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Friday, December 2, 2022

Two Pharmacy Homeowners Plead Responsible in $18M Overseas Medicare Fraud Scheme

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Two New York pharmacy homeowners who “exploited the Covid-19 emergency for their very own monetary acquire,” pleaded responsible to a global scheme to submit fraudulent claims to Medicare for most cancers treatment, the Division of Justice (DOJ) introduced Wednesday. 

Arkadiy Khaimov, 39, and Peter Khaim, 42, each of Forest Hills, engaged in an elaborate healthcare scheme involving greater than a dozen pharmacies in New York, in accordance with the Justice Division. The 2 submitted hundreds of thousands of {dollars} in fraudulent Medicare claims for costly most cancers medication that weren’t prescribed or distributed to sufferers. The medication, Targretin gel, made by Bausch and Panretin gel, made by Concordia, have been allegedly allotted in periods when sure pharmacies have been closed because of the pandemic.

“Khaim, Khaimov, and their co-conspirators exploited the Covid-19 emergency for their very own monetary acquire through the use of Covid-19-related ‘emergency override’ billing codes to submit extra fraudulent claims for Targretin Gel 1%,” the DOJ mentioned in a information launch. 

The scheme began in New York however grew to become a posh worldwide endeavor as the 2 males tried to launder cash, amounting to greater than $18 million. Khaim and Khaimov established shell corporations and sham pharmacy wholesale corporations to create the phantasm they have been working precise companies. 

In actuality, they have been sending funds from the false Medicare claims to the sham corporations. Then, the funds have been despatched to corporations in China and distributed to people in Uzbekistan. At that time, the 2 males acquired among the funds in money, the DOJ mentioned within the launch, including that the pair additionally despatched cash from the fraudulent claims to their relations via cashier’s checks and used the cash themselves to buy property.

Each males face a 20-year jail sentence and their separate hearings are scheduled for Could 2023. 

A spokeperson for the Middle for Medicare and Medicaid Providers didn’t instantly reply to a request for remark.

Picture: photovs, Getty Photographs

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