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Six Charged in $20M Medicare Fraud Scheme in NJ
10 Jul
Summary
- Six individuals charged in a New Jersey healthcare fraud scheme.
- Bribes were paid to providers for high-cost medication prescriptions.
- The scheme resulted in over $20 million in losses to Medicare/Medicaid.
A New Jersey health care fraud scheme involving bribes to providers has led to charges against six individuals, with losses exceeding $20 million to Medicare and Medicaid programs. The conspiracy, active from October 2022 to November 2025, focused on prescribing high-cost medications.
Charges include conspiracy to defraud the U.S., soliciting and receiving kickbacks, and unlawfully distributing controlled substances. Some defendants, including an emergency medicine doctor and advanced practice nurses, allegedly prescribed medications without proper patient assessment, facilitating the fraudulent scheme.
Other individuals charged include a pharmacy owner accused of paying kickbacks, an office manager who solicited weekly kickbacks for medically unnecessary prescriptions, and an employee who submitted false prior authorizations. Penalties for these charges can include up to 10 years imprisonment and significant fines.
