Six-figure cost plus lengthy jail time on the playing cards for former high-flier
Georgia’s ex-Insurance coverage Commissioner John Oxendine has pleaded responsible to conspiring to commit healthcare fraud in federal courtroom in Atlanta.
The fraud concerned Dr Jeffrey Gallups and Texas lab Subsequent Well being, with whom Oxendine conspired to get orders for pointless medical checks, with kickbacks being paid consequently.
“The Defendant agrees to pay $699,864.89 as restitution, collectively and severally with the defendant in case 1:21-CR-00370, plus relevant curiosity, to the Clerk of Court docket for distribution to the next victims of the offense(s) to which he’s pleading responsible and all related conduct together with, however not restricted to, any counts dismissed on account of this Plea Settlement,” reads a part of the courtroom doc seen by Insurance coverage Enterprise.
The settlement lists the next victims: Aetna; BCBS of Georgia and BCBS Texas; Cigna, Cigna Healthcare PPO, and Cigna Worldwide; Corvel; Covenant Directors; Coventry; Well being Companions Claims; Humana; Meritain Well being; PMA Insurance coverage Group W/C; Qualcare, Inc.; UMR; and United Well being Care and United Healthcare Scholar Assets.
By way of imprisonment, the utmost time period for Oxendine’s crime is a decade. The sentencing listening to, throughout which he may not be sentenced to the total 10 years in jail, is going on in July.
Commenting on the fraud, Keri Farley, Particular Agent in Cost of FBI Atlanta, stated: “This scheme to invoice for pointless companies has no place in our healthcare system. It not solely elevated healthcare prices for all beneficiaries, however in addition they violated the belief of sufferers. John Oxendine not solely profited from this scheme however took it a step farther and directed one other to mislead federal brokers to attempt to cowl up the fraud.”
US Lawyer Ryan Ok. Buchanan, in the meantime, had this to say: “John Oxendine, as the previous state-wide insurance coverage commissioner, knew the significance of sincere dealings between docs and insurance coverage corporations. However for private revenue, he willfully conspired with a doctor to order a whole bunch of pointless lab checks, costing a whole bunch of hundreds of {dollars}. He’ll now be held accountable for violating the general public’s belief.”
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