Fake orthopedic companies involved in $48M billing fraud, money laundering scheme

Alan Condon -  

Five fake medical supply businesses, including two that posed as orthopedic companies, allegedly defrauded federal and commercial insurers of more than $48 million over two years, the Justice Department said in an April 27 news release.

Prosecutors said the companies — Prime Orthopedic Solutions Corp., Ortho-Med Solution, BF Distributors Corp., Timely Medical Services Corp. and Expedited Medical Supplies Corp. — billed insurers for medical equipment they never purchased or provided to patients.

On April 27, Loyda Triana, 65, pleaded guilty to laundering $735,695 stolen from Medicare, Medicaid and private insurers as part of the healthcare fraud in Miami, according to prosecutors. More than 15 people have been charged in the investigation.

Ms. Triana laundered the money by cashing checks issued by the companies and returning the cash, minus a fee, to her co-conspirators, according to the Justice Department.

She will be sentenced May 25 and faces a maximum penalty of 20 years in prison. 

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