Federal investigators indict 5 individuals in $86M Medicare, Medicaid kickback scheme: 5 things to know

Federal investigators arrested five individuals for paying kickbacks in an $86 million Medicare and Medicaid fraud scheme, according to NY Post.

Here are five things to know:

1. Officials charged Aleksandr Pikus, Mark Tsyvin, Maksim Vernik, Denis Satyr and Malvina Yablonskaya with paying kickbacks to bill for procedures deemed unnecessary.

2. The individuals allegedly directed more than $38 million reimbursements on the $86 million in bills through various New York companies. The shell companies claimed to provide consulting, marketing and advertising services.

3. The group conducted the $86 million scheme between 2008 and 2016, and allegedly referred customers to medical clinics in exchange for illegal kickbacks.

4. Federal court papers claim Oleg Dron, a licensed occupation therapist, and Eduard Noykhovich, a licensed physical therapist, co-ran some of the clinics involved in the scheme.

5. The co-conspirators allegedly provided cash to Medicaid and Medicare beneficiaries to have unnecessary medical services, the federal papers claim.

More articles on coding & billing:
Why antitrust regulators remain skeptical about the Anthem-Cigna merger & how this may impact the $48B deal: 6 key notes
White House to provide states $22M to fight premium hikes: 6 key points
Andy Slavitt talks CMS goals at 2016 AMA meeting — 4 things to know

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Featured Webinars

Featured Whitepapers

Featured Podcast