Ten people arrested in Brooklyn because of suspicions of fraud with insurance

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Ten people, including three doctors, a chiropractor, three licensed doctors, a therapist and two owners of medical companies, were arrested as part of the largest operation to identify fraudulent health care schemes. They are suspected of program billing fraud. Medicare and Medicaid worth more than $ 125 million. In total, during the operation, charges were brought more than 400 peoplewho issued similar bills for $ 1.3 billion

Among the various fraud schemes also referred to schemes "exchange" of clientele. In itself, referral by a doctor of his patients for treatment to his colleagues is a normal process and is not unlawful, unless such actions violate the federal law on the extraction of remuneration through criminal means.

Thus, patients on the same day could contact the same doctors and receive various prescriptions for treatment. Then these experts sent the program Medicare invoices to pay tens of thousands of procedures. Because of such a scheme Medicare millions of dollars have been damaged.

Most of the defendants in criminal cases received illegal income due to kickbacks or illegal fees for services. Quite often, no services were provided to patients at all, although they were listed in their invoices for payment in the most detailed way.

In particular, 45-year-old physiotherapist Vela Bakri, 42-year-old psychotherapist and therapist Mayyur Kanekar, 48-year-old therapist Viktor Genkin and 40-year-old chiropractor Alexander Havashu were caught in the frauds. These professionals, who worked in the hospitals of Brooklyn and Queens, inflicted Medicare damage in the amount of $ 100 million

They are accused of sending patients to each other and giving them unnecessary treatment, then they were billed Medicare. Note that the machinations of the Bakri group became known in 2016 year. The media wrote that this group, consisting of physiotherapists, chiropractors, physical rehabilitation specialists and the therapist, regularly served the same patients. In 2012, this group of medics received from Medicare for the treatment of hundreds of patients $ 15 million

Physical therapist Vel Bakri and physical rehabilitation specialist Victor Genkin, an emigrant from the post-Soviet space — members of the same medical network — were among the nationwide leaders in receiving compensation from Medicare in their professional field. So, physiotherapist Velu Bakri Medicare transferred $ 4,1 million for performing 184 thousand 1959 procedures to patients. From the documents submitted to them for payment, it followed that he worked a thousand hours a week. Victor Genkin earned $ 2,3 million, servicing 1200 people. The amount of weekly work - 500 hours. During 18 months, Vela Bakri and Victor Genkin's clients were 700 of the same patients whom they generously shared with each other: they took each of these seven hundred 25 times.

Another member of the chiropractor group, Alexander Havasha, treated the same patients with 1200. He got $ 2012 million from 1 year Medicare.

Another person involved in the case of fraud in health care has become 47-year-old Svetlana Shargorodskaya, the owner of the diagnostic company LUVR Diagnostic Services. Note that at the moment the company LUVR Diagnostic Services is not active, the company website does not work, the page also looks “dead” Facebook. She also exhibited Medicare irrelevant bills and provided patients with unnecessary treatment. Her company cheated Medicare on $ 13 million

28-year-old Suzanne Meliksetyan, who worked for a non-profit New York organization, is also accused of fraud. Healthfirst. This organization has been a partner in programs. Medicare Advantage and Managed Care. According to the investigation, Meliksetyan and some other employees of the organization presented themselves as partners. Medicare and offered customers to purchase the necessary medical equipment. They lured rooms away from patients. Medicare and billed the program for more expensive equipment. As a result of this fraud Medicare lost over $ 12 million

33-year-old Vadim Alekseev was also on the dock. He is accused of having organized a money laundering network through Medicare. Alekseev and other participants in the scam worked in several clinics in Brooklyn, and ambulance officers also participated in a conspiracy, bringing patients to these doctors. Then the doctors wrote out a number of unnecessary procedures and billed the patients. Medicare. In total, Alekseev deceived the health care system for $ 40 million, of which Medicare managed to pay clinics more than $ 11 million

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