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Redirecting Fraud

Healthcare-7
Senior Director of Strategic Alliances
LexisNexis Risk Solutions - Government

Reginald Fullwood was the owner of Jackson Medical Supply. A multi-million dollar business successfully based on fraud. Why build a business on hard work and solid a market plan when you can ship millions of dollars in fraudulent durable medical equipment orders? All on the U.S. taxpayer’s dollar.

In May of 2016, Fullwood asked the Medicare program, managed by the Department of Health and Human Services, to add forty-three additional states in addition to Mississippi where items and services provided by Jackson Medical Supply could be sold and shipped. Shortly after he was approved, Fullwood contracted SKF Enterprises in Florida for their marketing services. To drum up business? Not at all. The contract made with SKF Enterprises in reality was for fraudulent doctors’ orders.

Customers complained to Fullwood that they received multiple braces and other supplies that they did not want or need. Fraudsters are notoriously deaf. But HHS isn’t. In February of 2018, Medicare opened an investigation into Jackson Medical Supply. And while this time Fullwood heard loud and clear, he didn’t stop the fraud. He just redirected. While undergoing the investigation, Fullwood opened another company, Sunrise Medical Supply, to continue the scheme with SKF Enterprises.

From August of 2016 through February of 2019, Fullwood billed Medicare and Medicare Advantage more than $12.4 million using both his companies. Of which he was reimbursed nearly $6.5 million for unnecessary or ineligible braces. On August 29, 2024, Fullwood pleaded guilty to fraud.

Excellent job by the Department of Health and Human Services in this case.


Today’s Fraud of The Day is based on article “Madison man pleads guilty to conspiracy to defraud Medicare of $12.4 million. What we know” published by the Clario Ledger on August 29, 2024.

A Madison man pleaded guilty Wednesday to conspiracy to defraud the U.S. government by paying kickbacks to a marketer in exchange for documents that were used to illegally bill Medicare for reimbursement.

Reginald Fullwood Jr. appeared in federal court in Jackson before U.S. District Chief Judge Daniel Jordan III, admitting to his role in the conspiracy in which he purchased completed doctors’ orders in order to bill Medicare and Medicare Advantage for orthotic braces that were deemed medically unnecessary or ineligible for reimbursement, according to a news release from the Mississippi U.S. Attorney’s Office.

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