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Madison man charged in health care fraud scheme

By Kaitlin Howell Jun 27, 2024 | 3:57 PM

JACKSON, Miss. (WJTV) – U.S. Attorney Todd Gee announced a Madison man is facing criminal charges in connection to an alleged conspiracy to defraud the United States.

The charges filed in federal court are part of the Department of Justice’s 2024 National Health Care Fraud Enforcement Action. Prosecutors said the charges stem from a scheme to pay kickbacks to a marketer in exchange for completed doctors’ orders so the defendant could cause his durable medical equipment companies to bill Medicare and Medicare Advantage plans for orthotic braces that were medically unnecessary and/or ineligible for reimbursement. 

“This defendant engaged in a scheme that cost taxpayers in Mississippi and throughout the nation millions of dollars,” said Gee. “The Department of Justice is committed to investigating and prosecuting fraud in Mississippi, and I encourage doctors, patients, and others that are aware of such schemes to report them to federal authorities.”

The defendant, Reginald Fullwood, Jr., 59, was charged by information with conspiracy to defraud the United States in connection with a scheme to pay kickbacks to a marketer in exchange for completed doctors’ orders so that he could cause his durable medical equipment company, Jackson Medical Supply, to bill Medicare and Medicare Advantage plans for orthotic braces that were medically unnecessary and/or ineligible for reimbursement. 

When Medicare initiated an investigation of Jackson Medical Supply, Gee said Fullwood opened another entity in the name of a nominee owner and again paid kickbacks to a marketer in exchange for doctors’ orders so that the new entity could continue to bill Medicare and Medicare Advantage plans for orthotic braces. 

Overall, investigators said Fullwood caused these entities to bill Medicare and Medicare Advantage $12,441,625.30, and the entities were reimbursed $6,448,092.61 for durable medical equipment that was medically unnecessary and/or ineligible for reimbursement.