Source: United States Department of Justice News
Acting U.S. Attorney Michelle M. Baeppler announced that a federal grand jury returned a six-count indictment charging Ankita Singh, 39, formerly of Maumee, Ohio, with fraudulently billing Medicare $8.4 million.
According to the indictment, the defendant was a state-licensed physician practicing in Maumee and Toledo. From June 2018 through May 2021, it is alleged that the defendant participated in a scheme to bill Medicare approximately $8.4 million in durable medical equipment, prosthetics/orthotics and supplies (DMEPOS) that were medically unnecessary.
As part of the scheme, it is alleged that telemarketers and call centers would contact or cold-call Medicare beneficiaries in an attempt to convince the beneficiaries to agree to receive DMEPOS, specifically braces, in the mail. The call center operators and telemarketers often told beneficiaries that the braces would be provided at no cost and that a doctor would be contacting them.
The indictment states that the call centers and telemarketers would then use general information about the beneficiary, including their name, Medicare number and purported diagnosis, to prepare DMEPOS order forms that certified that the equipment and supplies were medically necessary.
According to the indictment, the defendant received these order forms and signed them, even though the defendant had never spoken to, examined, assessed or otherwise established a doctor-patient relationship with the beneficiary. As a result, DMEPOS suppliers shipped the items listed on the order forms to the beneficiaries and submitted a corresponding claim to Medicare.
An indictment is only a charge and is not evidence of guilt. A defendant is entitled to a fair trial in which it is the government’s burden to prove guilt beyond a reasonable doubt.
If convicted, the defendant’s sentence will be determined by the court after a review of factors unique to this case, including the defendant’s prior criminal record, if any, the defendant’s role in the offenses, and the characteristics of the violation.
In all cases, the sentence will not exceed the statutory maximum, and in most cases, it will be less than the maximum.
This case was investigated by the Office of Inspector General, U.S. Department of Health and Human Services (HHS-OIG) and Cleveland FBI. This case is being prosecuted by Assistant U.S. Attorney Jody L. King.