Nagaindra Srivastav has pleaded guilty to conspiracy and kickback charges for his role in selling fraudulent doctors’ orders to his co-conspirators, who used the orders to obtain at least $25 million in fraudulent payments from Medicare. Srivastav was the owner of B2B Apps Solutions (“B2B”), a Florida-based company. Through B2B, Srivastav and his co-conspirators created and operated an internet-based platform that individuals and businesses in the healthcare industry used for the purchase and sale of physician orders for Durable Medical Equipment (“DME”), such as ankle, back, knee, or leg braces.
Through B2B, Srivastav paid and received remuneration for the referral of federal healthcare business. To accomplish this, Srivastav created a website, RepsHub, in which DME companies and others uploaded potential DME-patient information, called “leads,” which were generally obtained through telemarketing campaigns targeting beneficiaries for whom DME products could be billed. In addition, and in conjunction with his selling of physician orders, Srivastav also offered and sold leads, which he obtained through call centers controlled by himself and his co-conspirators. Srivastav purchased the physicians’ orders that he sold to his customers from purported telemedicine companies based in the Philippines and Pakistan. These orders lacked medical necessity, and Srivastav was notified on numerous occasions that the purported authorizing physician had not actually spoken with the patient, signed the order, or prescribed the braces. Although Srivastav never personally submitted claims to Medicare or any other healthcare program, he is responsible for at least $25 million in federal healthcare program reimbursement.
