Four Billed in Conspiracy that Billed A lot more Than $20 Million in Fake Claims to Medicare | USAO-NDOH

Performing U.S. Attorney Bridget M. Brennan declared that a federal grand jury returned a 20-four-count…

Performing U.S. Attorney Bridget M. Brennan declared that a federal grand jury returned a 20-four-count indictment charging four folks for their roles in overall health treatment fraud conspiracy that billed more than $20 million in wrong statements to the Medicare method.

Named in the indictment are Thomas MOX, 53, of Grove City, Ohio Ryan CASADY, 49, of Uniontown, Ohio Elizabeth BALJAK, 35, of Pataskala, Ohio and Megan ILG, 53, of Grafton, Ohio.

MOX, CASADY, BALJAK and ILG are all charged with conspiracy to dedicate health and fitness treatment fraud.  In addition, defendants BALJAK and ILG are charged with bogus statements relating to wellbeing care matters.  Defendants MOX and CASADY are charged with supplemental counts of wellness treatment fraud and give and payment of kickbacks in relationship with a federal wellness treatment plan.

Defendant MOX owned and operated a health care internet marketing company in Grove Town, and a durable clinical products company in Columbus.  Defendant CASADY owned and operated independent durable professional medical tools companies situated in Uniontown.  Defendants BALJAK and ILG were being nurse practitioners, certified and qualified by the Condition of Ohio.

According to the indictment, from on or about March 2, 2018, to on or about September 9, 2019, the Defendants are accused of conspiring jointly to defraud Medicare by getting payment for unwanted professional medical promises.  

BALJAK and ILG, even though doing the job for telemedicine companies, are accused of signing prescriptions for healthcare braces no matter of healthcare necessity, with no a physical evaluation and routinely without having any speak to with the beneficiary in anyway.

It is alleged that these telemedicine businesses would then transfer the prescriptions to health care advertising and marketing businesses, which includes just one owned by MOX, who would then use them as part of an illegal deal of Medicare beneficiary leads offered to long lasting medical equipment firms.  CASADY and some others are accused of offering bribes and kickbacks to MOX in exchange for the prospects offers, which they would then use to set up for the ordering of the health-related braces for beneficiaries.  

In total, the Defendants are accused of billing more than $20 million truly worth of untrue statements to Medicare.

An indictment is only a charge and is not proof of guilt.  A defendant is entitled to a good trial in which it will be the government’s stress to establish guilt outside of a affordable doubt.

If convicted, the Defendant’s sentence will be identified by the Courtroom just after review of elements unique to this circumstance, together with the Defendant’s prior legal record, if any, the Defendant’s purpose in the offense, and the attributes of the violation.

In all scenarios, the sentence will not exceed the statutory maximum, and in most cases, it will be considerably less than the highest.

This investigation was done by the Federal Bureau of Investigation, and the Office of Wellbeing and Human Services, Business office of Inspector Common. This circumstance is being prosecuted by Assistant U.S. Lawyer Justin Seabury Gould.