On February 29, 2012 Manhattan U.S. Attorney Announces Charges Against 36 Individuals for Participating in $279 Million Health Care Fraud Scheme.
“В афере участвовали 10 врачей, 9 нью-йоркских клиник и 105 различных компаний”, сообщает The New York Times.
Американские следователи были поражены, когда узнали, с какой скрупулезностью прописывались фальшивые истории болезней. Жулики не ленились отправлять «пациентов» на дополнительные анализы и описывали их состояние до мельчайших подробностей. Раскрыть схему оказалось чрезвычайно трудно: все ее участники были настоящими профессионалами своего дела.
По словам прокурора Южного округа Прита Бхарара, это самая крупная афера в истории Нью-Йорка, связанная со страховыми случаями, и на ее раскрытие ушло полтора года.
"Таков образ мысли русских, и поэтому это широко распространено в системе, - сказал один из представителей правоохранительных органов, занимающийся расследованиями в отношении организованных преступных группировок из бывшего Советского Союза. - Если ты не обманываешь систему, не обманываешь правительство, ты не делаешь то, что должен, - и к тебе относятся как к лоху".
Арестованные могут сесть в тюрьму на сроки от 30 до 70 лет.
PS Я предлагаю пару комментариев не равнодушных к этой теме людей.
Vera
03.03.2012, 2:11
Не все приехавшие из России (СССР) мошенники. Я например, никак не грею руки на системе, и не собираюсь. Уважаю эту страну и эту систему (она не идеальна, но лучшего человечесто ещё не создало).Я что то сомнеаюсь, что полиция сговоре с мошенниками, и что им пофиг. Короче, страшно, что постепенно менталитет американцев может измениться,не в лучшую сторону. И всё "благодаря" очень толерантной иммиграцинной политике.
Manhattan U.S. Attorney Announces Charges Against 36 Individuals for Participating in $279 Million Health Care Fraud Scheme
Беспрецедентная, крупная афера раскрыта в Нью-Йорке и организаторами преступной схемы являются русскоязычные американцы Михаил Землянский, 35 лет из Hewlett in Long Island, Михаил Данилович, Юрий Зайонц, Михаил Кремерман, Михаил Барухин, ...
(полный список лиц арестованных ФБР приводится в приложении, см. ниже)
Я посвещааю эту публикацию все тем русско-язычным мошенникам, жуликам, ворам и аферистам в Аризоне, тем кто приехал сюда с криминальным менталитетом, гадкой и подлой душонкой, больными и не здоровыми амбициями, занимается обманом людей и фальсификацией документов, рэкетом под благовидным предлогом сбора пожертвований на проведение мероприятий для "Русских", разного рода нелегальным бизнесом, манипулирует системой правосудия, правохранительными органами, сетью социального обеспечения и самое главное позорит честь, достоинство и хорошую репутацию порядочных, законопослушных иммигрантов из России и других республик бывшего СССР.
Пусть эта информация послужит для них предупреждением; всех кто совершает преступления - ждет неотвратимое наказание ( в суде или от бога).
А те, кто прямо или косвенно поддерживают мошенников, тоже должны хорошо и серьёзно задуматься о последствиях такой "кооперации." (ЕВТ)Полиция Нью-Йорка арестовала 36 русско-язычных жителей США. Они обвиняются в мошенничестве, вымогательстве и подлоге. По версии правоохранительных органов, злоумышленники похитила свыше 279 миллионов долларов у частных компаний, используя дыры в американском законодательстве. Щупальца мошенников простерлись в здравоохранение, правовую систему и страхование. Они вели роскошный образ жизни на предназначенные для граждан средства».
Предполагаемыми организаторами преступного сообщества нью-йорская полиция называет Михаила Землянского (по прозвищу Русский Майк) и Юрия Зайонца (по кличке КГБ).
«Схема»
Мошенники действовали на стыке законов о медицинском и автомобильном страховании. Подставные лица инсценировали дорожно-транспортные происшествия; сотрудники страховых компаний, также вовлеченные в аферу, направляли их на медицинское обследование. А там уже их сообщники-врачи предписывали «пострадавшим» дорогостоящее лечение в клиниках, которое оплачивалось страховыми компаниями. Были и пациенты, которые «проходили» курсы реабилитации и восстановления по нескольку раз. При этом хирургические операции, магнитно-резонансные томограммы и рентгены имели место только на бумаге. Стоимость фиктивных услуг в каждом отдельном случае составляла десятки тысяч долларов.“В афере участвовали 10 врачей, 9 нью-йоркских клиник и 105 различных компаний”, сообщает The New York Times.
Американские следователи были поражены, когда узнали, с какой скрупулезностью прописывались фальшивые истории болезней. Жулики не ленились отправлять «пациентов» на дополнительные анализы и описывали их состояние до мельчайших подробностей. Раскрыть схему оказалось чрезвычайно трудно: все ее участники были настоящими профессионалами своего дела.
По словам прокурора Южного округа Прита Бхарара, это самая крупная афера в истории Нью-Йорка, связанная со страховыми случаями, и на ее раскрытие ушло полтора года.
"Таков образ мысли русских, и поэтому это широко распространено в системе, - сказал один из представителей правоохранительных органов, занимающийся расследованиями в отношении организованных преступных группировок из бывшего Советского Союза. - Если ты не обманываешь систему, не обманываешь правительство, ты не делаешь то, что должен, - и к тебе относятся как к лоху".
Арестованные могут сесть в тюрьму на сроки от 30 до 70 лет.
PS Я предлагаю пару комментариев не равнодушных к этой теме людей.
Vera
02.03.2012, 19:42
Я сегда радуюсь, когда мошенники попадают в руки правосудия. Никогда не нарушала законов, где бы я не жила, поэтому презираю таких бессовестных людей. Менталитет почти всех иммигрантов из бывшего СССР именно такой - найти лазейки в законе и использовать на полную катушку. Особенно используется мед. страхование - я слышала о трюке который делают пенисонеры - врач за определ. сумму делает инвалидность, по кот. бабулька получает существеную доплату к пенсии. И это российские пожилые люди, которые ничего не сделали для этой страны, а приехали вот с таким мышлением урвать от этой системы. Очень противно слышать об этом, хочется чтобы их всех побыстрее вывели на чистую воду - и врачей (тоже из совка) и "пациентов".Гость
02.03.2012, 10:54
Русские по менталитету. Все русские в Америке очень неплохо греют руки на системе. Кстати, американцы совсем не против и добровольно вступают с ними в сговор. Полиция все знает, но им по фиг. Там тоже все на связях завязано. Сажают тогда, когда кто-то с кем-то чего-то не поделил, или кого-то обидели.Vera
03.03.2012, 2:11
Не все приехавшие из России (СССР) мошенники. Я например, никак не грею руки на системе, и не собираюсь. Уважаю эту страну и эту систему (она не идеальна, но лучшего человечесто ещё не создало).Я что то сомнеаюсь, что полиция сговоре с мошенниками, и что им пофиг. Короче, страшно, что постепенно менталитет американцев может измениться,не в лучшую сторону. И всё "благодаря" очень толерантной иммиграцинной политике.
Manhattan U.S. Attorney Announces Charges Against 36 Individuals for Participating in $279 Million Health Care Fraud Scheme
Largest No-Fault Automobile Insurance Fraud Case Charged to Date Includes 10 Doctors and Three Lawyers; Charges Also Include Racketeering and Money Laundering
| U.S. Attorney’s Office February 29, 2012 |
Preet Bharara, the United States Attorney for the Southern District of New York; Janice K. Fedarcyk, the Assistant Director in Charge of the New York Office of the Federal Bureau of Investigation (“FBI”); and Raymond W. Kelly, the Police Commissioner of the City of New York (“NYPD”), announced today the unsealing of charges against 36 defendants involved in a systematic scheme to defraud private insurance companies of more than $279 million under New York’s no-fault automobile insurance law. The indictment includes racketeering charges against eight members and associates of a criminal organization consisting primarily of individuals of Russian descent who were the owners and controllers of fraudulent medical clinics (the “No Fault Organization”), as well as 10 licensed doctors and three attorneys. The alleged scheme identified today is the largest single no-fault automobile insurance fraud ever charged, and the first case of its kind to allege violations of the Racketeer Influenced and Corrupt Organizations (“RICO”) Act.
All of the defendants were arrested this morning in connection with today’s charges. Thirty-five were taken into custody in New York and New Jersey and will be presented and arraigned in Manhattan federal court before U.S. Magistrate Judge Theodore H. Katz later this afternoon. One defendant was arrested in Duluth, Minnesota and will be presented tomorrow in federal court in the District of Minnesota.
Manhattan U.S. Attorney Preet Bharara said: “Today’s charges expose a colossal criminal trifecta, as the fraud’s tentacles simultaneously reached into the medical system, the legal system, and the insurance system, pulling out cash to fund the defendants’ lavish lifestyles. As alleged, the scheme relied on a cadre of corrupt doctors who essentially peddled their medical licenses like a corner fraudster might sell fake IDs, except those medical licenses allowed unlawful entry, not to a club or a bar, but to a multi-billion-dollar pool of insurance proceeds.”
FBI Assistant Director in Charge Janice K. Fedarcyk said: “Our investigation uncovered a pattern of lucrative fraud exploiting New York’s no-fault auto insurance system to the tune of more than a quarter-of-a-billion dollars. The criminal enterprise, while it lasted, was obscenely profitable. The scheme not only unjustly enriched the defendants and defrauded insurance companies. Auto insurance fraud is also a crime that indirectly victimizes every driver in New York.”
NYPD Commissioner Raymond W. Kelly said: “Our undercover officers were treated like thousands of other ‘patients’ receiving therapy, tests, and medical equipment they didn’t need. I want to congratulate the U.S. Attorney’s Office and the agents and detectives assigned to the joint FBI-NYPD Organized Crime Task Force for bringing this investigation to a successful conclusion.”
The following allegations are based on the unsealed indictment and other documents filed today in Manhattan federal court:
Under New York state law, every vehicle registered in the state is required to have no-fault automobile insurance, which enables the driver and passengers of a registered and insured vehicle to obtain benefits of up to $50,000 per person for injuries sustained in an automobile accident, regardless of fault (the “No-Fault Law”). The No-Fault Law requires prompt payment for medical treatment, thereby obviating the need for claimants to file personal injury lawsuits in order to be reimbursed. Under the No-Fault Law, patients can assign their right to reimbursement from an insurance company to others, including medical clinics that provide treatment for their injuries. New York state law also requires that all medical clinics in the state be incorporated, owned, operated, and/or controlled by a licensed medical practitioner in order to be eligible for reimbursement under the No-Fault Law. Insurance companies will not honor claims for medical treatments from a medical clinic that is not actually owned, operated, and/or controlled by a licensed medical practitioner.
From at least 2007 through 2012, the No-Fault Organization has engaged in a massive and sophisticated scheme to defraud automobile insurance companies of hundreds of millions of dollars by, among other things, creating and operating medical clinics that provided unnecessary and excessive medical treatments in order to take advantage of the No-Fault Law. In order to mislead New York authorities and private insurers, the true owners of these medical clinics (“Clinic Controllers”), almost all of whom were also members and associates of a criminal organization consisting primarily of individuals of Russian descent, paid licensed medical practitioners, including doctors, to use their licenses to incorporate the professional corporations, through which the medical clinics billed the private insurers for the bogus medical treatments. These doctors effectively operated as “straw owners” of the clinics.
The Clinic Controllers paid thousands of dollars in kickbacks to runners who recruited automobile accident passengers to receive medically unnecessary treatments from the no-fault clinics. They also instructed the clinic doctors/straw owners to prescribe excessive and unwarranted referrals for various “modality treatments” for every patient they saw. The treatments included physical therapy, acupuncture, and chiropractic treatments—as many as five times per week for each—and treatments for psychology, neurology, orthopedics, and audiology. Clinic doctors also prescribed unnecessary MRI’s, x-rays, orthopedics, and medical supplies. The Clinic Controllers received thousands of dollars in kickbacks for patient referrals from the owners of the modality clinics (“Modality Controllers”), who were members and associates of the same criminal organization to which the members of the No-Fault Organization and Clinic Controllers belonged.
The Clinic Controllers also referred patients to personal injury lawyers who filed bogus lawsuits on behalf of the patients and coached them on what injuries to claim in order to get as many treatments as possible. The personal injury lawyers also paid the Clinic Controllers thousands of dollars in kickbacks for these referrals.
In order to conceal and disguise the millions of dollars in claims paid by the automobile insurance companies, the members of the No-Fault Organization laundered the money through shell companies and corrupt check-cashing services. Often, checks would be written from the No-Fault or Modality Clinics with the payee line left blank, and in amounts less than $10,000 in order to avoid potential financial institution reporting requirements and other scrutiny. The checks were then cashed through check-cashers who made the checks payable to shell companies they controlled in order to conceal the true nature and purpose of the checks. The cash was then returned to members of the No-Fault Organization to fund kickbacks and for their personal use. At other times, the members and associates of the No-Fault Organization paid themselves through their own shell companies and then used the criminal proceeds to fund expensive vacations and to purchase luxury goods.
U.S. Attorney Preet Bharara thanked the FBI and the NYPD for their work in the 18-month investigation, which he noted is ongoing. Mr. Bharara also thanked the National Insurance Crime Bureau and the investigative units of the insurance companies that provided invaluable assistance with the investigation, as well as the Manhattan District Attorney’s Office.
The case is being prosecuted by the office’s Organized Crime Unit. Assistant U.S. Attorneys Daniel S. Goldman, Nicholas L. McQuaid and Carolina Fornos are in charge of the prosecution. Assistant U.S. Attorney Jason L. Cowley of the office’s Asset Forfeiture Unit is responsible for the forfeiture of assets.
The charges contained in the indictment are merely accusations, and the defendants are presumed innocent unless and until proven guilty.
- Prepared remarks of ADIC Fedarcyk at press conference
All of the defendants were arrested this morning in connection with today’s charges. Thirty-five were taken into custody in New York and New Jersey and will be presented and arraigned in Manhattan federal court before U.S. Magistrate Judge Theodore H. Katz later this afternoon. One defendant was arrested in Duluth, Minnesota and will be presented tomorrow in federal court in the District of Minnesota.
Manhattan U.S. Attorney Preet Bharara said: “Today’s charges expose a colossal criminal trifecta, as the fraud’s tentacles simultaneously reached into the medical system, the legal system, and the insurance system, pulling out cash to fund the defendants’ lavish lifestyles. As alleged, the scheme relied on a cadre of corrupt doctors who essentially peddled their medical licenses like a corner fraudster might sell fake IDs, except those medical licenses allowed unlawful entry, not to a club or a bar, but to a multi-billion-dollar pool of insurance proceeds.”
FBI Assistant Director in Charge Janice K. Fedarcyk said: “Our investigation uncovered a pattern of lucrative fraud exploiting New York’s no-fault auto insurance system to the tune of more than a quarter-of-a-billion dollars. The criminal enterprise, while it lasted, was obscenely profitable. The scheme not only unjustly enriched the defendants and defrauded insurance companies. Auto insurance fraud is also a crime that indirectly victimizes every driver in New York.”
NYPD Commissioner Raymond W. Kelly said: “Our undercover officers were treated like thousands of other ‘patients’ receiving therapy, tests, and medical equipment they didn’t need. I want to congratulate the U.S. Attorney’s Office and the agents and detectives assigned to the joint FBI-NYPD Organized Crime Task Force for bringing this investigation to a successful conclusion.”
The following allegations are based on the unsealed indictment and other documents filed today in Manhattan federal court:
Under New York state law, every vehicle registered in the state is required to have no-fault automobile insurance, which enables the driver and passengers of a registered and insured vehicle to obtain benefits of up to $50,000 per person for injuries sustained in an automobile accident, regardless of fault (the “No-Fault Law”). The No-Fault Law requires prompt payment for medical treatment, thereby obviating the need for claimants to file personal injury lawsuits in order to be reimbursed. Under the No-Fault Law, patients can assign their right to reimbursement from an insurance company to others, including medical clinics that provide treatment for their injuries. New York state law also requires that all medical clinics in the state be incorporated, owned, operated, and/or controlled by a licensed medical practitioner in order to be eligible for reimbursement under the No-Fault Law. Insurance companies will not honor claims for medical treatments from a medical clinic that is not actually owned, operated, and/or controlled by a licensed medical practitioner.
From at least 2007 through 2012, the No-Fault Organization has engaged in a massive and sophisticated scheme to defraud automobile insurance companies of hundreds of millions of dollars by, among other things, creating and operating medical clinics that provided unnecessary and excessive medical treatments in order to take advantage of the No-Fault Law. In order to mislead New York authorities and private insurers, the true owners of these medical clinics (“Clinic Controllers”), almost all of whom were also members and associates of a criminal organization consisting primarily of individuals of Russian descent, paid licensed medical practitioners, including doctors, to use their licenses to incorporate the professional corporations, through which the medical clinics billed the private insurers for the bogus medical treatments. These doctors effectively operated as “straw owners” of the clinics.
The Clinic Controllers paid thousands of dollars in kickbacks to runners who recruited automobile accident passengers to receive medically unnecessary treatments from the no-fault clinics. They also instructed the clinic doctors/straw owners to prescribe excessive and unwarranted referrals for various “modality treatments” for every patient they saw. The treatments included physical therapy, acupuncture, and chiropractic treatments—as many as five times per week for each—and treatments for psychology, neurology, orthopedics, and audiology. Clinic doctors also prescribed unnecessary MRI’s, x-rays, orthopedics, and medical supplies. The Clinic Controllers received thousands of dollars in kickbacks for patient referrals from the owners of the modality clinics (“Modality Controllers”), who were members and associates of the same criminal organization to which the members of the No-Fault Organization and Clinic Controllers belonged.
The Clinic Controllers also referred patients to personal injury lawyers who filed bogus lawsuits on behalf of the patients and coached them on what injuries to claim in order to get as many treatments as possible. The personal injury lawyers also paid the Clinic Controllers thousands of dollars in kickbacks for these referrals.
In order to conceal and disguise the millions of dollars in claims paid by the automobile insurance companies, the members of the No-Fault Organization laundered the money through shell companies and corrupt check-cashing services. Often, checks would be written from the No-Fault or Modality Clinics with the payee line left blank, and in amounts less than $10,000 in order to avoid potential financial institution reporting requirements and other scrutiny. The checks were then cashed through check-cashers who made the checks payable to shell companies they controlled in order to conceal the true nature and purpose of the checks. The cash was then returned to members of the No-Fault Organization to fund kickbacks and for their personal use. At other times, the members and associates of the No-Fault Organization paid themselves through their own shell companies and then used the criminal proceeds to fund expensive vacations and to purchase luxury goods.
***
A chart identifying each defendant, the charges, and the maximum penalties, is below. The case is assigned to U.S. District Judge J. Paul Oetken.U.S. Attorney Preet Bharara thanked the FBI and the NYPD for their work in the 18-month investigation, which he noted is ongoing. Mr. Bharara also thanked the National Insurance Crime Bureau and the investigative units of the insurance companies that provided invaluable assistance with the investigation, as well as the Manhattan District Attorney’s Office.
The case is being prosecuted by the office’s Organized Crime Unit. Assistant U.S. Attorneys Daniel S. Goldman, Nicholas L. McQuaid and Carolina Fornos are in charge of the prosecution. Assistant U.S. Attorney Jason L. Cowley of the office’s Asset Forfeiture Unit is responsible for the forfeiture of assets.
The charges contained in the indictment are merely accusations, and the defendants are presumed innocent unless and until proven guilty.
- Prepared remarks of ADIC Fedarcyk at press conference
| Count | Charge | Maximum Penalty |
|---|---|---|
| Count one | RICO conspiracy (mail fraud and money laundering) | 20 years |
| Count two | Conspiracy to commit health care fraud | 10 years |
| Count three | Conspiracy to commit mail fraud | 20 years |
| Count four | Conspiracy to commit money laundering | 20 years |
| Defendant | Age/Residence | Alleged Role in the Scheme | Charges | Maximum Penalty |
|---|---|---|---|---|
| Mikhail Zemlyansky | 35/Hewlett, NY | Clinic/modality controller | Counts one, two, three, four | 70 years |
| Michael Danilovich | 38/Brooklyn, NY | Clinic/modality controller | Counts one, two, three, four | 70 years |
| Yuriy Zayonts | 40/Staten Island, NY | Clinic/modality controller | Counts one, two, three, four | 70 years |
| Mikhail Kremerman | 41/Staten Island, NY | Clinic/modality controller | Counts one, two, three, four | 70 years |
| Matthew Conroy | 42/Melville, NY | Attorney | Counts one, two, three, four | 70 years |
| Michael Barukhin | 32/Brooklyn, NY | Clinic/modality controller | Counts one, two, three, four | 70 years |
| Mikhail Ostrumsky | 42/Brooklyn/NY | Clinic controller | Counts one, two, three, four | 70 years |
| Boris Treysler | 42/Brooklyn/NY | Clinic controller | Counts one, two, three, four | 70 years |
| Andrey Anikeyev | 37/Fort Lee, NJ | Modality controller | Counts two, three, four | 50 years |
| Vladimir Grinberg | 35/Staten Island, NY | Modality controller | Counts two, three, four | 50 years |
| Vladislav Zaretskiy | 40/Staten Island, NY | Clinic/modality controller | Counts two, three, four | 50 years |
| Yevgeniy Shuman | 33/Brooklyn, NY | Clinic manager | Counts two, three, four | 50 years |
| Dmitry Slobodyansky | 41/Brooklyn, NY | Modality controller | Counts two, three, four | 50 years |
| Alexander Sandler | 57/East Brunswick, NJ | Clinic controller | Counts two, three | 30 years |
| Gregory Mikhalov | 56/Brooklyn, NY | Modality controller | Counts two, three | 30 years |
| Michael Morgan | 33/Port Washington, NY | Modality controller | Counts two, three | 30 years |
| Mark Danilovich | 60/Brooklyn, NY | Modality controller | Counts two, three | 30 years |
| Jeffrey Lereah | 56/Suffern, NY | Modality manager | Counts two, three | 30 years |
| Dmitry Lipis | 44/Brooklyn, NY | Clinic manager | Counts two, three | 30 years |
| Lynda Tadder | 34/Brooklyn, NY | Clinic manager | Counts two, three | 30 years |
| Maria Diglio | 47/Garden City, NY | Attorney | Counts two, three | 30 years |
| Sol Naimark | 53/Flushing, NY | Attorney | Counts two, three | 30 years |
| Sergey Gabinsky | 54/Brooklyn, NY | Doctor | Counts two, three | 30 years |
| Tatyana Gabinskaya | 57/Brooklyn, NY | Doctor | Counts two, three | 30 years |
| Joseph Vitoulis | 42/Valley Stream, NY | Doctor | Counts two, three | 30 years |
| Lauretta Grzegorczyk | 64/Staten Island, NY | Doctor | Counts two, three | 30 years |
| Eva Gateva | 48/Bronx, NY | Doctor | Counts two, three | 30 years |
| Zuheir Said | 64/Bronx, NY | Doctor | Counts two, three | 30 years |
| David Thomas | 42/Hopewell Junction/NY | Doctor | Counts two, three | 30 years |
| Billy Geris | 53/Morganville, NJ | Doctor | Counts two, three | 30 years |
| Mark Shapiro | 46/Brooklyn, NY | Doctor | Counts two, three | 30 years |
| Robert Della Badia | 72/South Salem, NY | Doctor | Counts two, three | 30 years |
| Michelle Glick | 33/Duluth, MN | Acupuncture practitioner | Counts two, three | 30 years |
| Pavel Poznansky | 52/Brooklyn, NY | Acupuncture practitioner | Counts two, three | 30 years |
| Chad Greenshner | 45/Flushing, NY | Chiropractic practitioner | Counts two, three | 30 years |
| Constantine Voytenko | 40/Brooklyn, NY | Chiropractic practitioner | Counts two, three | 30 years |
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