A Falmouth man pleaded guilty in federal court in New Hampshire on Tuesday to participating in a money laundering conspiracy tied to a $6 million Medicare fraud scheme, prosecutors said.
Leo Anzivino, Jr., 35, faces up to 10 years in federal prison. He is scheduled for sentencing Jan. 21.
Federal prosecutors alleged Anzivino helped conceal the identities of the actual owners of Advanced Medical Supply Corp., a medical equipment company based in Rochester, N.H., that submitted more than $6 million in fraudulent claims to Medicare.
The company billed Medicare for equipment, including knee and back braces, that patients did not need and doctors had not prescribed, prosecutors said. The claims were supported by fraudulent physician orders that the doctors had never written or submitted, according to prosecutors.
Medicare ultimately paid more than $3 million on the claims, prosecutors…
MANAGEMENT & CULTURE (THE “TONE AT THE TOP”)
Fraud thrives in “sloppy” environments where leadership ignores the rules.
- The Fraud Triangle: For fraud to occur, three elements must be present: Pressure (the need for money), Rationalization (thinking “I deserve this”), and Opportunity (weak controls). You can only control the Opportunity.
- Whistleblower Hotline: Provide an anonymous way for staff to report “odd behavior.” Most internal frauds are caught via tips, not audits.
- Background Checks: Conduct credit and criminal record checks for all employees in financial or data-sensitive roles.
- Annual Ethics Training: Make sure every staff member knows that the company has a Zero Tolerance policy toward “borrowing” from petty cash or fudging overtime.