Source- http://philadelphia.fbi.gov/dojpressrel/pressrel11/ph030311.htm
PHILADELPHIA—John Edward McKoy, a former owner and operator of multiple health care facilities in the Eastern District of Pennsylvania, including Mt. Pleasant Medical Management, Inc. and Harris Medical Management, Inc., was charged today by Indictment in connection with a scheme to defraud United Health Care Corporation (“UHCC”) of more than $321,000, announced United States Attorney Zane David Memeger. UHCC was a medical management service that processed and paid medical claims for the National Railroad Passenger Corporation, (commonly known as AMTRAK), through its health care benefits program called AmPlan.
Between November 2004 to on or about October 8, 2007, it is alleged that John Edward McKoy caused hundreds of false claims to be submitted to UHCC for services purportedly rendered to patients when McKoy knew that no such services were provided and no licensed medical professional provided such services. In total, it is alleged that the defendant caused the submission of fraudulent medical bills to UHCC totaling more than $321,000, resulting in payments from the victim insurer totaling approximately $291,255.13.
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