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Indian origin man sentenced for $2.8 million healthcare fraud in US – Hindustan Times

A US court has sentenced an Indian man to nine years in prison for his role in a massive healthcare fraud that defrauded Medicare of approximately $2.8 million.

Indian man sentenced to 9 years in prison in US for $2.8 million healthcare fraud

Yogesh K. Pancholi, 43, of Northville, Michigan, was also convicted of several other charges, including wire fraud conspiracy, money laundering, identity theft and witness tampering.

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The court heard that Pancholi is the owner and operator of Schuring Home Care, a home health care company in Livonia, Michigan, according to a press release from the Department of Justice.

Pancholi’s plunder plan

But since Pancholi was prohibited from billing Medicare, he used other people’s personal information to hide his ownership of the company.

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He and his co-defendants then submitted false claims to Medicare for home health services that were never provided and received approximately $2.8 million in payments within two months.

Pancholi then laundered the funds through various shell companies and transferred them to his bank accounts in India.

He also attempted to obstruct the investigation by sending anonymous emails to federal agencies accusing government witnesses of committing crimes and demanding that they be deported from the country.

In these emails, he argued that government witnesses had committed various crimes and should not be allowed to be in the United States to prevent them from testifying.

After a trial in the Eastern District of Michigan, a jury found him guilty on all charges in September 2023.

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The FBI Detroit Field Office and HHS-OIG conducted the investigation into Pancholi’s case.

This case was part of the Health Care Fraud Strike Force program, a joint initiative of the Justice Department’s Criminal Division and various federal agencies to combat health care fraud.

Launched in March 2007, the program has nine strike units in 27 federal districts and has prosecuted more than 5,400 defendants who have billed federal health care programs and private insurance companies for more than $27 billion.

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