A Milwaukee man allegedly engaged in a scheme to defraud the state's Medicaid program appeared in Milwaukee County Circuit Court August 14. According to a criminal complaint, he submitted claims for payments for orthotic purposes under the provision of durable medical equipment.
The complaint alleges that he submitted the application to become a DME provider. After he was allegedly granted the number and authorization, he submitted bills for Medicaid services. He primarily billed for tension scoliosis, cervical devices and knee-ankle-foot devices. He has been accused of three counts of fraud , three counts of Medicaid fraud and three counts of unauthorized use of personal information. He also faces one count of racketeering.
An investigation allegedly found that the recipients did not know individual who billed for providing them service. Also, they told investigators that they did not need orthotic devices. According to the investigation, the man received $21,558.96 after submitting the claims. The one count of racketeering comes from the man allegedly enlisting other people to complete the applications under their own business names to become DME providers. Once they had their numbers, he is suspected of submitting claims under their numbers. The individuals are accused of passing on the money to him.
Wisconsin views fraud and other white collar crimes as extremely serious. That's why many individuals accused of fraud hire a criminal attorney. An attorney may be able to find inconsistencies in the case to build a defense. Also, he or she may challenge procedures during trial to obtain a dismissal. Prior to court, a criminal attorney may try to negotiate a lighter sentence for clients such as a community service or paying restitution to victims.
Source: Fox 6 Now, "Milwaukee man charged with Medicaid fraud, racketeering", Trisha Bee, August 16, 2013