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Wednesday, December 25, 2024

Madison man pleads guilty to conspiracy involving Medicare fraud

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U.S. Attorney Todd W. Gee | U.S. Department of Justice

U.S. Attorney Todd W. Gee | U.S. Department of Justice

A Madison man has pled guilty to conspiracy to defraud the United States, according to court documents and statements made in court.

Reginald Fullwood, Jr., 59, of Madison, participated in a scheme involving kickbacks to a marketer in exchange for completed doctors’ orders. This allowed his durable medical equipment company, Jackson Medical Supply, to bill Medicare and Medicare Advantage plans for orthotic braces that were medically unnecessary or ineligible for reimbursement. When Medicare initiated an investigation into Jackson Medical Supply, Fullwood opened another entity under a nominee owner’s name and continued the fraudulent billing practices.

Fullwood's actions resulted in approximately $12,441,625.30 being billed to Medicare and Medicare Advantage plans. The entities were reimbursed around $6,448,092.61 for the unnecessary or ineligible equipment.

Fullwood pled guilty to conspiracy to defraud the United States and is scheduled for sentencing on December 4, 2024. He faces a maximum penalty of five years in prison and a $250,000 fine. A federal district court judge will determine the sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

The announcement was made by U.S. Attorney Todd W. Gee of the Southern District of Mississippi; Special Agent in Charge Robert A. Eikhoff of the Federal Bureau of Investigation; and Special Agent in Charge Tamala Miles of the Department of Health and Human Services Office of Inspector General.

The case is being investigated by the U.S. Department of Health and Human Services Office of Inspector General and the Federal Bureau of Investigation. Trial Attorney Sara Porter of the Gulf Coast Strike Force and Assistant United States Attorney Kimberly Purdie are prosecuting the case.

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