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Write an analysis of the case selected. Address the following in analysis: Summarize the incident and the specific fraud that took place. Identify what laws

Write an analysis of the case selected. Address the following in analysis:

  • Summarize the incident and the specific fraud that took place.
  • Identify what laws were broken and which regulatory bodies are responsible for oversight of the regulations that were violated.
  • Describe how information is documented throughout the investigation (e.g. within the regulatory bodies).
  • Explain the outcome of the case. If a judgment has not yet been passed, what do you think the outcome of the judgment should be? Justify your response.
  • Describe the communication strategy for informing the public of the fraud.
  • Recommend policy enforcement and communication strategies that would help mitigate cases of this type of fraud in the future.

Here is the article (feel free do look some more information about it):

Ohio Medical Doctor Sentenced to Prison for Health Care Fraud Scheme

Friday, July 19, 2024

For Immediate Release

U.S. Attorney's Office, Northern District of Ohio

TOLEDO- Ankita Singh, 42, formerly of Maumee, Ohio, was sentenced to 26 months in prison by U.S. District Judge Jack Zouhary, for her role in a durable medical equipment (DME) scheme that defrauded the U.S. Department of Health and Human Services Medicare Program. She was also ordered to pay restitution in the amount of $4,470,931.02, serve two years of supervised release, and pay a special assessment fee of $600.

On Feb. 29, 2024, a jury found Singh guilty of six counts of health care fraud for signing false orders for orthotic braces, that patients never requested and did not need, as part of a DME scheme.

Beginning in 2019, Singh worked as an independent contractor for at least two companies, to purportedly provide "telehealth services," and was paid a fee to conduct patient consultations. The consultations never took place. Telemarketers would cold call Medicare beneficiaries and tell them that orthotic braces would be provided to them at no cost. The beneficiaries were not previously Singh's patients and she never spoke to them. Singh never saw them in person and did not conduct a telehealth visit. The telemarketers would prepare orders with the beneficiaries' names, Medicare numbers, and purported diagnosis to support a false diagnosis that the braces were medically necessary. Orders were then electronically sent to Singh to affix her signature and certify that she was treating the Medicare beneficiary and affirm that the brace was medically necessary. Singh signed more than 11,000 prescriptions for orthotic braces for approximately 3,000 Medicare beneficiaries with whom she had no patient-physician relationship, and frequently ordered multiple braces for each patient, without ever having examined them.

As a result of Singh's false orders, more than $8 million was billed to Medicare for orthotic devices that were not medically necessary. In all, Medicare paid approximately $4.47 million in claims for the fraudulent prescriptions that Singh signed.

This case was prosecuted by Assistant U.S. Attorneys Gene Crawford and Angelita Cruz Bridges for the Northern District of Ohio. The case was investigated by the U.S. Department of Health and Human Services (HHS) - Office of Inspector General, and the FBI.

https://www.justice.gov/usao-ndoh/pr/ohio-medical-doctor-sentenced-prison-healthcare-fraud-scheme

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