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The HIPAA Journal is the leading provider of HIPAA training, news, regulatory updates, and independent compliance advice.

Telemedicine Company Owner Agrees to Plead Guilty in $110 Million Medicare Fraud Scheme

The owner of the companies Expansion Media and Hybrid Management Group has agreed to plead guilty to one count of conspiracy to commit healthcare fraud for his role in a $110 million fraud scheme that provided unnecessary durable medical equipment (DME) to Medicare beneficiaries. Between March 2016 and January 2023, Steven Richardson, 40, of Parkland, FL, entered into business relationships with telemarketing companies that generated leads by targeting Medicare beneficiaries. Those companies allegedly paid Richardson’s two companies to generate orders for DME such as back and knee braces for Medicare beneficiaries on a per-order basis.

The orders needed to be signed by doctors and nurses who deemed the orthotic devices to be medically necessary. Richardson is alleged to have worked with medical staffing companies to find clinicians willing to review and sign prepopulated orders without having any contact with the Medicare beneficiaries. A signed order indicates that the clinician has performed a legitimate examination of the beneficiary and found the orthotics to be medically necessary. Richardson is alleged to have provided the signed orders to the telemarketing companies, who sold the orders to suppliers of DME. According to the charging documents, Richardson was aware that the DMS suppliers would be billing Medicaid for the orthotic devices, and since the orders were based on false documentation, Richardson knew that the devices were not medically necessary.

Richardson agreed to plead guilty to one count of conspiracy to commit health care fraud, the maximum sentence for which is up to 10 years in jail, plus up to 3 years of supervised release, and a fine of up to $250,000 or twice the gross gain or loss, whichever is greater. The plea hearing has yet to have a date scheduled by the court. The conviction will also see Richardson added to the HHS OIG Exclusions list, which will prevent him from participating in federally funded healthcare programs.

Author: Steve Alder is the editor-in-chief of The HIPAA Journal. Steve is responsible for editorial policy regarding the topics covered in The HIPAA Journal. He is a specialist on healthcare industry legal and regulatory affairs, and has 10 years of experience writing about HIPAA and other related legal topics. Steve has developed a deep understanding of regulatory issues surrounding the use of information technology in the healthcare industry and has written hundreds of articles on HIPAA-related topics. Steve shapes the editorial policy of The HIPAA Journal, ensuring its comprehensive coverage of critical topics. Steve Alder is considered an authority in the healthcare industry on HIPAA. The HIPAA Journal has evolved into the leading independent authority on HIPAA under Steve’s editorial leadership. Steve manages a team of writers and is responsible for the factual and legal accuracy of all content published on The HIPAA Journal. Steve holds a Bachelor’s of Science degree from the University of Liverpool. You can connect with Steve via LinkedIn or email via stevealder(at)hipaajournal.com

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