New Jersey firefighter convicted on four counts in multi-million dollar medical fraud – InsuranceNewsNet


CAMDEN, N.J. — A Margate, N.J., firefighter was found guilty today of four counts of defrauding public health plans of nearly $1 million, U.S. Attorney Vikas Khanna announced today. Did.

Thomas Sher, 50, of Northfield, New Jersey, pleaded guilty to one count of conspiracy to commit health care fraud and three counts of health care fraud after a 12-day trial before U.S. District Judge Robert B. Kugler in Camden Federal Court. convicted of the case.

According to documents and court evidence filed in this case:

Sher was part of a criminal conspiracy that recruited state and local government officials and paid them to receive medically unnecessary prescription drugs. Sher had pharmacy benefit managers pay about $1 million for individual medically unnecessary compound prescription drugs they recruited into the scheme. Sher received about $115,000 directly from this scheme.

Sher and others were indicted in March 2019 for defrauding New Jersey’s health benefits program and other insurance companies. To date, about 40 people have been convicted or pleaded guilty to conspiracy charges.

Sher faces up to 10 years in prison and a $250,000 fine, or twice the gross profit or loss resulting from the violation, whichever is greater. Sentencing he is scheduled for January 10, 2023.

U.S. Attorney Khanna has honored a special agent from the FBI’s Atlantic City Representative Office under the direction of Newark special agent James E. Dennehy. IRS – Special Agent for Criminal Investigations under the direction of Special Agent Tammy Tomlins of Newark. The Office of the Inspector General for the New York Area of ​​the U.S. Department of Labor, under the direction of special agent in charge, Jonathan Melone, led to today’s verdict.

The government is represented by Assistant U.S. Attorney for the Criminal Division Christina O. Hudd and Deputy Director of the Criminal Division Desiree L. Grace.

Press release number:


Updated September 8, 2022

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