February 3, 2023


Great Health is a Choice

Lady Indicted for Prescribing Medically Needless Healthcare Products in $8.8 Million Health and fitness Care Fraud Plan | OPA

A Georgia lady was arrested yesterday in Hampton, Ga, on criminal expenses relevant to her alleged scheme to defraud Medicare by prescribing medically avoidable durable medical gear (DME), which was then billed to Medicare.

According to the indictment, Kateline Lavache, 53, of Hampton, allegedly approved medically unneeded DME for Medicare beneficiaries in exchange for kickbacks and bribes from her co-conspirators. Lavache allegedly recommended DME devoid of conducting right consultations with the beneficiaries. Lavache had no prior marriage with the beneficiaries, was not managing them, and unsuccessful to even conduct telemedicine consultations with them. As a end result of the prescriptions, Lavache’s co-conspirators submitted to Medicare somewhere around $8.8 million in phony and fraudulent statements for medically needless DME, of which Medicare paid additional than $4 million. Lavache was compensated a lot more than $123,000 in kickbacks and bribes for her participation in the scheme.

Lavache is billed with a single count of conspiracy to dedicate overall health care fraud and wire fraud, as properly as four counts of health and fitness care fraud. If convicted, she faces up to 20 several years in prison for the conspiracy count and up to 10 a long time in prison for every single wellness treatment fraud count. A federal district court judge will determine any sentence after contemplating the U.S. Sentencing Recommendations and other statutory elements.  

Assistant Legal professional General Kenneth A. Polite, Jr. of the Justice Department’s Prison Division U.S. Legal professional Roger Handberg for the Center District of Florida Particular Agent in Cost Omar Pérez Aybar of the Division of Health and Human Expert services, Workplace of the Inspector Common (HHS-OIG), Miami Regional Workplace and Assistant Director Luis Quesada of the FBI’s Prison Investigative Division Exclusive Agent in Charge David Walker of the FBI’s Tampa Discipline Business made the announcement.  

The FBI and HHS-OIG are investigating the situation.

Demo Attorney Alejandro J. Salicrup of the Criminal Division’s Fraud Area is prosecuting the circumstance.

The Fraud Area prospects the Prison Division’s efforts to fight overall health treatment fraud by way of the Health and fitness Treatment Fraud Strike Power Method. Considering the fact that March 2007, this program, comprised of 15 strike forces operating in 24 federal districts, has charged additional than 4,200 defendants who collectively have billed the Medicare program for extra than $19 billion. In addition, the Centers for Medicare & Medicaid Solutions, performing in conjunction with the Workplace of the Inspector Normal for the Section of Health and Human Products and services, are getting methods to hold vendors accountable for their involvement in wellbeing treatment fraud schemes. Extra details can be identified at https://www.justice.gov/criminal-fraud/health and fitness-care-fraud-device.

An indictment is basically an allegation, and all defendants are presumed innocent till confirmed guilty past a acceptable question in a courtroom of regulation.