Christian McKeon, 35, and Athanasios Ziros, 42, have been charged with conspiracy to commit healthcare fraud, conspiracy to pay and receive kickbacks and conspiracy to commit money laundering. Gregory Orr, 64, has been charged with conspiracy to pay and receive kickbacks for his alleged role in the scheme.
Prosecutors say Mr. McKeon and Mr. Ziros allegedly participated in a scheme to operate a telemarketing campaign targeting Medicare beneficiaries to encourage them to accept unnecessary cancer genetic tests. Mr. McKeon and Mr. Ziros allegedly offered and paid illegal kickbacks and bribes to telemedicine companies in exchange for physician orders for expensive cancer genetic tests.
The physician orders were written by contracted physicians even though they had no prior relationship with the beneficiaries, were not treating the beneficiaries for cancer or symptoms of cancer, did not conduct a proper telemedicine visit, and did not use the test results in the treatment of beneficiaries.
According to the indictment, all three men sold these signed physician orders for cancer genetic tests to labs in exchange for illegal kickbacks. One of the labs allegedly submitted approximately $46 million in claims to Medicare, of which $27 million was paid to the lab. The indictment also alleges the lab paid the defendants $14 million in kickbacks.
To read more, click here.
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
