New Orleans man sentenced to 28 months in prison for healthcare fraud | USAO-EDLA

NEW ORLEANS — U.S. Attorney for the Eastern District of Louisiana, Duane A. Evans announced that JOSEPH CAMPO (“CAMPO”) was sentenced on April 14, 2022 to 28 months in prison and a mandatory $100 special assessment fee after pleading guilty in federal court for his role in a health care fraud conspiracy.

CAMPO, 79, a resident of New Orleans, Louisiana, pleaded guilty on February 25, 2021 before U.S. District Judge Suzy Morgan to the first count of an information charging him with conspiracy to commit property fraud. health care and money laundering, in violation of Title 18, United States Code, Section 371.

According to the bill, in or around March 2014, continuing until or around October 2016, CAMPO and his co-defendants conspired to knowingly and willfully execute a scheme and artifice to defraud TRICARE, a federal health care benefit program affecting commerce, and other health care benefit programs.

Prime Pharmacy has entered into contracts with various entities, including Pharmacy Benefit Managers (“PBM”), obliging Prime Pharmacy to collect co-payments from beneficiaries in order to be reimbursed by various healthcare benefit programs, including TRICARE . CAMPO worked with co-defendants to market compound drugs produced by Prime Pharmacy. CAMPO and his co-conspirators worked with out-of-state merchants to find recipients who were willing to receive medically unnecessary compounds and doctors willing to prescribe compounds without medical necessity.

Beginning in or around March 2014 and continuing through or around April 2016, Prime Pharmacy dispensed high-yield compound drug prescriptions to recipients of TRICARE and other health care benefit programs who did not were not medically necessary, induced by bribes or when co-payments were reversed or credited by Prime Pharmacy and as a result submitted or caused to be submitted false and fraudulent claims for reimbursement to TRICARE, d other health care benefit programs and PBMs.

CAMPO was also ordered to repay TRICARE $3 million in restitution.

“Those involved in this scheme have illegally charged TRICARE nearly $15 million and I am thrilled the U.S. Attorney’s Office is seeking justice,” said Special Agent in Charge Cynthia Bruce, Office of Inspector General, Service of Defense Criminal Investigation, Southeast Field Office. . “There are no victimless crimes and DCIS agents will continue to pursue greedy unscrupulous individuals who steal from our military healthcare system and all taxpayers.”

“Those charged with providing health care services to veterans and their family members will be held accountable if they breach that trust,” said Special Agent in Charge Jeffrey Breen of the Department of Veterans Affairs‘ office. South Central Field Office of the Inspector General. “The VA OIG is grateful to the United States Attorney’s Office and our law enforcement partners for their efforts to achieve justice in this case.”

U.S. Attorney Evans commended the work of the Office of Inspector General, the Defense Criminal Investigative Service, the Department of Homeland Security, the Department of Veterans Affairs – Office of Inspector General, and the United States Postal Service. United States – Office of the Inspector General.

The prosecution of the case is being handled by Assistant United States Attorney Kathryn McHugh.

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