Two Individuals Admit Participating In Health Care Fraud And Kickback Schemes | USAO-NJ
NEWARK, N.J. – An Indiana gentleman and an Arizona man yesterday admitted their roles in a overall health treatment fraud conspiracy in which they received payment for doctors’ orders for resilient clinical devices (DME), particularly orthotic braces, and genetic check referrals, U.S. Attorney Philip R. Sellinger introduced.
Scott Wohrman, 50, of Florence, Arizona, pleaded responsible by videoconference ahead of U.S. District Judge Kevin McNulty to an info charging him with one rely of conspiracy to violate the Federal Anti-Kickback statute and a person depend of conspiracy to dedicate wellbeing treatment fraud. On Jan. 24, 2023, David Heneghan, 53, of Indianapolis, Indiana, pleaded responsible to conspiracy to violate the Federal Anti-Kickback statute and conspiracy to dedicate health and fitness treatment fraud.
In accordance to paperwork submitted in this circumstance and statements created in court docket:
Heneghan and Wohrman operated American Well being Screening (AHS), a enterprise that purportedly furnished advertising providers to laboratories. From July 2020 by means of January 2021, Heneghan, Wohrman, and some others agreed to engage in a scheme to deliver DME orders and genetic screening referrals for Medicare beneficiaries in trade for kickbacks of somewhere around $1,500 per patient or for every single check that resulted in a reimbursement from Medicare. Heneghan and Wohrman entered into a sham contract and utilized fraudulent invoices to make it show up that AHS was being paid out for legit products and services and to conceal their fraudulent kickback scheme. Heneghan and Wohrman gained kickbacks of at minimum $547,310 for tough medical products and at least $18,319 for genetic screening. Heneghan and Wohrman’s scheme resulted in an true loss to Medicare of at minimum $565,629.
Heneghan and Wohrman earlier pleaded responsible in the Northern District of Texas to an data charging them with conspiracy to defraud the Federal Anti-Kickback statute.
The count of conspiracy to dedicate overall health treatment fraud carries a most prospective punishment of 10 years in prison. The rely of conspiracy to violate the Anti-Kickback Statute carries a highest potential penalty of five many years in jail. Both offenses are also punishable by a fantastic of $250,000 or 2 times the gross achieve or reduction from the offense. Sentencing for Heneghan and Wohrman is scheduled for September 6, 2023.
U.S. Legal professional Sellinger credited special brokers of the FBI, underneath the direction of Special Agent in Charge James E. Dennehy in Newark the U.S. Section of Health and Human Services, Business office of Inspector Standard, beneath the direction of Performing Specific Agent in Demand Naomi Gruchacz the U.S. Division of Defense, Workplace of the Inspector General, Protection Legal Investigative Service, Northeast Subject Workplace, less than the course of Exclusive Agent in Demand Patrick Hegarty the U.S. Division of Veterans Affairs Place of work of Inspector Typical, Northeast Subject Workplace under the path of Distinctive Agent in Charge Christopher Algieri with the investigation foremost to the responsible pleas.
The federal government is represented by Assistant U.S. Legal professional Ray Mateo of the U.S. Attorney’s Place of work, Opioid Abuse Prevention and Enforcement Unit in Newark.
Defense counsel:
Heneghan: Aaron M. Cohen Esq., Delray Seashore, Florida
Wohrman: Michael Hursey Esq., and Paul Molle Esq., Ft. Lauderdale, Florida