December 4, 2023

Milwaukee-area physician pleads responsible after ordering greater than $4 million in unneeded medical gear

A southeastern Wisconsin doctor has plead responsible after she ordered pointless medical merchandise from medical brace suppliers that then falsely billed Medicaid for tens of millions of {dollars}’ value of kit.

Anne Frea was charged with one rely of constructing false statements associated to well being care issues.

Frea’s orders induced medical brace suppliers to invoice Medicare for greater than $4 million value of medical gear. Out of that $4 million, Medicare truly paid greater than $2 million.

A criticism within the case explains Frea was a licensed doctor in Wisconsin who was additionally enrolled within the Medicare program. The criticism, which was filed in Wisconsin’s Jap District, didn’t specify which well being care apply Frea labored for.

Medicare covers a person’s entry to sturdy medical gear (DME). This consists of gear like walkers, wheelchairs, oxygen gear and off-the-shelf medical braces. Medicare additionally covers bills for specified telemedicine companies.

From January 2018 via March 2019, Frea was paid by telemedicine firms to offer consultations with sufferers. Following these consultations, the criticism states Frea ordered medical gear that was not obligatory.

“…As a part of these telemedicine consults, Frea would electronically signal orders and different Medicare-required paperwork for medical braces that contained materially false and fraudulent statements,” based on the criticism.

For instance, Frea claimed to have examined sufferers and evaluated their medical circumstances previous to ordering braces with out ever doing so.

She faces as much as 5 years in jail and as much as a $250,000 fantastic. She has additionally been ordered to pay $325,000 in restitution.