A Florida businessman has been charged with conspiracy involving $25 million in fraudulent Medicare claims for genetic testing submitted by a Lawrence County medical facility.
Daniel Hurt, 58, was charged with one count of conspiracy to commit health care fraud, pay and receive unlawful kickbacks, and engage in money laundering.
According to the Information, Hurt caused CGx specimens to be sent to Ellwood City Medical Center, a hospital located in Ellwood City, Pennsylvania. Hurt used the facility as the billing entity for Medicare purposes despite the fact that the facility did not possess properly validated equipment to conduct any CGx testing on-site.
The Information alleges that Hurt and his co-conspirators obtained CGx prescriptions from telemedicine physicians without regard to the fact that the doctors did not conduct proper telemedicine visits, were not treating the Medicare beneficiaries for cancer or symptoms of cancer, did not use the test results in the treatment of the beneficiaries, and generally were not qualified to understand and interpret the test results.
According to the Information, Hurt caused ECMC to submit Medicare claims for CGx testing that regularly exceeded $12,000 per beneficiary. In total, between approximately January 2019 and October 2019, Medicare allegedly reimbursed ECMC more than $25 million for CGx testing.
Hurt faces a maximum sentence of five years in prison and a fine of not more than the greater of $250,000 or an alternative fine in an amount not to exceed $250,000. The charges were brought against Hurt in federal court in the Western District of Pennsylvania.
Related Federal Cases
- Seth Rehfuss, Medicare Genetic Testing Fraud, NJ 2023 · Maryland
- Kenneth Johnson, Medicare Fraud Scheme, VA 2024 · Maryland
- Nagle, Fink, DBE Fraud Scheme, Pennsylvania 2023 · New Hampshire
- Sandra Jackson, Medicare Fraud, Delaware 2023 · Texas
- Marc Henry Menard, Investment Fraud Scheme, Mineola NY, 2023 · Puerto Rico
Key Facts
- State: Pennsylvania
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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