An indictment reveals how a physician from Valencia, California, assisted Medicare beneficiaries with various toxicological symptoms, including those related to mold and chemical exposures.
He would allegedly see a beneficiary at least once in connection with the potential evaluation and management of his or her condition.
Subsequently, often several years after the last time he saw a particular beneficiary, the doctor would allegedly submit false claims to Medicare for additional visits with the same beneficiary, when the visits never actually occurred.
In some instances, the doc allegedly billed Medicare for services provided to beneficiaries who were deceased as of the claimed date of service.
Gary J. Ordog, 60, was indicted by a federal grand jury in March 2015 on nine counts of health care fraud. The indictment alleges that Ordog billed Medicare for services that were not actually provided to the Medicare beneficiaries to the tune of $6.5 million.
Health Agency Owner Pleads Guilty in $2.6M Rip-Off
According to admissions made as part of a guilty plea, the owner of a Detroit-area home health care agency conspired to submit falsified claims to Medicare where the claims were based upon referrals obtained through illegal kickbacks to patient recruiters and physicians.
The owner also admitted to conspiring to pay illegal kickbacks to patient recruiters and physicians and to making a false statement to Medicare pledging not to pay kickbacks, when in fact she was paying them.
Finally, she admitted to laundering the proceeds of the wire fraud conspiracy.
Rahmat Begum, 49, of Farmington Hills, Michigan, pleaded guilty during the second day of her trial to all charges in a six-count indictment, including one count of conspiracy to commit wire fraud, one count of making false statements relating to health care matters, one count of conspiracy to violate the Anti-Kickback Statute and three counts of money laundering.
A sentencing hearing in the $2.6 million swindle is scheduled for August 2015.
This case was brought by the Medicare Fraud Strike Force. Since its inception in March 2007, the Strike Force, now operating in nine cities across the country, has charged nearly 2,100 defendants who have collectively billed the Medicare program for more than $6.5 billion.