Dean Ernest had been living in a nursing home about a year when his son, John, got a call last winter asking if his father was experiencing back pain and would like a free orthotic brace.
The caller said he was with Medicare. John Ernest didn't believe him, said "no" to the brace and hung up. He didn't give out his father's Medicare number.
And yet, not just one, but 13 braces addressed to Dean arrived soon afterward at the younger Ernest's house in central Pennsylvania — none of which Dean Ernest wanted or needed.
Telemedicine scams on the rise
Medicare, the federal, taxpayer-supported health care insurance program for older Americans, had paid more than $4,000 for 10 of the braces: a back brace, two knee braces, two arm braces, two suspension sleeves, an ankle brace, a wrist brace and a heel stabilizer — none of which Dean Ernest wanted or needed..
The orders came from four different medical equipment companies and were prescribed by four health care professionals —a prescription is required to receive an orthotic brace. But John Ernest says he didn't talk to any doctors during the phone call.
That's how the latest Medicare frauds work, says Ariel Rabinovic, who works with Pennsylvania's Center for Advocacy for the Rights & Interests of the Elderly. He helped report the Ernests' fraud case to authorities at Medicare. Rabinovic said the fraudsters enlist unscrupulous health professionals ―doctors, physician assistants, nurse practitioners ― to contact people they've never met by telephone or video chat under the guise of a telemedicine consultation.
"Sometimes the teledoctors will come on the line and ask real Mickey Mouse questions, stuff like, "Do you have any pain?" explained Rabinovic. "But oftentimes, there is no contact between the doctor and the patient before they get the braces. And in almost all of the cases, the person prescribing the braces is somebody the Medicare beneficiaries don't know."
While prescriptions for durable medical equipment, such as orthotic braces or wheelchairs, have long been a staple of Medicare fraud schemes, the manipulation of telemedicine is relatively new. The practice appears to be increasing as the telemedicine industry grows.
"This has put telemedicine scams on Medicare's radar with growing urgency," says James Quiggle, director of communications for the Coalition Against Insurance Fraud.
In the past year, the Department of Health and Human Services Office of Inspector General, the Department of Justice and, in some cases, the FBI, have busted at least six health care fraud schemes that involved telemedicine. Typically, in these schemes, scammers use sham telemedicine companies to scale up their operations quickly and cheaply, because they can have a couple of doctors remotely writing a large number of prescriptions.
Often the doctors working for these outfits don't perform medical consultations, but rather write prescriptions without talking to patients, as in Ernest's case. Of course, that is not how telemedicine is designed to work.
International fraud
In April 2019, the DOJ announced investigators had disrupted what they called "one of the largest Medicare fraud schemes in U.S. history." "Operation Brace Yourself" cracked an international scheme allegedly defrauding Medicare of more than $1.2 billion by using telemedicine doctors to prescribe unnecessary back, shoulder, wrist and knee braces to beneficiaries.
The DOJ charged 24 people, including three medical professionals and the corporate executives of five telemedicine companies.
According to federal court documents, Willie McNeal of Spring Hill, Fla., owned two of the "purported" telemedicine companies, WebDoctors Plus and Integrated Support Plus.
Federal investigators allege that through Integrated Support Plus, McNeal hired and paid a New Jersey doctor, Joseph DeCorso, to write prescriptions for braces. DeCorso recently pleaded guilty to one count of conspiracy to commit health care fraud.
DeCorso admitted to writing medically unnecessary brace orders for telemedicine companies without speaking to beneficiaries or doing physical exams. He also admitted that his conduct resulted in a $13 million loss to Medicare. He has agreed to pay more than $7 million in restitution to the federal government.
McNeal got the Medicare beneficiaries' information for DeCorso to write the prescriptions from telemarketing companies, according to the indictment. Then, authorities allege, McNeal sent the prescriptions back to the same telemarketing companies in exchange for payments described as kickbacks and bribes.
Federal investigators allege these telemarketing companies sold the prescriptions to the durable medical equipment companies, who, as part of the scheme, fraudulently billed Medicare for the braces.
McNeal's lawyer says he can't discuss his client's case for this story because of the pending lawsuit. DeCorso's lawyer did not respond to multiple requests for comment.
The U.S. attorneys allege the money made from the scheme was hidden through international shell corporations and used to buy luxury real estate, exotic automobiles and yachts.
Taxpayers on the hook for millions
It's clearly a profitable business. Taxpayers are the ones who ultimately pay for Medicare fraud, which often leads to higher health care premiums and higher out-of-pocket costs.
Medicare spending on the sorts of braces highlighted in the inspector general's investigations increased by more than $200 million from 2013 to 2017, according to an analysis of Medicare data by Kaiser Health News. While the number of Medicare fee-for-service beneficiaries increased only slightly (by 5%) from 2013 to 2017, spending on the three types of braces increased by 51% during that same period.
In an April news release about Operation Brace Yourself, Assistant Attorney General Brian Benczkowski, of the DOJ's Criminal Division, called the Medicare scheme "an expansive and sophisticated fraud to exploit telemedicine technology meant for patients otherwise unable to access health care."
Nathaniel Lacktman, a lawyer who represents telemedicine companies and organizations, was quick to point out that the industry does not recognize the fraudsters involved in these schemes as legitimate businesses.
"These are actually really sketchy online marketing companies participating in these schemes, who are billing themselves as telemedicine," says Lacktman, who works in the Tampa office of the law firm Foley & Lardner. "But in fact, they're companies we've never heard of."
All of this comes at a time when Medicare and Medicare Advantage are expanding their use of telemedicine, though the federal programs have been slower to adopt the practice than the private sector, says Laura Laemmle-Weidenfeld, a health care lawyer at the law firm Jones Day.
"I would hate for Medicare to fall even further behind with telehealth," says Laemmle-Weidenfeld, who previously worked in the Fraud Section of the DOJ's Civil Division. "The vast majority of telehealth providers are legitimate but, as with anything, there are a few bad apples."
Even with the recent federal busts, the scams continue. And they're not isolated to durable medical equipment. A $2.1 billion scheme was busted by the DOJ in September which involved telemedicine doctors authorizing unnecessary genetic tests.
Travis Trumitch, who works for the Illinois nonprofit AgeOptions, which helps report Medicare fraud in the state, says he received three voicemails over a recent weekend reporting suspected durable medical equipment scams.
John Ernest says he still receives calls every day with individuals on the line who say they work for Medicare and ask for Dean Ernest's information ― though his father died in April.
But Ernest can't change his phone number, because it's the main line associated with his painting business.
"It really drives me crazy," Ernest says. "How many people are they ripping off?"
Kaiser Health News data editor Elizabeth Lucas contributed to this report.
KHN is a nonprofit, editorially independent program of the Kaiser Family Foundation that is not affiliated with Kaiser Permanente.
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