Siblings charged in Medicare fraud

NEW YORK – Erin Foley and Ted Albin have been arrested on charges of health care fraud and conspiracy to violate the Anti-Kickback Statute, according to the U.S. Attorney for the Southern District of New York and the New York Regional Office of the U.S. Department of Health and Human Services - Office of Inspector General. From at least 2018 through 2021, the pair ran Grapevine Professional Services, Inc., a billing company that they used to bill Medicare for more than $25 million, and to collect more than $9 million, through claims based on orders for DME that were allegedly unlawfully sold and bought. Such billing included both billing directly to Medicare through Medicare Part B and billing to private insurance companies that were reimbursed through Medicare Part C. Most of these allegedly unlawful purchases of DME orders were by Grapevine customers that were registered with Medicare as DME supply companies. Additional unlawful purchases were made directly by Foley and Albin through three DME supply companies that they themselves owned and controlled. Foley of Loxahatchee, Fla., and Albin of Stuart, Fla., are each charged with conspiracy to commit health care fraud and wire fraud, which carries a maximum sentence of 20 years in prison; health care fraud, which carries a maximum sentence of 10 years in prison; wire fraud, which carries a maximum sentence of 20 years in prison; and conspiracy to violate the Anti-Kickback Statute, which carries a maximum sentence of five years in prison.