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Sherley Beaufils, Healthcare Fraud, Georgia 2020

SAVANNAH, GA – A sprawling, billion-dollar healthcare fraud scheme preying on vulnerable patients and government insurance programs has been exposed in Georgia and South Carolina, federal authorities announced Wednesday. Dubbed “Operation Rubber Stamp,” the investigation has led to significant new charges against dozens, adding to a growing list of prosecutions stemming from similar takedowns in 2019.

The scheme, centered around the illicit sale of patient data and the ordering of unnecessary medical equipment and tests, bilked Medicare, Medicaid, and other health benefit programs out of a staggering $1.5 billion, according to U.S. Attorney for the Southern District of Georgia, Bobby L. Christine. The operation involved a network of individuals and companies who lured patients with promises of free or low-cost durable medical equipment, genetic testing, and medications, often delivered without proper medical justification.

Authorities allege that telemedicine executives paid doctors and nurse practitioners to rubber-stamp orders for these unnecessary items, sometimes with only brief phone calls and without ever actually examining the patients. These orders were then purchased by durable medical equipment companies, genetic testing labs, and pharmacies in exchange for kickbacks and bribes, before being submitted to insurers as fraudulent claims. The entire operation was designed to illegally enrich those involved at the expense of taxpayers and patient well-being. “This coordinated, deliberate and methodical series of investigations and prosecutions…represents an ongoing, exhaustive team effort…to protect the taxpayers’ safety net programs from fraud and theft,” Christine stated.

Among those newly charged is Sherley Leon Beaufils, a Georgia nurse practitioner, facing an indictment for Conspiracy to Commit Wire and Health Care Fraud; five counts of Health Care Fraud; five counts of False Statements Related to Health Care; and one count of False Statements. Beaufils is accused of facilitating orders for over 3,000 orthotic braces, generating more than $3 million in fraudulent charges to Medicare. Another key figure implicated is Toni De Lanoy, the former compliance officer for a company allegedly responsible for processing over $1 billion in fraudulent orders. De Lanoy is charged with Conspiracy to Commit Health Care Fraud, accused of providing the platform that enabled the massive scale of the illegal billing.

Derrick L. Jackson, Special Agent in Charge for the Office of Investigations, U.S. Secret Service, emphasized the evolving threat posed by telemedicine fraud. “Telemedicine has become a valuable tool…However, bad actors are abusing these tools to commit health care fraud,” he said. The Secret Service, alongside the Department of Justice and other federal agencies, continues to investigate and prosecute these schemes, aiming to dismantle the networks and bring those responsible to justice.

The government is warning healthcare providers and the public to remain vigilant and report any suspected fraud. U.S. Attorney Christine delivered a blunt message to would-be fraudsters: “The warning should now be abundantly clear: Unscrupulous providers will find themselves in hot water if they attempt to illegally enrich themselves from these programs.” The investigation is ongoing, and authorities anticipate further arrests and charges as they continue to unravel the complex web of deceit.

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