Former NFL Player Gets Five Years for Healthcare Fraud

A previous participant for the National Soccer League (NFL) has been jailed for 5 yrs for his component in a major fraud plan involving around 50 other gamers.

Robert McCune, 42, of Riverdale, Georgia, had already pleaded guilty to one particular depend of conspiracy to commit overall health treatment fraud and wire fraud, 10 counts of wire fraud, 12 counts of healthcare fraud and 3 counts of aggravated identity theft.

He’s said to have defrauded the Gene Upshaw NFL Player Well being Reimbursement Account Plan, which features all gamers $350,000 in tax-absolutely free, out-of-pocket health care care bills for anything not protected by coverage.

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Involving June 5 2017 and April 12 2018, McCune submitted wrong files on behalf of dozens of previous gamers and himself, in search of reimbursement for non-existent medical therapy and devices, in accordance to the Department of Justice (DoJ).

This bundled highly-priced goods this kind of as hyperbaric oxygen chambers, ultrasound equipment and electromagnetic remedy equipment.

McCune and his co-conspirators are mentioned to have submitted all-around $2.9m in fraudulent claims in this way.

He’s also mentioned to have demanded bribes and kickbacks in the thousands of bucks for statements submitted on behalf of other people, using their identify, insurance plan identification quantity, social security range, mailing handle and day of start.

13 other defendants have already been sentenced for their role in the plan, while a overall of 68 claims were submitted on behalf of 51 players, the DoJ stated.

If everything, health care fraud is an even even larger problem nowadays than at the time of McCune’s wrongdoing, thanks to the COVID crisis.

The US authorities opened a history number of scenarios in 2020: out of 900 new investigations that year, 580 were connected to health care fraud, in accordance to the DoJ.

The progress of telemedicine during the pandemic has been a significant driver of cybercrime, as it is simpler to bogus consultations and prescriptions when patients don’t require to be physically present in clinics.