Jean Wilson, Medicare Fraud, Georgia 2024

State: Georgia
Category: Fraud &#038; Financial Crimes
Source: <a href="https://www.justice.gov/archives/opa/pr/owner-telemedicine-companies-pleads-guilty-role-136m-medicare-fraud-conspiracy" style="color:#cc0000;" target="_blank" rel="nofollow noopener">DOJ Press Release ÃƒÂ¢Ã¢â‚¬Â Ã¢â‚¬â€

A 52-year-old woman from Richmond Hill, Georgia, has pleaded guilty to her role in a massive Medicare scam that netted over $136 million in false claims.

Jean Wilson, a licensed nurse practitioner in New Jersey, owned two purported telemedicine companies, Advantage Choice Care LLC (ACC) and Tele Medcare LLC (Tele Medcare), as well as two orthotic brace suppliers, Southeastern DME and Choice Care Medical.

According to court documents, Wilson recruited medical professionals who were bribed to sign prescriptions for Medicare beneficiaries for orthotic braces and prescription drugs that were medically unnecessary, ineligible for Medicare reimbursement, or not provided as represented.

Wilson and the medical providers she retained frequently signed false and misleading documentation to support claims to Medicare, submitting or causing the submission of false and fraudulent claims in excess of $136 million during the conspiracy.

Medicare, Medicare sponsors, and Medicare Part D plans paid at least $66 million for these claims, and Wilson has agreed to pay over $66 million in restitution to Medicare and the IRS as part of her plea.

Wilson pleaded guilty to conspiracy to commit health care fraud and wire fraud, and faces a maximum penalty of 20 years in prison. She is scheduled to be sentenced on July 18, 2024.

The Health Care Fraud Strike Force, comprised of the HHS-OIG, FBI, and IRS-CI, are investigating the case, and trial attorneys Darren C. Halverson and Nicholas K. Peone of the Criminal Division’s Fraud Section are prosecuting the case.

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