Three Florida Men Charged in $46 Million Health Care Fraud, Kickback, and Money Laundering Conspiracy | OPA

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Three telemarketing firm house owners have been charged for his or her alleged participation in a $47 million well being care fraud, kickback, and cash laundering scheme involving the referral of medically pointless most cancers genetic exams to labs in trade for kickbacks.  

An indictment, unsealed in the present day, fees Christian McKeon, 35, and Athanasios Ziros, 42, every of Boca Raton, Florida, with one rely of conspiracy to commit well being care fraud, one rely of conspiracy to pay and obtain kickbacks, a number of counts of substantive well being care fraud and kickback offenses, conspiracy to commit cash laundering, and substantive counts of cash laundering offenses. Additionally, an data, unsealed in the present day, fees Gregory Orr, 64, of Boca Raton, with one rely of conspiracy to pay and obtain kickbacks and one substantive rely of receipt of kickbacks for his alleged position on this scheme.

Based on the indictment, McKeon and Ziros allegedly participated in a scheme to function a telemarketing marketing campaign focusing on Medicare beneficiaries in an effort to induce them to just accept most cancers genetic exams no matter whether or not the exams have been medically crucial or eligible for Medicare reimbursement. As a part of the scheme, McKeon and Ziros allegedly provided and paid unlawful kickbacks and bribes to telemedicine corporations in trade for docs’ orders for costly most cancers genetic exams. The docs’ orders have been written by docs contracted with telemedicine corporations, though these telemedicine docs had no prior relationship with the beneficiaries, weren’t treating the beneficiaries for most cancers or signs of most cancers, didn’t use the check leads to the therapy of the beneficiaries, and didn’t conduct a correct telemedicine go to.

Based on courtroom paperwork, all three males offered these signed docs’ orders for most cancers genetic exams to labs in trade for unlawful kickbacks. The indictment and knowledge allege that the defendants triggered one of many labs to submit roughly $46 million in claims to Medicare, of which over $27 million was paid. The indictment additional alleges that the lab paid McKeon, Ziros, and others kickbacks totaling over $14 million, and that McKeon and Ziros laundered these illegal proceeds understanding that the transactions at situation had been designed to hide and disguise the character, supply, and management of the proceeds. 

McKeon made his preliminary courtroom look in the present day earlier than U.S. Justice of the Peace Decide William Matthewman of the U.S. District Court docket for the Southern District of Florida, West Palm Division. Ziros and Orr are scheduled to look for his or her preliminary appearances in entrance of Justice of the Peace Decide Matthewman on Might 5.

The counts charging conspiracy to commit well being care fraud and wire fraud rely, conspiracy to commit cash laundering, and substantive cash laundering are every punishable by a most potential penalty of 20 years in jail. The counts charging well being care fraud and anti-kickback violations are every punishable by a most potential penalty of 10 years in jail. Lastly, the conspiracy to pay and obtain kickbacks rely is punishable by a most potential penalty of 5 years in jail. A federal district courtroom decide will decide any sentence after contemplating the U.S. Sentencing Pointers and different statutory components.

Performing Assistant Lawyer Normal Nicholas L. McQuaid of the Justice Division’s Felony Division; Performing U.S. Lawyer Juan Antonio Gonzalez of the Southern District of Florida; Particular Agent in Cost George L. Piro of the FBI’s Miami Discipline Workplace; and Particular Agent in Cost Omar Perez of the U.S. Division of Well being and Human Companies (HHS) Workplace of Inspector Normal’s (HHS-OIG) Miami Area made the announcement.

Trial Lawyer Patrick Queenan of the Felony Division’s Fraud Part is prosecuting the case.  Assistant U.S. Lawyer Richard Brown of the Southern District of Florida is dealing with the forfeiture side of the case.

The Fraud Part leads the Medicare Fraud Strike Pressure. Since its inception in March 2007, the Medicare Fraud Strike Pressure, which maintains 15 strike forces working in 24 districts, has charged greater than 4,200 defendants who’ve collectively billed the Medicare program for almost $19 billion. As well as, the HHS Facilities for Medicare & Medicaid Companies, working along with the HHS-OIG, are taking steps to extend accountability and reduce the presence of fraudulent suppliers.

Any docs or medical professionals who’ve been concerned with alleged fraudulent telemedicine or genetic testing advertising schemes ought to name to report this conduct to the FBI hotline at 1-800-CALL-FBI.

An indictment and an data are merely allegations and all defendants are presumed harmless till confirmed responsible past an inexpensive doubt in a courtroom of regulation.

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