An Indian-American nurse practitioner has been sentenced to twenty years in jail and ordered to recuperate greater than US $ 52 million for his position within the healthcare fraud scheme within the US.
According to Acting US Attorney Motivator Shah of the Northern District of Texas, 39-year-old Trivikram Reddy pleaded responsible in October 2020 to conspiracy to commit wire fraud. He was accused of being concerned in a scheme to defraud Medicare and personal insurance coverage suppliers and was sentenced on 25 May.
According to court docket paperwork, Reddy, a licensed nurse practitioner, devised a scheme to defraud Medicare, Blue Cross Blue Shield of Texas, Aetna, UnitedHealthcare, Humana and Cigna.
Prosecutors mentioned Reddy created fraudulent affected person payments utilizing the supplier numbers of six physicians as treating physicians on the claims, although they didn’t present companies.
In June 2019, federal brokers investigated a medical clinic at Reddy and located that his workers was sustaining medical information. After investigation, Reddy closed the clinic and liquidated his enterprise unit.
Prosecutors mentioned that just a few days after Reddy closed the clinic, he made a number of wire transfers, totaling greater than US $ 55 million. An evaluation on wire transfers linked the cash to fraudulent well being care claims.
Federal brokers additionally requested medical information to justify Medicare claims paid between January 2014 and June 2019 over roughly the identical time interval, and Reddy and his workers allegedly created faux medical information at hand over to authorities Spent 4 months.
Reddy pleaded responsible to wire fraud in October 2020.
“When nurse practitioner Trivikram Reddy stole doctors’ identities to defraud Medicare and other insurance companies to enrich themselves, they violated the basic trust that the public extends to health professionals,” HHS Office of Inspector General Dallas Said Miranda Bennett of the regional workplace.
“Today’s sentence sends a message to corrupt medical professionals that law enforcement will do everything possible to root out all kinds of waste, fraud, and abuse in our federal health programs.”
Reddy operated three medical clinics, Waxahachie Medical, Texas Care Clinic and Vcare Health Service.
.
With inputs from TheIndianEXPRESS
