelphia Regional Office, Special Agent in Charge Maureen R. Dixon; the U.S. Office of Personnel Management Inspector General Patrick E. McFarland; and the FDA – Office of Criminal Investigations, Metro Washington Field Office Special Agent in Charge Mark S. McCormack; after sentencing by Claude M. Hilton, Senior U.S. District Judge.

U.S. Assistant Attorneys Carina Cuellar, Monika Moore, and Jamar Walker handled the cases’ prosecutions.

Violating the False Claim Act, the Controlled Substance Statute, and the Anti-Kickback Statute is severely punished by the law. Besides, conspiracy to commit health care fraud like deceiving taxpayer-funded health care projects, for instance, Medicare, TRICARE, or Medicaid programs, is a serious offense. Anyone who performs these crimes breaks the law and is severely fined or disciplined if found legally responsible for the allegations. When indicted for these crimes, one should look for the perfect legal assistance or representation to defend and pursue your rights. One can hire our extremely capable team of the best defense and criminal attorneys if in need of extremely remarkable legal assistance and representation, which will win one desirable result for an issue. Health Care Fraud Group consists of a qualified team of lawyers with marvelous skills in tackling Health Care Fraud-associated matters linked to the Federal Health Care System; they are extremely informed about civil and federal cases. The attorneys are quite famous throughout the nation due to their outstanding and notable work and proficiency when handling health care fraud investigations and matters. Our attorneys are fully fitted out with earlier knowledge of every phase of Health Care fraud protection, medical, and legal matters.

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