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nitpicker

(7,153 posts)
Fri Jan 12, 2018, 06:35 AM Jan 2018

Michigan Clinic Office Manager Pleads Guilty to $131 Million Health Care Fraud Scheme

https://www.justice.gov/opa/pr/michigan-clinic-office-manager-pleads-guilty-131-million-health-care-fraud-scheme-involving

Department of Justice
Office of Public Affairs

FOR IMMEDIATE RELEASE
Thursday, January 11, 2018

Michigan Clinic Office Manager Pleads Guilty to $131 Million Health Care Fraud Scheme Involving Unnecessary Prescription of Controlled Substances

A Michigan clinic office manager pleaded guilty today for his role in a health care fraud scheme that involved the unnecessary prescription of controlled substances and that resulted in a $131 million loss to Medicare.
(snip)

Yasser Mozeb, 35, of Oakland County, Michigan, the office manager of the Tri-County Network, based in Detroit, Michigan, pleaded guilty to one count of conspiracy to commit health care fraud and one count of conspiracy to defraud the United States and pay and receive health care kickbacks, before U.S. District Judge Denise Page Hood of the Eastern District of Michigan. Sentencing has been scheduled for May 31 at 2 pm EST before Judge Hood.
(snip)

As part of his guilty plea, Mozeb admitted that he conspired with the owner of the Tri-County Network, Mashiyat Rashid, to pay illegal kickbacks and bribes to Medicare beneficiaries, co-conspirator patient recruiters and others, in order to obtain patients for the Tri-County Network. Mozeb also admitted that he participated in a scheme with Rashid and other co-conspirators to prescribe medically unnecessary controlled substances, which allegedly included oxycodone, hydrocodone and oxymorphone, to Medicare beneficiaries, many of whom were addicted to narcotics. He admitted that in furtherance of the conspiracy, coconspirators also directed physicians to require Medicare beneficiaries to undergo medically unnecessary facet joint injections if the beneficiaries wished to obtain prescriptions for controlled substances.

Mozeb admitted that he and Rashid conspired with physicians in the Tri-County Network to refer Medicare beneficiaries to specific third party home health agencies, laboratories and diagnostic providers in exchange for illegal kickbacks and bribes even though those referrals were medically unnecessary.
(snip)
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