10 Florida Residents Indicted for $67 Million Wellbeing Care Fraud, Wire Fraud, Kickback, and Money Laundering Scheme | OPA

WASHINGTON – Ten Florida citizens have been billed in an indictment unsealed right now in the Southern District of Florida for their alleged roles in a $67 million health and fitness care fraud, wire fraud, kickback, and cash laundering plan involving the submission of wrong and fraudulent promises to Medicare for medically pointless genetic exams and sturdy professional medical gear.

Daniel M. Carver, 35, of Coral Springs Thomas Dougherty, 39, of Royal Palm Beach and John Paul Gosney Jr., 39, of Parkland, the proprietors and administrators of impartial clinical laboratories and advertising and marketing firms, ended up each individual charged with conspiracy to commit wellbeing treatment fraud, overall health care fraud, conspiracy to pay back and get overall health care kickbacks and bribes, paying out and acquiring kickbacks and bribes, conspiracy to dedicate money laundering, and dollars laundering offenses. 

Galina Rozenberg, 39, and Michael Rozenberg, 58, each of Hollywood, ended up arrested on Feb. 6, attempting to board a flight to Moscow. Each have been billed with a person count of conspiracy to dedicate well being care fraud, overall health treatment fraud, and conspiracy to dedicate money laundering. Galina Rozenberg was also charged with extra dollars laundering offenses.

Louis Carver, 30, of Delray Beach front Timothy Richardson, 29, of Lantana Ethan Macier, 22, of Coral Springs and Jose Goyos, 35, of West Palm Beach front have been every single charged with conspiracy to commit health treatment fraud, overall health care fraud, conspiracy to commit dollars laundering, and revenue laundering offenses. Ashley Cigarroa, 29, of North Lauderdale was charged with a person depend of conspiracy to commit health care fraud and committing overall health treatment fraud.

The indictment alleges that, between January 2020 and July 2021, the defendants referred Medicare beneficiaries for medically needless genetic assessments and strong medical gear. In exchange for doctors’ orders for this sort of tests and devices, the defendants allegedly paid kickbacks and bribes to telemedicine companies. The indictment further more alleges that the defendants falsified Medicare enrollment kinds to conceal the genuine proprietors and managers of specific laboratories, and submitted bogus and fraudulent promises to Medicare. 

The defendants are predicted to make their original appearances in federal courtroom starting the week of Feb. 28. Federal rates for conspiracy to dedicate health care fraud and wire fraud, conspiracy to dedicate cash laundering, and dollars laundering are every punishable by a optimum penalty of 20 decades in jail. Overall health treatment fraud and anti-kickback violations are each punishable by a optimum penalty of 10 decades in jail. Conspiracy to pay back and get kickbacks is punishable by a greatest penalty of 5 many years in jail. A federal district court decide will decide any sentence after taking into consideration the U.S. Sentencing Tips and other statutory things.

Assistant Attorney Common Kenneth A. Polite Jr. of the Justice Department’s Legal Division Assistant Director Luis Quesada of the FBI’s Prison Investigative Division Particular Agent in Demand George L. Piro of the FBI’s Miami Field Office and Particular Agent in

Read More... Read More

Former NFL Participant Sentenced to Jail for Nationwide Wellness Care Fraud Plan | OPA

A former National Soccer League (NFL) participant was sentenced right now to 5 years in prison for orchestrating a nationwide scheme to defraud a health care gain system for retired NFL players.  

According to court docket files, Robert McCune, 42, of Riverdale, Ga, defrauded the Gene Upshaw NFL Participant Wellbeing Reimbursement Account Program (the Plan). The Program was set up pursuant to the NFL’s 2006 collective bargaining agreement. It presented former gamers, their spouses and their dependents, up to a utmost of $350,000 per participant tax-free of charge reimbursement of out-of-pocket medical treatment charges that were not included by insurance plan.

Courtroom files clearly show that McCune submitted phony and fraudulent promises to the System on his personal behalf and on behalf of dozens of other previous NFL players. Amongst June 5, 2017, and April 12, 2018, he submitted 68 claims for 51 other gamers. The claims generally sought reimbursement of $40,000 or a lot more for costly healthcare machines these types of as hyperbaric oxygen chambers, ultrasound machines and electromagnetic remedy units. None of the professional medical gear explained in the statements was ever procured or been given. In complete, McCune and his co-conspirators submitted around $2.9 million in fraudulent claims to the Prepare.  

Court documents additional present that McCune attained pinpointing data for other contributors in the Strategy, which include the player’s identify, coverage identification range, social stability variety, mailing address and/or date of birth. In exchange for submitting the wrong and fraudulent claims, McCune demanded kickbacks and bribes in the countless numbers of dollars for each individual declare submitted. 

McCune pleaded responsible to a single count of conspiracy to commit well being care fraud and wire fraud, 10 counts of wire fraud, 12 counts of health care fraud and three counts of aggravated id theft.

13 other defendants have been sentenced for their participation in the nationwide plan:

  • John Eubanks, 38, of Cleveland, Mississippi, was sentenced to 18 months in prison
  • Tamarick Vanover, 47, of Tallahassee, Florida, and Ceandris Brown, 39, of Iowa Colony, Texas, were each and every sentenced to a calendar year and a day in jail
  • Correll Buckhalter, 43, of Colleyville, Texas, was sentenced to 10 months in prison, adopted by 300 days’ home detention
  • Clinton Portis, 40, of Fort Mill, South Carolina, was sentenced to 6 months in prison, adopted by 180 days’ residence detention
  • Etric Pruitt, 40, of Theodore, Alabama, was sentenced to three months in jail, followed by 180 days’ dwelling detention
  • James Butler, 39, of Atlanta, Ga, was sentenced to two months in prison, followed by 180 days’ home detention
  • Carlos Rogers, 40, of Alpharetta, Ga, was sentenced to 180 days’ property detention and 400 several hours of local community company
  • Anthony Montgomery, 37, of Cleveland, Ohio Antwan Odom, 40, of Irvington, Alabama Darrell Reid, 39, of Farmingdale, New Jersey and Fredrick Bennett, 38, of Port Wentworth, Ga, have been each and every sentenced to 180 days’ household detention and 240 several hours of neighborhood company and
  • Joe Horn, 50,
Read More... Read More

Arkansas Man Charged in $100 Million COVID-19 Health Care Fraud Scheme | OPA

A federal grand jury in the Western District of Arkansas returned an indictment yesterday charging an Arkansas gentleman who owned or managed several diagnostic testing laboratories with health and fitness care fraud in connection with around $100 million dollars in wrong billings for urine drug testing, COVID-19 tests, and other medical laboratory products and services.

According to court documents, Billy Joe Taylor, 42, of Lavaca, engaged in a plan involving February 2017 and May perhaps 2021 in relationship with diagnostic laboratory screening, which includes urine drug tests and checks for respiratory illnesses for the duration of the COVID-19 pandemic, that were medically avoidable, not purchased by medical companies, and/or not provided as represented. According to the indictment, Taylor controlled and directed several diagnostic laboratories, and applied individuals labs to post much more than $100 million in phony and fraudulent statements to Medicare. The indictment alleges that Taylor acquired healthcare information and facts and personal personalized facts for Medicare beneficiaries, and then misused that confidential information and facts to continuously submit claims to Medicare for diagnostic tests that ended up not purchased by professional medical companies and were being not truly executed by the laboratories. Taylor allegedly then utilised the proceeds of the fraud to dwell a lavish way of life, such as acquiring several luxury automobiles, which include a Rolls Royce Wraith, as very well as genuine estate, jewellery, guitars, and other luxurious apparel and things.

Taylor is charged with 16 counts of wellbeing care fraud, and 1 rely of engaging in a financial transaction in criminally-derived property. Taylor was formerly billed by prison criticism in Could 2021. The defendant is scheduled for his arraignment on Nov. 23 prior to U.S. Justice of the peace Decide Mark E. Ford of the U.S. District Court docket for the Western District of Arkansas. Each individual of the counts is punishable by a utmost penalty of 10 yrs in jail. A federal district courtroom judge will decide any sentence following looking at the U.S. Sentencing Pointers and other statutory aspects.

Assistant Lawyer Standard Kenneth A. Well mannered Jr. of the Justice Department’s Felony Division Performing U.S. Lawyer David Clay Fowlkes for the Western District of Arkansas Unique Agent in Demand James A. Dawson, of the FBI’s Small Rock division Exclusive Agent in Charge Miranda Bennett of the Division of Wellbeing and Human Providers-Place of work of Inspector Common (HHS-OIG), Dallas Regional Business and Specific Agent in Cost Christopher Altemus of the IRS-Criminal Investigation, Dallas Field Office environment, manufactured the announcement.

The FBI, HHS-OIG, and IRS-Criminal Investigation are investigating the situation.

Senior Litigation Counsel Jim Hayes and Trial Lawyer D. Keith Clouser of the Legal Division’s Fraud Section’s Nationwide Quick Response Strike Force and Assistant U.S. Legal professional Kenneth Elser of the U.S. Attorney’s Office for the Western District of Arkansas are prosecuting the circumstance.

An indictment is just an allegation, and all defendants are presumed harmless until eventually confirmed responsible outside of a realistic question in a court of regulation.

Read More... Read More