July 7, 2022
Tanya Parrish Grant of Raleigh, NC pled guilty to health care fraud she perpetrated through two Medicare licensed Durable Medical Equipment (DME) companies she controlled. These companies billed over $50 Million, of which Medicare paid in excess of $17 Million. Grant used these funds to purchase lavish personal items, including multiple homes and luxury vehicles, as well as accumulating cash and investments.
“The investigation showed that to generate revenues, Grant was paying companies in India and Pakistan to provide her with lists of Medicare patient names and identifying information. These lists of patients were purportedly derived from call centers overseas that contacted Medicare patients to inquire about their need for DME. Grant then caused her companies to bill Medicare for DME that she purportedly supplied to the patients.”
Some of the wrongdoing perpetrated by Grant included:
- Not have physician orders (which are required prior to dispensing DME) or falsifying physician orders
- Not shipping equipment to the patients
- When equipment was returned, not refunding Medicare
- Billing Medicare for patients who were deceased
In addition to being aware of the above types of improper acts, organizations need to be cognizant that when utilizing offshore companies, the highest standards of HIPAA Privacy and Security are in place…to include robust auditing of the offshore entities work.
Grant faces a maximum of 10 years in prison, when sentenced later this year.