Matthew Geloti, head of the Criminal Division of the Department of Justice, commented on June 30 during a press conference in the Department of Justice. Geloti is shown with the administrator for the Center for Thomas Previsional and Medicare and Medicid Services Mehmet Oz, Assistant Administrator of Drug Enforcement Agency.
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Justice department has alleged Pakistani National who allegedly orchestrated The $ 650 million fraud scheme that mainly targeted the Arizona Medicade program, offering addiction to the original Americans and other services.
Court papers say the defendant, Farrukh Ali, hatched a conspiracy with at least 41 drug clinics, which was provided to the state for hundreds of crores of dollars for drug use services, which were never provided, or were not provided as a bill. Officials say patients who were nominated, but did not have legitimate treatment – were admitted to homeless population or original American reservation.
The ALI prosecution is one of the about 200 federal matters, which was declared by the department on Monday as part of its 2025 National Health Care Fraud. The effort is part of the department’s long -running campaign to fight fraud in the health care sector, which is estimated by officials that it is about 300 billion dollars per year.
This year’s Tekdown included $ 14.6 billion in the doubt, which made it the largest Health Care Fraud Techdown In the history of the department, the officials said.
Matthew Geloti, head of the department’s criminal division, said, “Today is a decisive moment to protect American taxpayers from fraudsters and to protect the integrity of the US health care system.”
He said, “These criminals did not steal anyone else’s money. They stole you.” “Every fraud claims, every fake billing, every kickback scheme represents the money taken directly from the pockets of American taxpayers.”
According to the department, the actual damage in charged cases is $ 2.9 billion.
Cases reflect the full spectrum of health care fraud, targeting Hospice Medicare patients for an alleged $ 1 billion wound care scheme by an alleged $ 10.6 billion urinary catheter scheme by an international criminal organization from an international criminal organization.
How did the alleged fraud scheme work?
Ali, who is not in American custody and is believed to be in Pakistan, faces allegations of conspiracy, wire fraud and money laundering. He could not be reached for comment.
According to prosecutors, he owned and operated a company called Prommed Solutions LLC, which was held in Arizona, but was located in Pakistan. Court letters say the firm provided credentials and enrollment, medical coding and billing services.
Between April 2021 and July 2023, prosecutors say Ali attacked agreements with at least 41 drug abuse clinics in Erizona, with two in court papers as TUSA and CHWC. Both companies were listed as outpatient treatment centers, which, according to court papers, provided treatment services for people suffering from drugs and alcohol addiction.
In order to receive and keep patients who bill the state’s Medicade system, the owners reportedly paid kickback and bribe to the owners of Sobber Holmes. However, a premium was placed on patients who were nominated for Arizona’s original Americans, known as AIHP, as they could achieve high reimbursement from the state system.
An official of the Department of Justice said, “More and more in the Phoenix area, they were receiving patients from homeless shelters, infiltration, road corners, hospitals, detox centers,” an officer of a justice department said, who spoke on the condition of anonymity because he was not authorized to speak publicly.
“They were going into the original American reservation in the van and were offering drug abuse treatment and free rooms and boards in Phoenix. And many times, the whole families or couples were admitted to it, and they were largely alcoholic or opioid or methy addicts.”
As part of the alleged conspiracy, Ali cracked and nominated these clinics as providers with Arizonna’s Medicade System, even though clinics did not provide legitimate care to patients. Ali’s company then built the state system for clinics, which was in exchange for a 5 percent deduction of the amount paid by the state.
Ali and his co-scriptors, court papers say, “Claims of false and fraud … behavior health substances abused for medical services that were not provided for medical services, were not provided as bills, they were not provided by qualified personnel, they failed to serve a treatment purpose, not used or united in any treatment plan, and not united, and/or/or/or/or they did not unal it, And ///////////////// were or med. “
According to the prosecutors, he tried to cover false claims, to show the medical notes incorrectly or to show that patients participated in therapy when they were not or that therapy was provided when it was not.
Prosecutors say the owners of Ali and Tusa and CHWC made false claims for some $ 57 million, and were paid by the state about $ 52 million.
Overall, Ali deposited some $ 650 million in false claims, and he and 41 clinics received approximately $ 564 in payment from Arizona’s Medicade System.
Prosecutors say that Ali used about $ $ $ $ about $ $ $ $ about $ $ $ about $ 25 million, which he received under a plan to buy a house on a golf estate in Dubai, UAE.