CEO Of Tennessee Pain Clinic Sentenced To Over Three Years In Federal Prison For Medicare Fraud

The former chief executive officer of a Tennessee pain management firm will spend three-and-a-half years in Federal prison on a conviction for his alleged involvement in an illegal kickback conspiracy that defrauded Medicare of around $4 million.

Per investigators, the 42-year-old man established a referral racket with another individual whereby his firm allegedly received referral fees for Medicare durable medical equipment orders from a manufacturer of DME’s. Allegedly in order to mask the payments, the defendant allegedly created a shell company in his wife’s name.

Prosecutors say the defendant received over three quarters of a million dollars in kickbacks before the scheme was discovered. Ultimately the duo received $2.9 million in illegal reimbursements from Medicare, they allege, some of which was used to pay bonuses to providers who sent Medicare beneficiaries to his practice. Allegedly he personally received 60 percent of the profits from these referrals, not the company for whom he was an officer.

In the spring of last year the defendant was convicted of one count of conspiracy to defraud the United States and violate the Anti-Kickback Statute and seven counts of violating the Anti-Kickback Statute. In the same courtroom the defendant was sentenced to 42 months in Federal prison, one year of supervised release, and was ordered to forfeit $770,036 to the Federal government.

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