GEORGIA — A California man who operated a durable medical equipment (DME) company has been charged for his alleged participation in a massive healthcare fraud scheme. The defendant is the 22nd charged in the Southern District of Georgia as part of an investigation that uncovered more than $410 million in fraudulent claims to Medicare, the largest fraud case in the history of the Southern District of Georgia.
Scott M. Hirsch, the operator of JI Medical, Inc., a company formerly based on the Miracle Mile in the City of Los Angeles, is accused of conspiring to pay kickbacks in exchange for obtaining orders for DME that JI Medical, Inc. would then bill to Medicare. As part of this scheme, the physicians receiving the kickbacks from JI Medical, Inc. knowingly signed false medical records describing “consultations” of Medicare patients.
Research shows that JI Medical operated under the name RAMAT Medical at 5812 West Pico Blvd.
“Telemedicine is an important tool for legitimate providers – but paying kickbacks is not part of telemedicine and will not be tolerated under any circumstances,” said U.S. Attorney Bobby L. Christine. “While many of our prosecutors and law enforcement partners may be working remotely during the COVID-19 pandemic, this office continues to work day and night to bring bad actors to justice.”
The healthcare fraud scheme charged is the largest in the history of the Southern District of Georgia. Previous charges in this string of cases include eight physicians, two nurse practitioners, two operators of telemedicine companies, and two brokers of patient data. The Medicare and Medicaid beneficiaries whose identities were used as part of the scheme are located throughout the Southern District of Georgia, including the Augusta, Brunswick, Dublin, Savannah, Statesboro, and Waycross Divisions, as well as elsewhere in the United States.
The $410 million fraud scheme charged in the Southern District of Georgia is part of nationwide operations by the Department of Justice that thus far has halted a multi-billion dollar fraud network involving fraudulent claims for genetic testing, orthotic braces, pain creams, and other items.
“The growing number of medical providers and equipment providers alleged to have been involved in this ongoing scheme is disheartening,” said Chris Hacker, Special Agent in Charge of FBI Atlanta. “The FBI and our federal partners will continue to root out such deceitful practices and protect taxpayers and the citizens who deserve the benefits from programs like Medicare, even as telemedicine becomes more common.”
“This investigation is a stellar example of inter-agency cooperation and working together to bring those who defraud the health care system to justice,” said FBI Birmingham Special Agent in Charge Johnnie Sharp Jr. “The public can be assured that the FBI and our partners will continue to seek to identify and pursue investigations against such egregious offenders.”
“In these trying times, it’s more important than ever that we safeguard the Medicare trust fund,” said Derrick L. Jackson, Special Agent in Charge at the U.S. Department of Health and Human Services, Office of Inspector General in Atlanta. “HHS/OIG, along with our partners, will vigorously pursue any provider who puts their own financial gain above that of their patients.”
“Cases of this magnitude can only be tackled using a strategy that recognizes that the most effective way to fight these large criminal networks is by combining the strengths, resources, and expertise of our federal agencies,” said Resident Agent in Charge Glen M. Kessler of the U.S. Secret Service. “Our nation’s healthcare system cannot tolerate kickbacks to physicians and pharmacies while criminals line their pockets with taxpayer funded healthcare dollars.”
“The U.S. Postal Inspection Service aggressively conducts investigations of those who fraudulently use the U.S. Mail to facilitate complex fraud schemes,” said Inspector in Charge Joseph W. Cronin of the U.S. Postal Inspection Service’s Boston Division. “We will continue to support and work with our federal law enforcement partners to stop those who are engaged in these types of fraudulent activities and defend the U.S. Mail from criminal misuse.”
“The defendant in this case used the U.S. Mail to facilitate his elaborate criminal scheme. Postal Inspectors partnered with other agencies to quickly identify the scheme and worked aggressively with the U.S. Attorney’s Office to dismantle this criminal enterprise. Through cases like these, the Postal Inspection Service upholds its longstanding mission of protecting the public and preventing criminal misuse of the U.S. Mail,” said Antonio J. Gomez, Inspector in Charge of the U.S. Postal Inspection Service – Miami Division.
Indictments or criminal informations contain only charges; defendants are presumed innocent unless and until proven guilty.
This investigation is ongoing. As telemedicine becomes an increasing part of our healthcare system, vigilance in ensuring that fraud and kickbacks do not usurp the legitimate practice of medicine by electronic means is more important than ever. If you are aware of any fraud or kickbacks relating to telemedicine, including COVID-19 fraud, please call the FBI hotline at 1-800-CALL-FBI.
This particular prosecution resulted from a joint investigation of multiple agencies and offices. U.S. Attorney Christine acclaimed the hard work of the investigatory team, led by FBI – Savannah, FBI – Birmingham, the Department of Health and Human Services Office of Inspector General, the United States Secret Service, and the United States Postal Inspection Service.
Assistant U.S. Attorneys J. Thomas Clarkson and Jonathan A. Porter are prosecuting these cases on behalf of the United States.
Century City Mall Murder Suspect Arrested in Baltimore
LOS ANGELES — The Los Angeles Police Department’s Operations West Bureau (OWB) Homicide investigators have announced the arrest of a suspect in a murder that took place at the Century City Mall.
On January 20, 2020, West Los Angeles Division officers responded to a call of a shooting in progress at the Century City Mall. Upon their arrival, officers found a victim down and unresponsive.
The investigation revealed that a fight involving the suspect had occurred outside of a nearby restaurant. The fight involving the suspect stemmed from another dispute inside of the same restaurant. During the fight, the suspect armed himself and shot the victim to death. Investigators from OWB Homicide identified Brandon Hinton as the suspect. It was determined that Brandon Hinton had fled the area and a murder warrant was issued.
On March 16, 2020, Federal Bureau of Investigations Fugitive Task Force agents in Baltimore, Maryland located and arrested Hinton.
On Friday, April 10, 2020, LAPD-FBI Fugitive Task Force agents extradited 26-year-old Brandon Hinton to Los Angeles to face murder charges. Hinton was booked on a four-million-dollar murder warrant and will be arraigned this week.
Anyone with information, including possible additional victims, are urged to call Los Angeles Police Department’s Operations West Bureau homicide investigators at (213) 382-9470. During non-business hours or on weekends, calls should be directed to 1-877-LAPD-24-7 (877-527-3247).
Anyone wishing to remain anonymous should call the LA Regional Crime Stoppers at 1-800-222-TIPS (800-222-8477) or go directly to www.lacrimestoppers.org. Tipsters may also visit www.lapdonline.org and click on “Anonymous Web Tips” under the “Get Involved-Crime Stoppers” menu to submit an online tip. Lastly, tipsters may also download the “P3 Tips” mobile application and select the LA Regional Crime Stoppers as their local program.
Weinstein Gets New Sex Assault Charge for Bev Hills Hotel Incident
Los Angeles County District Attorney Jackie Lacey announced today that film producer Harvey Weinstein was charged with an additional sexual assault count stemming from an incident that allegedly occurred at a Beverly Hills hotel in May 2010.
Case BA483663 was amended to add one felony count of sexual battery by restraint. Weinstein (dob 3/19/52) was charged in January with one felony count each of forcible rape, forcible oral copulation, sexual penetration by use of force and sexual battery by restraint.
“We are continuing to build and strengthen our case,” Los Angeles County District Attorney Jackie Lacey said. “As we gather corroborating evidence, we have reached out to other possible sexual assault victims. If we find new evidence of a previously unreported crime, as we did here, we will investigate and determine whether additional criminal charges should be filed.”
The new charge alleges that Weinstein sexually assaulted a woman at a Beverly Hills hotel on May 11, 2010. The victim was first interviewed by law enforcement in October 2019 as a possible corroborating witness in the case. Last month, she provided detectives with information confirming that the assault took place within the 10-year-statute of limitation.
The original criminal complaint charged Weinstein with sexually assaulting two women during separate incidents in 2013.
If convicted as charged in the amended complaint, the defendant faces up to 29 years in state prison.
Prosecutors have initiated a request for the temporary custody of Weinstein from New York, the first of several steps in the extradition process.
At this time, it is unknown when Weinstein will be transferred to Los Angeles County. Upon his arrival, he will be arraigned on the amended complaint. Once a court date is set, the public will be notified.
Prosecutors also announced today that two cases involving Weinstein were declined for prosecution because the victims did not want to testify against the defendant in this case.
Deputy District Attorney Paul Thompson of the Sex Crimes Division is prosecuting the case.
The case remains under investigation by the Los Angeles and Beverly Hills police departments and the District Attorney’s Bureau of Investigation.
D.A. Trying to Reduce Jail Population During Pandemic
LOS ANGELES — Los Angeles County District Attorney Jackie Lacey announced today that she has directed her deputy district attorneys to take steps to reduce the number of people both in local jails and courthouses as part of her office’s response to help curb the spread of the coronavirus.
“I have asked my attorneys to consider the health risks in every decision they make,” District Attorney Lacey said. “I have directed them to consider ways to keep nonviolent felony and misdemeanor offenders out of our jails and courthouses during this pandemic.”
District Attorney Lacey instructed her managers during a March 16 video chat to delay the filing of new cases and re-evaluate pretrial cases to allow nonviolent offenders who do not pose a danger to the community to remain outside the criminal justice system during this national emergency. She urged them to look at both the pending charges and the defendant’s criminal history to determine their risk to the community at this time.
In keeping with that directive, District Attorney Lacey is working with Sheriff Alex Villanueva, Public Defender Ricardo Garcia and Alternate Public Defender Erika Anzoategui to review approximately 2,000 cases involving in-custody defendants using the same standards to determine if they are a risk to public safety or can be safely returned to the community on their own recognizance while awaiting trial. If they cannot reach an agreement on a particular defendant, the court will review the case and make a determination.
Earlier, in a March 14 email to all employees, District Attorney Lacey directed her deputy district attorneys to consider whether a defendant is considered by health officials to be at a high risk of exposure to coronavirus as a factor in either setting bail or agreeing to a defendant’s release on his or her own recognizance.
To help further reduce the jail population, District Attorney Lacey has instructed her deputy district attorneys to not request that defendants be remanded on probation or parole violations on nonviolent and non-serious crimes unless the defendant has demonstrated that he or she is a danger to the community.
She has recommended that deputy district attorneys use the Proposition 115 guidelines that allow law enforcement officers to testify to witness statements at preliminary hearings in an effort to reduce the number of civilian witnesses having to appear in courthouses during the pandemic.
District Attorney Lacey also has directed Head Deputy District Attorneys to expand the use of the existing Pre-filing Diversion Program (PDP). This program diverts people from entering the criminal justice system on specified misdemeanors and felonies by opting for office hearings as opposed to criminal filings.
As for setting future court dates, deputy district attorneys were advised against objecting to continuances unless necessary to prevent a serious case from being dismissed.
Additionally, deputy district attorneys were informed that they should concur with requests for general time waivers and continuances of jury trials for an extended period of time for out-of-custody defendants.
As to community service, including work performed through the California Department of Transportation, deputy district attorneys were directed to temporarily suspend or extend pending due dates for completion and not use these options at this time unless completion dates may be extended beyond the usual due dates. In addition, they are being directed to agree to put progress reports over for several months.
District Attorney Lacey also has released new Fraud Alerts warning consumers about coronavirus-related scams and price gouging and posted a video message addressing the impact of the coronavirus on her office’s operations. They may be viewed at http://da.lacounty.gov.
In an effort to reduce the spread of this disease, District Attorney Lacey has implemented alternate work schedules for all of her 2,200 employees. This includes flexible work schedules and using technology so that attorneys and other staff members may work remotely.
Employees have been encouraged to prepare for trials, interview witnesses, conduct legal research and, in some cases, even file criminal cases remotely, when possible.
No District Attorney employee has been diagnosed with COVID-19. In an abundance of caution, all employees making reports of possible exposure to the coronavirus are assigned to telework until the guidelines provided by the county’s Public Health Department for a safe return to work are followed.
District Attorney Lacey continues to work closely with county and court officials to determine how best we can continue to maintain public safety during this public health crisis.
“We have a constitutional duty to serve the public by keeping the residents of Los Angeles County safe from violent crime, even during national emergencies,” District Attorney Lacey said. “I want to thank the people in my office for their dedication and cooperation during these unprecedented times.”
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This Just In…
- County Hospitals Receive 300 iPads for Patients to See Family
- Processions to Cedars Will Salute Healthcare Workers on National Nurses Day
- WeHo Webinar: Loneliness, Isolation, Depression, and Anxiety During Pandemic
- Texas & California Wet Markets Show Full Extent of Vile Conditions
- White House Gift Shop Selling Coronavirus Commemorative Coins
- Joe Exotic Prison Has 2nd Highest ‘Rona Rate
- Beverly Hills Votes To Resume Plastic Surgery Despite Coronavirus Pandemic