Health Care Fraud: Three Individuals Indicted To Conspiring To Commit Health Care Fraud And Violating Federal Anti-Kickback Laws

&NewLine;<h2 class&equals;"wp-block-heading">Three Charged with Violating Federal Anti-Kickback Laws and Committing More Than &dollar;4&period;7 Million in Health Care Fraud<&sol;h2>&NewLine;&NewLine;&NewLine;&NewLine;<p>TULSA&comma; Okla&period;— A grand jury returned an indictment today charging three men&comma; including two physicians&comma; with violations of the federal anti-kickback statute as well as conspiring to commit health care fraud&comma; announced U&period;S&period; Attorney Trent Shores&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<div class&equals;"mh-content-ad"><script async src&equals;"https&colon;&sol;&sol;pagead2&period;googlesyndication&period;com&sol;pagead&sol;js&sol;adsbygoogle&period;js&quest;client&equals;ca-pub-9162800720558968"&NewLine; crossorigin&equals;"anonymous"><&sol;script>&NewLine;<ins class&equals;"adsbygoogle"&NewLine; style&equals;"display&colon;block&semi; text-align&colon;center&semi;"&NewLine; data-ad-layout&equals;"in-article"&NewLine; data-ad-format&equals;"fluid"&NewLine; data-ad-client&equals;"ca-pub-9162800720558968"&NewLine; data-ad-slot&equals;"1081854981"><&sol;ins>&NewLine;<script>&NewLine; &lpar;adsbygoogle &equals; window&period;adsbygoogle &vert;&vert; &lbrack;&rsqb;&rpar;&period;push&lpar;&lbrace;&rcub;&rpar;&semi;&NewLine;<&sol;script><&sol;div>&NewLine;<p>&OpenCurlyDoubleQuote;Health care fraud is not a victimless crime&period; It has a costly effect on the taxpayer and beneficiaries enrolled in Medicare&comma; TRICARE&comma; and workers compensation coverage under the Federal Employees Compensation Act&comma;” said U&period;S&period; Attorney Trent Shores&period; &OpenCurlyDoubleQuote;The Justice Department will not stand idly by while physicians exploit federal programs designed to help American families&period; I encourage the public to report suspicious health care practices and billing to federal authorities&period; We will investigate and bring to justice those defrauding our system for their personal benefit&period;”<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p>The criminal indictment alleges that since November 2012&comma; Christopher Parks&comma; 57&comma; and Dr&period; Gary Lee&comma; 58&comma; both of Tulsa&comma; engaged in a conspiracy to unlawfully pay kickbacks and bribes to physicians in order to induce the physicians to write compounding prescriptions to pharmacies with whom the two were affiliated&comma; including OK Compounding LLC in Skiatook&comma; One Stop RX LLC in Tulsa and NBJ Pharmacy LLC and Airport McKay Pharmacy&comma; both in Houston&period; The defendants then allegedly submitted large claims for payment to federal health care programs and private insurers and divided the profits&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p>Dr&period; Jerry Keepers&comma; 65&comma; of Kingwood&comma; Texas&comma; is also named as a defendant in the indictment&period; He is charged with soliciting and receiving over &dollar;860&comma;000 in illegal bribe and kickback payments from Parks and Lee and also conspiring with the two men to commit healthcare fraud&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p>Compounding prescriptions is a practice in which a pharmacist or physician combines&comma; mixes or alters ingredients of a drug or multiple drugs to create a medication that is tailored to the specific needs of a patient&period; These medications are prescribed when standard Food and Drug Administration &lpar;FDA&rpar; approved drugs are unsuitable for the patient&period; They are also more expensive and reimbursed at a far higher rate by federal and private insurance companies&period; Compounded drugs are not to be mixed or marketed in bulk&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p>The indictment alleges physicians were provided pre-printed prescription pads that listed compounding formula choices&period; Participating physicians allegedly checked a box with their preferred selection and then faxed it directly to the associated pharmacies&comma; rather than writing a prescription tailored to the patient who could then take it to a pharmacy of their choice&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p>Payments to physicians were disguised through various sham business arrangements&comma; according to the indictment&period; For example&comma; physicians would allegedly enter into agreements with a pharmacy to serve as &OpenCurlyDoubleQuote;medical directors&period;” However&comma; the physicians would provide no actual services as medical directors&comma; according to the charges&period; Instead&comma; physicians were allegedly paid kickbacks for writing prescriptions for medications whether or not their patients needed them and sending the prescriptions to pharmacies affiliated with Parks and Lee&period; As a result of Parks and Lee’s scheme&comma; federal health care programs suffered a total estimated loss of at least &dollar;4&period;7 million&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p>Conspiracy to violate the anti-kickback statute carries a possible maximum sentence of five years in prison and a &dollar;250&comma;000 fine&comma; while violating the anti-kickback statute carries up to 10 years in prison and a &dollar;100&comma;000 possible fine&period; A conviction of health care fraud without injury or death carries also carries a possible maximum of 10 years in prison&comma; but if resulting in injury or death&comma; the maximum penalty climbs to 20 years or life in prison&comma; respectively&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p>Assistant U&period;S&period; Attorneys Melody N&period; Nelson and Richard M&period; Cella are prosecuting the case&period; The Defense Criminal Investigative Service&comma; Department of Labor-Office of Inspector General &lpar;OIG&rpar;&comma; IRS &&num;8211&semi; Criminal Investigation&comma; U&period;S&period; Postal Service-OIG&comma; FBI and the Department of Health and Human Services-OIG conducted the investigation&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p>An indictment is a formal accusation of criminal conduct&comma; not evidence&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p>A defendant is presumed innocent unless convicted through due process of law&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p><a href&equals;"https&colon;&sol;&sol;www&period;justice&period;gov&sol;usao-ndok&sol;pr&sol;three-charged-violating-federal-anti-kickback-laws-and-committing-more-47-million">Original PressReleases&&num;8230&semi;<&sol;a><&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p><&sol;p>&NewLine;

Health Care Fraud