Alan Swiss, 51, the owner of Modern Medical Equipment and A&E Medical, was charged with conspiracy to commit healthcare fraud, wire fraud and kickbacks.
Mr. Swiss is accused of cold-calling Medicare beneficiaries from a call center and selling durable medical equipment orders to co-conspirators, who submitted forged claims to Medicare between 2016 and 2019. The charges also accuse him of using the two medical supply companies to bill private payers under Medicare Advantage between 2017 and 2019.
The claims surpassed $17 million, and Medicare paid out nearly $5 million, according to the Justice Department.
Two co-defendants in the case, Erin Foley and Ted Albin, were previously charged with fraudulently billing Medicare for more than $25 million and receiving more than $9 million from CMS and private insurers.
Mr. Swiss’ hearing is scheduled for Feb. 5.
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