Massive Healthcare Fraud: 7 People Indicted for Defrauding Medicare, Medicaid of $40M!
Seven people from different states have been charged in connection with a massive Medicare and Medicaid fraud scheme, where they allegedly defrauded the government of more than $40 million.
This case, which has now made headlines, involves individuals from states like Maine, Florida, New York, California, and Arizona.
The report, initially revealed by Fox affiliate KDVR on September 25, sheds light on how these individuals used their influence within companies like Tesis Labs and 303 Diagnostics, both based in Colorado, to carry out their illegal activities.
According to authorities, these seven people were part of a larger scheme where they collaborated to cheat the Medicare and Colorado Medicaid systems.
Four of the individuals are believed to have worked together to generate false claims through unnecessary genetic testing. These tests were promoted through referrals, which were obtained by offering bribes and kickbacks to so-called marketing companies.
These companies were supposed to refer patients for genetic testing, but in many cases, the tests were not medically necessary.
The scheme didn’t just stop at false referrals. The fraudulent claims amounted to $40 million, with Medicare and state Medicaid programs unknowingly footing the bill.
The false claims were filed through Tesis Labs and 303 Diagnostics, adding to the scale of the fraud. This large-scale scam involved all seven individuals who conspired to offer and pay illegal bribes to benefit from healthcare programs.
These illegal kickbacks further fueled the fraud and enriched those involved at the expense of taxpayers and healthcare systems.
The scheme was made even more deceitful by the involvement of call centers. These centers played a crucial role in reaching out to unsuspecting individuals and encouraging them to undergo unnecessary tests.
By targeting these victims, the call centers added another layer to the fraudulent operations, making the scam more widespread and harder to detect.
Authorities are now proceeding with the case, bringing charges against all seven individuals involved.
If convicted, they will face serious penalties for defrauding government healthcare programs and taking advantage of vulnerable individuals.
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The investigation continues as more details emerge about how these companies and individuals managed to pull off such a large-scale fraud operation.