This week, it was announced that a former employee of a Southern California ambulance company had been sentenced to prison for his role in a scheme to defraud Medicare. 54-year-old Aharon Aron Krkasharyan of Los Angeles, California was sentenced to 36 months in prison for his role in a scheme that ultimately resulted in more than $1.1 million in fraudulent claims to Medicare.
The defendant has also been ordered to pay $484,556 in restitution to Medicare jointly and severally with his co-conspirators. The defendant pleaded guilty to a single count of conspiracy to commit health care fraud on November 27, 2017. The defendant worked as the Quality Improvement Coordinator for Mauran Ambulance Inc. of San Fernando, California. The ambulance transportation company operated in the greater Los Angeles area. It provided non-emergency services to Medicare beneficiaries.
Krkasharyan admitted that between June 2011 and April 2012, he conspired with other Mauran employees to submit claims to Medicare for ambulance transportation services for individuals who did not need those services. He also admitted that he and other conspirators instructed Mauran technicians to conceal the patients’ true medical conditions by altering paperwork and creating fraudulent reasons to justify the use of an ambulance.
Court documents show that Mauran submitted more than $28 million in claims to Medicare. Krkasharyan’s co-defendants admitted that at least $6.6 million of those claims were false and fraudulent. Medicare paid at least $3.1 million of the false claims. Additional details can be found here.