From the Files, Some Fraudulent "Beauties".

• Author: Zalma, Barry
• Position: [ON MY RADAR]

OWNER OF DURABLE MEDICAL EQUIPMENT COMPANIES ADMITS ROLE IN $16 MILLION DOLLAR KICKBACK SCHEME

* Albert Davydov, 28, of Rego Park, New York, pleaded guilty by videoconference before U.S. District Judge Kevin McNulty to an indictment charging him with conspiring to violate the Anti-Kickback statute.

Davydov, the owner of a group of related durable medical equipment (DME) companies admitted his role in a conspiracy to pay kickbacks in exchange for durable medical equipment on November 13, 2020.

According to documents filed in this case and statements made in court: Davydov, the owner of nine DME companies, participated in a scheme to pay kickbacks in exchange for doctors' orders for medically unnecessary orthotic braces. Once Davydov and his conspirators received the completed doctor's orders, they billed Medicare and other federal and private health care benefit programs for the braces. Davydov concealed his ownership of the DME companies by falsely reporting to Medicare that various straw owners owned the companies.

As part of his plea agreement, Davydov agreed that the improper benefit conferred was over $16 million for the charged conspiracy to violate the federal Anti-Kickback statute. The conspiracy charge to which Davydov pleaded guilty carries a maximum penalty of five years in prison and a fine of $250,000, or twice the gross grain or loss from the offense, whichever is greatest. Sentencing is scheduled for March 25, 2021.

TEXAS MAN SENTENCED TO PRISON FOR FRAUDULENTLY BILLING GOVERNMENT MEDICAL INSURANCE PROGRAMS

PROSECUTION IS PART OF EFFORT AGAINST FRAUDULENT 'TELEHEALTH' SCAMS

Patrick Siado, 39, of Houston, was sentenced to 51 months in federal prison and ordered to pay $50,075 in restitution by U.S. District Court Chief Judge J. Randal Hall after pleading guilty to one count of Conspiracy. After completion of his prison sentence, Siado must serve three years of supervised release.

As described in court documents and testimony, Siado admitted that he and unindicted co-conspirators hired individuals to solicit information and take DNA swabs from low-income and elderly residents. The individuals were paid $150 for each "patient," with the information used by other conspirators to submit fraudulent claims to Medicare and Medicaid. Siado would then receive an illegal

THE ESSENTIAL RESOURCE FOR THE INSURANCE FRAUD PROFESSIONAL

Zalma's Insurance Fraud Letter--Page 10 kickback ranging from $100 to $575 per test accepted for billing...