Two Men Indicted for Defrauding Medicare Program

Two Men Indicted for Defrauding Medicare Program

Raleigh, North Carolina– On 8th October 2020, a federal grand jury unsealed a charge indicting Furman Alexander Ford, age 51, from Raleigh with conspiring to swindle the Medicare program by presenting false allegations for services that were never rendered in order to acquire funds that were not owed. On 26th August 2020, Jimmy Guess, age 62, from Greensboro admitted guilt to the conspiracy to swindle Medicare. 

As per the charge, Furman Ford employed Jimmy Guess to be a consultant for his enterprise, IAM Healthcare (Integrated Alliance for Managed Healthcare), PLLC, and to render mental health services to the enterprise’s patients mainly using a telehealth model. Guess was an authorized clinical social worker who rendered mental health services.

As per the charge, beginning around December 2018, and proceeding to around February 2020, in the Eastern District of North Carolina and other places, Ford and Guess conspired with their accomplices in a plot to swindle the Medicare program by presenting false allegations to Medicare for mental health care services that were never rendered to Medicare recipients. Specifically, Ford, Guess and their accomplices presented allegations to Medicare amounting to nearly 242,964.15 USD, for mental health services purportedly rendered to nearly 73 recipients between in or around October 2018 and in or around February 2020, when the defendants were aware and believed the recipients never acquired the charged services. 

The charge further claimed that in a different part of the conspiracy that Ford and his accomplices, collected the medical data of unsuspecting recipients by trading telehealth services and electronic information services with numerous institutions, which frequently resulted in the trade of Medicare recipient data. Moreover, Ford, using the IAM Healthcare Foundation, gave food in trade for Medicare recipient information. Medicare remitted IAM Healthcare nearly 163,271.74 USD because of the defendants’ fraudulent allegation submissions.

The announcement was made by U.S. Attorney for the Eastern District of North Carolina Robert J. Higdon, Jr. The case was investigated by the U.S. Department of Health and Human Services-Office of Inspector General and the Federal Bureau of Investigation.

The prosecution for these cases was conducted by Assistant United States Attorney Tamika G. Moses and Assistant United States Attorney Ethan A. Ontjes.

If you feel that you or any member of your family is a victim of this case, please call the United States Department of Health and Human Services-Office of Inspector General at (305) 968-6960.

This case was a segment of the biggest health care fraud and narcotic enforcement action in the history of the Justice Department.

A charge is only an allegation. The defendants are considered to be innocent unless or until proven guilty in a court of law.

 Colluding to execute Health Care Fraud, breaking the anti-kickbacks Act, or breaching the False Claim Statute is a serious crime. Individuals who commit these crimes violate the law and are severely penalized if found guilty of the charges. Once charged for health care fraud-related offenses, you must look for the best legal representation or help to protect and pursue your rights. Hire our highly proficient team of defense and criminal lawyers if you require the best legal representation, help, and advice, which will lead to attaining positive results for your matter. At Health Care Fraud Group, we consist of a highly experienced team of attorneys with numerous years of experience in handling Health Care Fraud related issues associated with the Federal Health Care Program; they are very knowledgeable about civil and federal cases. The defense lawyers are well recognized across the United States due to their excellent work and professionalism when dealing with health care fraud cases and inquiries. They are well furnished with previous knowledge of every aspect of Health Care fraud defense, medical, and legal issues.

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