Three telemarketing company owners were charged with allegedly participating in a $ 47 million healthcare fraud, kickback and money laundering system that referred medically unnecessary cancer genetic tests to laboratories in exchange for kickbacks.
In an indictment unsealed today, Christian McKeon (35) and Athanasios Ziros (42) from Boca Raton (Florida) are charged with a conspiracy to commit health fraud, a conspiracy to pay and receive setbacks, and multiple charges of fraud. and backlash in healthcare, conspiracy to commit money laundering and the number of money laundering offenses. In a piece of information unsealed today, Gregory Orr, 64, is charged by Boca Raton with a conspiracy to pay and receive setbacks and a substantial number of setbacks for his alleged role in the system.
According to the indictment, McKeon and Ziros allegedly participated in a program to run a telemarketing campaign for Medicare beneficiaries to get them to accept cancer genetic testing, whether the tests were medically necessary or for a Medicare reimbursement Question came. Under the program, McKeon and Ziros telemedicine companies have allegedly offered and paid illegal kickbacks and bribes in exchange for medical instructions for expensive cancer genetic testing. Doctors’ instructions were written by doctors hired with telemedicine companies even though those telemedicine doctors had no prior relationship with beneficiaries, did not treat beneficiaries for cancer or cancer symptoms, and did not use the test results to treat beneficiaries and did not conduct a proper visit to telemedicine.
According to court records, all three men sold these signed cancer genetic testing medical instructions to laboratories in exchange for illegal setbacks. The charges and information state that the defendants caused one of the laboratories to file claims with Medicare for approximately $ 46 million, of which over $ 27 million was paid. The indictment also alleges that the lab paid McKeon, Ziros, and other setbacks totaling over $ 14 million, and that McKeon and Ziros laundered those unlawful receipts knowing that the transactions in question were intended to the manner, source and control of hiding and disguising the proceeds.
McKeon appeared before Judge William Matthewman of the US District Court for the South Florida District, West Palm Division, for the first time today. Ziros and Orr are expected to appear before Judge Matthewman on May 5th.
Charges of conspiracy to commit healthcare fraud and wire fraud, conspiracy to commit money laundering, and substantial money laundering each carry a maximum sentence of 20 years in prison. Charges of healthcare fraud and backlash violations each carry a maximum possible sentence of 10 years in prison. Eventually, the conspiracy to pay and receive setbacks carries a maximum penalty of five years in prison. A federal district judge determines each sentence based on U.S. sentencing guidelines and other legal factors.
Deputy Attorney General Nicholas L. McQuaid of the Department of Justice’s Department of Criminal Investigation; US Assistant Attorney Juan Antonio Gonzalez of the Southern District of Florida; Special Agent in Charge George L. Piro of the FBI Field Office in Miami; and special agent in charge Omar Perez of the US Department of Health (HHS), Inspector General’s Office (HHS-OIG), Miami, announced this.
Trial attorney Patrick Queenan of the Criminal Division’s fraud division is pursuing the case. U.S. Assistant Attorney Richard Brown from the Southern District of Florida is handling the decay aspect of the case.
The Fraud Section heads the Medicare Fraud Strike Force. Since its inception in March 2007, the Medicare Fraud Strike Force, which maintains 15 strike forces in 24 districts, has indicted more than 4,200 defendants who billed the Medicare program a total of nearly $ 19 billion. In addition, the HHS Centers for Medicare & Medicaid Services, in partnership with the HHS-OIG, are taking steps to increase accountability and reduce the presence of fraudulent providers.
Any physician or health care professional involved in suspected fraudulent telemedicine or genetic testing marketing programs should call to report this behavior to the FBI helpline at 1-800-CALL-FBI.
An indictment and information are just accusations, and all defendants are presumed innocent until found unequivocally guilty in a court of law.