Criminal Investigative Updates

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Category: Fraud Related to COVID-19
District: Massachusetts
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Former VA employee Jesus Abreu of Brockton, Massachusetts, was charged with wire fraud for allegedly submitting fraudulent applications for Economic Injury Disaster Loans and Paycheck Protection Program (PPP) loans. These loans totaled more than $70,000. Abreu also allegedly submitted loan forgiveness applications that falsely claimed the PPP loans were spent on payroll. As a result of the misrepresentation, the loans were forgiven. The VA OIG and the US Department of Labor, Employee Benefits Security Administration, investigated this case with assistance from the Norwood, Massachusetts, Police Department.

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Category: False Claims Act Violation
District: Georgia, Northern
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A Georgia-based doctor, Jitesh Patel, M.D., and his practice, Advanced Urology, Inc., and affiliated companies collectively known as Advanced Urology, will pay $14 million to settle allegations that they violated the False Claims Act by billing federal healthcare programs, including Medicare and Medicaid, for a series of urological and diagnostic procedures that were either not performed or were medically unnecessary. The government’s investigation began after a former Advanced Urology employee filed a whistleblower complaint alleging that the company performed unnecessary procedures. A second complaint was filed by a former Advanced Urology physician alleging that the practice billed government healthcare programs for procedures and tests that were not performed or unnecessary. The VA OIG, Health and Human Services OIG, Medicaid Fraud and Patient Protection Division of the Georgia Attorney General’s Office, the Defense Health Agency, and FBI investigated this case.

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Category: Fraud Related to COVID-19
District: Louisiana, Eastern
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Wellington Brown, of New Orleans, Louisiana, was charged with providing a materially false statement to the Small Business Administration in an application to obtain a government-sponsored loan designed to assist small business owners during the COVID-19 pandemic. The VA OIG investigated this case.

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Category: False Claims Act Violation
District: Florida, Middle
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Oasis Acupuncture LLC, of Orlando, Florida, and its owner, Dr. Hui-Li Yuan, have agreed to pay $100,000 to resolve allegations that they violated the False Claims Act by submitting inflated claims for acupuncture services to the Department of Veterans Affairs. According to the settlement agreement, Oasis Acupuncture and Dr. Yuan billed the VA for inflated acupuncture needle reinsertion services that did not meet the minimum 15-minute time requirement per needle reinsertion. This resulted in the VA overpaying for Oasis Acupuncture’s claims. The VA OIG investigated this case.

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Category: Miscellaneous
District: District of Columbia
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John H. Windom, who previously served as the executive director of VA’s Office of Electronic Health Record Modernization, was charged with failing to disclose his receipt of thousands of dollars in cash and other gifts from contractors. According to the indictment, while overseeing the $16 billion acquisition and development of VA’s Electronic Health Records solutions, Windom concealed that he was accepting, and sometimes demanding, extravagant gifts from contractors and subcontractors who worked on the project. The VA OIG and the FBI investigated this case.