Investigation Newsletter: Lab Owner Charged With $ 100 Million Healthcare Fraud Scheme | Arent Renard


Lab owner charged with $ 100 million healthcare fraud program

On November 2, 2021, a federal grand jury in the Western District of Arkansas indicted Billy Joe Taylor of Arkansas with an alleged healthcare fraud scheme. Taylor owned or operated several diagnostic testing laboratories. Between February 2017 and May 2021, Taylor reportedly submitted more than $ 100 million in bogus bills for urine drug tests and respiratory disease tests that were medically unnecessary, not ordered by medical providers, or not provided. as shown. According to the indictment, Taylor used the private personal information of Medicaid recipients to repeatedly submit requests for tests that were never ordered or performed. Taylor is said to have used the funds obtained through the program to purchase luxury vehicles, real estate, jewelry, guitars and other luxury items.

Taylor has been charged with 16 counts of healthcare fraud and one count of participating in a money transaction involving property derived from crime. He had already been indicted by a criminal complaint in May 2021. He faces a maximum of 10 years imprisonment for each count.

The DOJ press release is here.

Former NBA players plead not guilty to $ 4 million healthcare fraud program

Eighteen former NBA players have pleaded not guilty to fraud charges related to an alleged $ 4 million scheme. In early October, the athletes were indicted by federal prosecutors in the Southern District of New York. Former NBA players engaged in a scheme between 2017 and 2020 led by former Boston Celtics player Terrence Williams to submit false bills for medical and dental benefits to the benefit plan, according to the indictment health and well-being of NBA players. The athletes allegedly submitted false claims totaling $ 3.9 million and received $ 2.5 million from the health plan. Williams has also reportedly recruited additional players for the program and received $ 230,000 in bribes in exchange for providing players with fraudulent invoices.

Sixteen of the defendants were arrested by the FBI on October 7. The 18 defendants have pleaded not guilty and are free from personal engagement.

The Justice Department press release announcing the charges is here.

Mississippi chiropodist indicted over $ 11 million foot bath program

A federal grand jury in Oxford, Mississippi has indicted podiatrist Carey “Craig” Williams on several counts of health care fraud and related charges in an alleged scheme to defraud health care benefit programs. According to the indictment, Williams prescribed the patients antibiotics and antifungals and instructed them to soak their feet in a tub of lukewarm water mixed with the drugs. Prescribed drugs were often not medically intended to be dissolved and had high Medicare reimbursement rates. Williams allegedly caused pharmacies to submit false claims totaling $ 4.9 million between July 2016 and July 2021 for medically unnecessary foot bath medications.

Williams also reportedly ordered that patients’ nail clippings be tested for diseases rarely found on toenails, including “cat scratch disease”. Williams’ scheme reportedly led a diagnostic lab to submit false claims totaling more than $ 6.4 million between January 2018 and April 2021 for medically unnecessary molecular diagnostic testing. The indictment further alleges that Williams returned prescriptions and orders for medically unnecessary tests to pharmacies and labs in exchange for solicited bribes from a merchant.

The DOJ press release is here.


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