Welcome to the
Fraud of the Day Website!

Search
Close this search box.

Dialing for Medicare Dollars

Dialing for Medicare Dollars

Healthcare-Medicare-11
Senior Director of Strategic Alliances
LexisNexis Risk Solutions - Government

A New Jersey physician pleaded guilty in September 2019 in one of the nation’s largest healthcare and Medicare fraud cases to date. Joseph DeCorso admitted that he worked for two so-called telemedicine companies, writing orders for medically unnecessary orthotic braces for Medicare beneficiaries.

The beneficiaries were lured into the scheme by an international telemarketing network promising them free or low-cost braces. DeCorso admitted that, in less than two years, his part in the scheme resulted in a $13 million intended loss to Medicare. (That’s a lot of shady phone work!) As part of his plea agreement, DeCorso agreed to pay over $7 million in restitution to the United States and to forfeit assets and property traceable to proceeds from the fraud.

DeCorso wrote brace orders stating he had “discussions” or “conversations” with beneficiaries or conducted diagnostic testing for them. But DeCorso never spoke to beneficiaries or conducted any diagnostic testing for the braces. (It just goes to show that if you’re going to commit fraud, it only makes sense to lie about it.) The telemedicine companies sold the prescriptions to medical equipment companies that filled the orders, billed Medicare, and paid kickbacks to physicians such as DeCorso.

As egregious as DeCorso’s conduct was, his escapades are just the tip of this criminal iceberg. With his 23 co-defendants, the New Jersey scammer contributed to a whopping $1.2B Medicare fraud scheme.

Today’s Fraud of the Day comes from a United States Department of Justice news release, “New Jersey Doctor Pleads Guilty to $13 Million Conspiracy to Defraud Medicare with Telemedicine Orders of Orthotic Braces,” published Sep. 12, 2019.

A Toms River, New Jersey physician pleaded guilty today for his role in a $13 million health care fraud scheme, which previously resulted in charges in April 2019 against 23 other defendants in one of the largest health care fraud cases investigated by the FBI and the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) and prosecuted by the Department of Justice.

Assistant Attorney General Brian A. Benczkowski of the Justice Department’s Criminal Division, U.S. Attorney Craig Carpenito of the District of New Jersey, Assistant Director Robert Johnson of the FBI’s Criminal Investigative Division, Deputy Inspector General for Investigations Gary Cantrell of HHS-OIG and Deputy Administrator and Director Alec Alexander of the Centers for Medicare & Medicaid Services, Center for Program Integrity (CMS/CPI) made the announcement.

Additional information is available in a Becker’s Hospital Review article, “New Jersey physician charged in $1.2B fraud scheme pleads guilty,” published Sep. 13, 2019.

Related Articles

Get Your Fraud Fix!

Five days a week wake up to the most current fraud article in your inbox

Contact Us

Thank you for your interest in Fraud of the Day. For more information, please complete the following form.
To receive the most current fraud articles direct to your inbox, click the Subscribe button above.

"*" indicates required fields

Hidden
Would you like to subscribe to our Blog?
We respect your privacy.
This field is for validation purposes and should be left unchanged.

SUBSCRIBE TODAY

Fill out the form below to receive the Daily Fraud Highlight, the Weekly Fraud Summary or both. Thank you for your interest in FraudoftheDay.com.

"*" indicates required fields

Name*
Subscription Type*
This field is for validation purposes and should be left unchanged.