RevCycleIntelligence breaks down some of this year’s largest healthcare fraud, waste, and abuse takedowns, convictions, and schemes.
A telemedicine company owner was behind one of the largest Medicare fraud schemes ever, according to an August 2021 announcement from the DoJ.
A federal grand jury in Newark, New Jersey returned a superseding indictment this August charging Creaghan Harry, 53, of Highland Beach, Florida with organizing a healthcare fraud and illegal kickback scheme through multiple telemedicine companies. The scheme resulted in over $784 million in false and fraudulent claims to Medicare.
DoJ reported that Harry and co-conspirators allegedly solicited illegal kickbacks and bribes from durable medical equipment (DME) suppliers and marketers for orders of DME braces and medications. Harry’s telemedicine companies then provided orders to DME suppliers that fraudulently billed Medicare, which ended up paying more than $247 million for the claims, according to DoJ.
Harry was also accused of falsely representing the telemedicine companies, saying they had received “about $10 million per year” from fees paid by patients for telemedicine services. DoJ said the revenue was actually from the illegal kickbacks and bribes, some of which were paid to shell companies in other companies.
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