US Federal Prosecutors Charge 11 in Russia-Based Health Care Fraud Scheme
A transnational criminal organization allegedly defrauded Medicare of $10.6 billion through fraudulent medical equipment billing.
US federal prosecutors have charged 11 individuals in connection with a Russia-based scheme aimed at defrauding the American health insurance program, Medicare, out of $10.6 billion.
The scheme involved filing fraudulent claims for expensive medical equipment, using stolen personal information from over a million Medicare recipients.
Despite no equipment being sent out to those who filed claims, Medicare paid approximately $41 million in response to these submissions.
Supplemental insurers are estimated to have paid an additional $900 million between 2022 and 2024.
The operation was allegedly orchestrated by Imam Nakhmatullaev, based in Russia, with the management of other defendants residing in Estonia, the Czech Republic, and the United States.
The scheme came to light after thousands of Americans reported receiving Explanation of Benefit forms indicating they had received medical equipment they neither requested nor received.
The scheme involved filing fraudulent claims for expensive medical equipment, using stolen personal information from over a million Medicare recipients.
Despite no equipment being sent out to those who filed claims, Medicare paid approximately $41 million in response to these submissions.
Supplemental insurers are estimated to have paid an additional $900 million between 2022 and 2024.
The operation was allegedly orchestrated by Imam Nakhmatullaev, based in Russia, with the management of other defendants residing in Estonia, the Czech Republic, and the United States.
The scheme came to light after thousands of Americans reported receiving Explanation of Benefit forms indicating they had received medical equipment they neither requested nor received.
