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Wednesday, December 02, 2020 12:15:10 PM
There are very strict rules in regards to Medicare. So you can call it whatever you want (bonus, commissions), they are all considered kickbacks if you get paid for a referral. I believe in the public documents they stated that they had fake invoices to cover up the payments.
They already have another person (Besides Dr Julie) that plead guilty to getting such kickbacks: Clinic admin Madan Mohan pleads guilty to kickbacks.
UPDATE: Clinic admin Madan Mohan set to plead guilty to getting kickbacks from @arrayit prez Mark Schena for having allergy tests - some unneeded - to be run by company & bundling it w/COVID tests to boost @MedicareGov claims, per @USPIS_SF @DHSgov @FBISanFrancisco @USAO_NDCA pic.twitter.com/OXt7SyZV2N
— Henry K. Lee (@henrykleeKTVU) November 21, 2020
As for the insurance fraud, they have a statement from Dr Julie about her medical ID used to submit to medicare without seeing the patients submitted for insurance.
And, they also ran the full panel of allergy tests along with Covid when deemed not medically necessary another serious violation of the rules.
The DOJ already has two guilty pleas so it's not going to be that difficult to prosecute at all. There might be more by the time Dr Schena goes to trial.
The Grand Jury looked at the evidence and indicted Dr Schena. So the defense has an uphill battle.
That's not even getting to the other 3 counts the SEC has added to the DOJ criminal indictment.
I'm not predicting how this going to turn out, but what I will say it's very difficult to have statements you gave to the DOJ/SEC get refuted by two others named in the conspiracy that plead guilty.
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