CAPE GIRARDEAU – U.S. District Judge Stephen N. Limbaugh on Thursday sentenced a business owner from Jackson, Missouri to 30 months in prison for health care fraud and ordered him to repay $7.5 million.
Jamie McCoy, 42, pleaded guilty on Nov. 23, 2020 to three felony counts: health care fraud, making false statements related to health care matters and offering and paying illegal kickbacks for referrals. He admitted owning or operating companies that supplied orthotic braces and other durable medical equipment (DME): AE Wellness LLC, Summit Medical Supply, Patriot Medical Supply and DME Device Co.
McCoy contracted with marketing firms who placed ads on television and online that offered orthotic braces at no cost. The companies sent patient information to a telemedicine doctor who signed an order for medical equipment without evaluating or even communicating with the patient in some cases, McCoy’s plea agreement says. Those leads, consisting of the patient information and the medical equipment order, were then sold to DME companies.
McCoy admitted paying 70% to 80% of his profits to one person who supplied leads to AE Wellness. Another received $35-40 for leads without a doctor’s order and $280-$300 for a “full lead.”
From September 2016 to August 2017, AE Wellness submitted $6 million in reimbursement claims to Medicare for DME and $67,955 to Tricare. Patriot Medical Supplies billed Tricare $23,951. McCoy admitted knowing Medicare, Medcaid and Tricare, which reimburses for...
Kolkata: Kolkata Police has been grappling with a fresh challenge since the past week — controlling fake news. While it initially started with fake circulars, beginning with "restrictions" on cert...