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March 22, 2024

Telemedicine Company Owner Pleads Guilty in $136 Million Medicare Fraud Case

On March 8, 2024, the U.S. Department of Justice’s Office of Public Affairs announced the owner of two telemedicine companies pleaded guilty to a Medicare fraud conspiracy amounting to $136 million. A formerly New Jersey licensed nurse practitioner admitted to participating in a scheme that involved paying kickbacks and bribes to healthcare providers in exchange for referring Medicare beneficiaries for medically unnecessary services. The Defendant and her associates submitted false claims to Medicare, Medicare sponsors, and Medicare Part D plans. These claims involved orthotic braces and prescription drugs that were either medically unnecessary, ineligible for reimbursement, or not provided as claimed. Medicare entities paid out $66 million for these fraudulent claims. Becker’s Physician Leadership adds, ”She has agreed to pay more than $66 million in restitution to Medicare and the IRS as part of her plea.”

Wilson will now face sentencing on July 18 where she faces a maximum penalty of 20 years in prison.

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