Area designer for drug policy in San Antonio pleads guilty in a fraud scheme of $ 8 million

0
81
A former pharmaceutical representative in Texas has pleaded guilty for a $ 8 million health care fraud scheme that earned her more than $ 1 million, according to US lawyer John Bash and FBI Special Agent in charge of Christopher Combs, San Antonio Division.

Appearing before District Judge Fred Biery, Holly Blakely, 45, of San Antonio, Texas, pleaded guilty to a conspiracy to commit wire fraud, health care fraud, bribery and kickbacks. Blakely was accused of a 30-count indictment and was scheduled to begin trial on February 25, 2019.

Blakely is in the federal prison for a maximum of five years. She remains awaiting the punishment on June 13, 2019 in San Antonio.

As part of her plea, Blakely admitted that her role in a scheme to deceive health insurance programs by paying more than $ 400,000 in kickbacks and bribes to health care providers who prescribed compound drugs to those who did not need the drugs. . Blakely and her co-conspirators tried to mask the bribe and bribes for health care professionals through fictitious and outdated & # 39; consulting agreements & # 39; to write.

In many cases Blakely and her co-conspirators filed prescriptions for compounding pharmacies for patients who had never seen a medical professional. Blakely and her co-conspirators would also occasionally forge the signature of a medical professional on recipes. Blakly admitted that she was contracting with two compounding pharmacies that would file claims for reimbursement for health care benefits programs, including TRICARE, for complicated prescription drugs.

In exchange for her role in the conspiracy, the two compounding pharmacies Blakely paid about $ 1,147,885.14. From about February 2013 to December 2014, health care allowance programs & # 39; s reimbursed the two compounding pharmacies approximately $ 8,846,972.24 based on the claims submitted in connection with the compounded medication.

The FBI, along with the Defense Criminal Investigative Service, Drug Enforcement Administration-Diversion, US Air Force Office or Special Investigations, US Army Criminal Investigation Command, Texas Department of Public Safety, and the Office of Personnel Management-Office of Inspector General, investigated this case. Assistant lawyers of the United States Sean Bryan O & # 39; Connell and Antonio Franco Jr. prosecute this case on behalf of the government.

Source: American Attorney & # 39; s Office for the Western District of Texas

Do you want to stay informed?

Receive the latest news about insurance
sent directly to your inbox.