WASHINGTON: An Indian American has been judgment to 81 months in prison and asked to pay USD 9.7 million in refund along with his accomplices for his role in the USD 18 million health insurance scam.
Suresh Chand, 46, had pleaded guilty on September 2, 2009, to one count of scheme to commit healthcare fraud and one count of conspiracy to launder money in Medicare Fraud Scheme.
The Department of Justice and Health and Human Services said between January 2003 and March 2007, Chand and his co-conspirators submitted claims to the Medicare programmed adding more than USD 18 million for physical and occupational treatment services that were never offered.
Medicare really paid around USD 8.5 million on those claims, a statement said.
According to court documents, Chand owned and controlled a company operating in Warren called Continental Rehab Services Inc (CRS), which purported to afford physical and occupational remedy services to Medicare beneficiaries.
He later started another corporation at the same address in Warren called Pacific Management Services Inc (PM), which also alleged to provide physical and occupational treatment, services to Medicare beneficiaries.
Chand admitted that, beginning around January 2003, he and his connections at CRS, and later PM, began to create invented therapy files, appearing to document physical and occupational therapy services provided to Medicare beneficiaries, when in fact no such services were afford.
The pretended services reflected in the files were billed to Medicare through sham Medicare providers controlled by Chand and two of his co-conspirators.
In his plea, Chand admitted that in order to create the invented therapy files, he and his co-conspirators recruited and paid cash kickbacks and other inducements to Medicare beneficiaries, in exchange for the beneficiaries' .
Medicare numbers and signatures on documents wrongly indicating that they had visited CRS or PM for the reason of receiving physical or occupational therapy.
Chand approved recruiting hundreds of Medicare beneficiaries for this point, and paying them for their signatures with cash and prescriptions for controlled substances, including Vicodin, Xanax and Soma.
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