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(HOUSTON) - Edem James Etuk, 55, the former owner of PMS Medical
Equipment Distributors, has been sentenced to federal prison and
ordered to pay restitution to the Medicare program for his role
in defrauding the federal health care program of almost $4 million
in a motorized wheelchair fraud scheme, acting United States Attorney
Tim Johnson announced today.
United
States District Judge Lynn N. Hughes sentenced Etuk this afternoon
to 60 months in prison and ordered to pay $1,590,756 in restitution
to Medicare and Medicaid. The prison term is to be followed by a
three-year-term of supervised release. Etuk pleaded guilty in October
2007 to conspiracy to defraud Medicare and health care fraud admitting
he engaged in a 14-month conspiracy with several individuals, including
Houston doctor Michael D. Kim, to commit health care fraud, wire
fraud and to illegally pay kick-backs in relation to the Medicare
program that resulted in fraudulent billings to Medicare of $3.8
million. During his plea, Etuk admitted he was the owner of PMS
Medical Equipment Distributors, a durable medical equipment company
and Medicare provider. He engaged in a scheme to defraud Medicare
by billing Medicare for motorized wheelchairs which were either
not required by the Medicare beneficiary or not delivered, or both.
Etuk purchased Certificates of Medical Necessity (CMN), which are
required to bill Medicare, from several doctors including Kim for
cash. Etuk admitted paying Kim $200 cash for every fraudulent CMN.
The Medicare beneficiaries in this case were recruited illegally
by marketers. Etuk has admitted he paid the local Houston marketers
for beneficiaries and also that he purchased CMNs directly from
the marketers for $600 to $1000 each. According to Etuk, Kim routinely
falsified the CMNs and certified non-qualified Medicare beneficiaries
for motorized wheelchairs. Etuk used the fraudulent CMNs to falsely
bill Medicare for approximately $3,880,000 in power wheelchairs
and accessories and received approximately $1,590,756 in Medicare/Medicaid
payment over the course of the conspiracy.
Kim,
68, was convicted of the conspiracy to defraud Medicare and numerous
counts of healthcare fraud, wire fraud and money laundering after
a lengthy trial in August 2008. Kim is scheduled to be sentenced
on Feb. 12, 2009.
The
investigation leading to the charges against Etuk and Kim was jointly
conducted by agents of the FBI, the U.S. Department of Health and
Human Services Office of Inspector General (HHS/OIG), and the Medicaid
Fraud Control Unit of the Texas Attorney General's Office into what
has become known as the "motorized wheelchair fraud scheme."
This case was prosecuted by Assistant United States Attorney Al
Balboni.
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