DOCTOR IN 57-MILLION-DOLLAR FRAUD CASE FOUND TO HAVE ONLY 189K IN ATTRIBUTABLE LOSSES

This alleged 57-million-dollar Medicare fraud case was extremely complex and required extensive briefing and investigation over the course of 5 years. In order to counter the charges, Mr. Kousouros and his team engaged in a very lengthy and painstaking forensic analysis that successfully convinced the Court that his client had an attributable loss amount of only $189,000. This was accomplished through a detailed analysis demonstrating that the underlying services that were rendered were almost all medically necessary, as well as through the successful invocation of the doctrine of “credits against losses”. In yet a further benefit to the client, the Court declined to order any forfeiture in his case. Of utmost significance to the client, Mr. Kousouros was also able to save the client’s medical license by obtaining a sanction of probation from the licensing authorities. Mr. Kousouros accomplished this through his lengthy submissions to the Board of Medical Conduct detailing the circumstances of the alleged fraud, his clients limited role in the offense, as well as myriad other mitigating factors.

BROOKLYN PHYSICIAN AVOIDS PRISON IN MASSIVE MEDICAID FRAUD

Here, the client was accused of medical fraud and faced 15 years in prison. After extensive negotiations, and despite overwhelming evidence of guilt, Mr. Kousouros was able to secure his client’s freedom with a sentence of probation and restitution of a fraction of the funds originally alleged to have been stolen.

PHARMACIST ACCUSED OF UNLAWFUL PRESCRIPTION NARCOTICS DISTRIBUTION RETURNS TO PROFESSION

The over arching goal in this case was to preserve the client’s professional license, which required a successful argument for a meaningful downward departure at sentencing. This was made possible by conducting an extensive and incisive investigation into the client’s life and circumstances, by securing corroboration of the results of that investigation, and by presenting that evidence to the court in as forceful and as persuasive a manner as possible.

DOCTOR ACCUSED OF MEDICARE AND MEDICAID FRAUD RESUMES MEDICAL PRACTICE

In this case, a physician was not only accused of the crime of improperly billing Medicare and Medicaid, but was also the subject of licensing and civil proceedings. Over the course of two years, all matters were resolved in a manner that avoided the permanent suspension of her license and enabled the client to resume her practice of medicine.

PHARMACIST IN SWEEPING FEDERAL INDICTMENT RESUMES HIS CAREER

This client was one of more than thirty pharmacists charged in an indictment alleging fraud in the New York area. Mr. Kousouros successfully secured a disposition that enabled the client to resume his pharmaceutical career.

PHARMACIST ACCUSED OF MEDICAID FRAUD RECEIVES PROBATION

This client was facing a prison sentence for kickbacks given to his customers in exchange for the purchase of big-ticket pharmaceuticals. Mr. Kousouros secured a sentence of probation.

PHARMACY AVOIDS CRIMINAL PROSECUTION

Mr. Kousouros represented this pharmacy while it was being investigated for financial irregularities in its billing practices with respect to Medicaid and Medicare patients. He successfully avoided any charges being filed, as well as any audits or administrative proceedings.