MARYLAND NEWS

A 57 year-old Rockville man, is charged with conspiracy to commit healthcare fraud and seven counts of healthcare fraud.

According to an indictment, between January 2022 and May 2026, the founder and CEO of Tiero, LLC, a company located in Gaithersburg, Maryland, allegedly conspired with others to personally enrich himself and maximize the financial success of the compan. Through the conspiracy, th founder/CEO and his co-conspirators schemed to obtain money through false and fraudulent representations to insurers. 

The indictment further alleges that as part of the healthcare fraud scheme, the founder/CEO and his co-conspirators sent false emails, letters, and paperwork to the Maryland Department of Health (MDH) to obtain a Clinical Laboratory Improvement Amendments (CLIA) certification for Tiero. As part of the conspiracy, the founder/CEO and his co-conspirators submitted documents that falsely portrayed Tiero’s medical providers performing on-site COVID-19 testing at the company’s purported lab.  The co-conspirators then used Tiero’s CLIA license to submit fraudulent claims to insurers that listed false dates of service, a fake place of service, and a phony rendering provider for COVID-19 tests that would have been administered or analyzed by a provider at Tiero.  

However, in reality, the founder/CEO and his co-conspirators merely shipped over-the-counter, self-administered COVID-19 tests to insured individuals across the country.  In total, the founderCEO and co-conspirators caused the submission of more than $100 million in false and fraudulent healthcare claims, resulting in more than $50 million in insurance payments to Tiero.  Source: US Attorney, District of Maryland

A Baltimore company that had its offices raided by the FBI on Wednesday received at least $32 million in taxpayer dollars through Medicaid, a Spotlight on Maryland investigation found. The company has not been publicly accused or found guilty of Medicaid fraud by law enforcement. Source: https://foxbaltimore.com

The appellate court is far from ruling on the merits of the city’s arguments that the IG's subpoenas are equivalent to civilians’ records requests under the Maryland Public Information Act and that the Baltimore City Law Department must review everything for potential violations of attorney-client privilege or privacy rules before handing it over to the office. Nor has the court ruled on the inspector general’s argument of being a “co-custodian” of all city records. The city has not yet filed an opening appeal brief, and the court has not yet set a schedule for filings and arguments. Source: https://thedailyrecord.com/

IG says the city did not restore records access by 1 p.m. today in defiance of Judge Pamela White’s order. Source: BaltimoreBrew.com

An Appellate Court judge denied an emergency motion filed by the city earlier on Friday aimed at blocking a Circuit Court order for the city to restore the Baltimore inspector general's access to city records.

In a written order, the panel of the court said the city failed to demonstrate it will suffer irreparable harm absent a stay.

 DOCUMENT: Read the Appellate Court decision on the city's emergency appeal

The decision effectively forces the city to restore the inspector general's access to city systems, but it is not immediately clear by when. The original deadline to restore server access was Sept. 23. Source: WBALTV.com

Maryland's Health Department now says $6.4 million in Medicaid payments was proper reimbursement for hospitalizations. Source: marylandmatters.org

The former insurance brokers accused of an international healthcare conspiracy argued Friday that CareFirst of Maryland’s racketeering lawsuit against them was filed after the statute of limitations had passed. As such, the company’s $50 million claim should be dismissed, they say. Source: Baltimore Sun via msn.com

Source: https://ag.maryland.gov

A 51 year-old Windsor Mill man pleaded guilty in Baltimore County Circuit Court to eight charges arising from different schemes to fraudulently obtain Maryland state public contracts and funds. Through those schemes, he obtained​ $417,451 and attempted to steal another $92,672. 

From 2020 through 2024, he fraudulently obtained cleaning contracts for Maryland Department of Labor facilities, grants from the Port of Baltimore Worker Retention Program, and unemployment insurance benefits. He also attempted to fraudulently obtain a state income tax refund. Source:https://oag.maryland.gov

A federal judge sentenced the prominent lawyer, 56, of Chevy Chase, Maryland, to six years in prison, followed by five years of supervised release, for tax evasion; assisting with preparing false tax returns; willfully failing to timely pay taxes; and making false statements to mortgage lenders.  Additionally, the judge ordered him to pay $3,103,427 in restitution, and an indeterminate forfeiture amount. The Court also revoked his bond and remanded him into custody. Source: Daily Voice Montgtomery County via msn.com and US Attorney, District of Maryland