Doctor Convicted for Role in $3 Million Pharmacy Fraud Scheme

Doctor Convicted for Role in $3 Million Pharmacy Fraud Scheme

A federal jury found Albert Diaz, M.D., a Mississippi physician, guilty for his role in a pharmacy fraud scheme totaling $3 million dollars.

According to evidence presented at the trail, Diaz participated in a fraud scheme against TRICARE and other insurance companies when he prescribed medically unnecessary compounded medications to individuals he had not examined. Some of the prescribed medications included ketamine, which is a controlled substance.

Based on the prescriptions signed by Diaz, Advantage Pharmacy in Mississippi dispensed the medically unnecessary compounded medications and then sought reimbursement from the insurance companies for more than $3 million total. In response to a TRICARE audit, Diaz then falsified patient records in an attempt to make it appear that he had examined the patients prior to prescribing the medications.

Following a five day trial, Diaz was convicted of one count of conspiracy to commit health care fraud and wire fraud, four counts of wire fraud, one count of conspiracy to distribute and dispense a controlled substance, four counts of distributing and dispensing a controlled substance, one count of conspiracy to falsity records in a federal investigation and five counts of falsification of records in a federal investigation.

Acting Special Agent in Charge, Ted Magee from the IRS Criminal Investigations said, “The jury found Dr. Albert Diaz guilty of conspiracy to commit health care fraud, which sent a message to all criminals seeking to defraud insurance companies – we’re on to you and will hold you responsible for your crimes.”

“The prosecution of Albert Diaz exemplifies the Criminal Division’s commitment to holding those involved in fraud schemes accountable for their actions,” said Acting Assistant Attorney General John P. Cronan of the Justice Department’s Criminal Division.

Defending Against Aggressive Prosecution

Because criminal charges for health care fraud are prosecuted so aggressively innocent people may become targets of investigation or even indictment. Conviction carries harsh penalties, including fines and imprisonment. If you have been accused of health care fraud you need an attorney who understands the tactics and procedures the government will use to obtain a conviction. You need an attorney who can combat aggressive prosecutors.

As a former health care fraud prosecutor with the United States Attorney’s Office, Ashley D. Adams understands the government’s tactics and knows how to establish the best possible defense for your case. Our firm has successfully represented numerous health care clients, including hospitals, physicians, pharmacies, and other health care providers.

Contact us or call now (480) 219-1366 for a consultation.

 

The attorneys at Ashley D. Adams, PLC handle state criminal cases throughout Arizona and federal criminal cases throughout the United States, including Arizona, Oklahoma, Utah, and California.