$7.8M DME physician kickback scheme busted

Orthopedic

Jesse Foote, a resident of Fairfield, Conn., pleaded guilty to his role in a multimillion-dollar fraud scheme involving orthotics and other durable medical equipment.

Mr. Foote admitted to controlling a marketing company that purchased information on Medicare beneficiaries from overseas telemarketing companies and then using pre-written physician orders to prescribe DME. His team would target Medicare beneficiaries and others over the phone and persuade them to accept the DME without first establishing medical necessity.

The scheme involved paying kickbacks to physicians for the pre-signed orders that were distributed to the Medicare, Tricare and private insurance company beneficiaries. A Justice Department news release reported the co-conspirators submitted $7.8 million in false claims for DME.

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Featured Webinars

Featured Whitepapers