Leader of $48M fraud scheme involving selling physicians orders sentenced to prison 

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Manishkumar Patel was sentenced to 14 months in prison for his role in a $48 million healthcare fraud scheme, according to a May 7 news release from the Justice Department.

What happened?

  • Between 2019 and 2022, Mr. Patel and a co-conspirator fraudulently sold prescriptions and physicians’ orders for durable medical equipment, pharmaceuticals and laboratory tests.
  • He obtained the scripts through call centers that contacted Medicare beneficiaries and asked questions designed to justify prescriptions eligible for Medicare reimbursement. Mr. Patel then converted the information from those calls into prescriptions and sold them to Medicare providers, who filled the orders and billed Medicare.
  • Mr. Patel previously pleaded guilty to conspiring to commit healthcare fraud, wire fraud and violating the Anti-Kickback Statute.

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