Man Arrested for Role in Fraudulent Billing for DME

Medical Claim

Alan Swiss has been charged with health care fraud and conspiracy to violate the Anti-Kickback Statute. According to statements made in court and publicly filed documents, Swiss operated Tropical Medical Marketing Inc., a call center that cold-called Medicare beneficiaries and used their personal and medical information without the beneficiaries’ knowledge or consent to prepare orders for DME. Swiss then sold these DME orders to co-conspirators who illegally obtained purported signatures or “authorizations” of health care providers so that fraudulent claims could be submitted to Medicare for reimbursement. He also operated two DME supply companies: Modern Medical Equipment Inc. and A&E Medical Inc. Swiss purchased DME orders outright, used patient information that he had generated through his call center, and purchased purported signatures or authorizations of health care providers. Read a Department of Justice press release.

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