Medical billing guilty of healthcare fraud – CBS Atlanta
TAMPA, Fla. (CW44 News At 10) – Joshua Maywalt (40, Tampa) has pleaded guilty to four counts of healthcare fraud, four counts of aggravated identity theft, one count of filing of a false federal income tax return and two counts of failing to file federal income tax returns.
He faces a maximum sentence of 10 years in federal prison for each count of healthcare fraud, a mandatory consecutive 2-year sentence for aggravated identity theft counts, a maximum sentence of 3 years for filing a false tax return and up to 2 years for each failure to file a tax return violation. Using the surrogate information, the United States also informed Maywalt that it intended to confiscate $ 2.2 million in funds and real estate located at 5346 Northdale Boulevard, Tampa, all attributable to the proceeds. of its offenses.
According to court documents, Maywalt was a medical biller at a Clearwater company that provided accreditation and medical billing services to its healthcare provider clients. As such, Maywalt was able to access and use the company’s financial, medical, and patient information. Maywalt was assigned to the account of a doctor in the Tampa Bay area (“Doctor # 1”) and was responsible for submitting claims to HMO Medicaid Florida for services rendered by Doctor # 1 to beneficiaries. of Medicaid. Maywalt abused his role as medical biller by accessing and improperly using the company’s patient information and Physician # 1 name and ID number, and using them to submit false claims and fraudulent to a Florida Medicaid HMO for medical services allegedly, but not actually, rendered by Physician # 1. Maywalt then changed the “pay to” information associated with these claims so that payments for the fictitious medical services were sent to bank accounts under his control.
Maywalt knowingly signed and filed a false federal income tax return for the 2019 tax year, significantly underestimating his income by only reporting his working wages and not the substantial amounts he deposited into his bank accounts at the as a result of its fraudulent activities. Additionally, Maywalt did not file federal income tax returns for 2017 and 2018 as required by the Internal Revenue Service.