DALLAS (TNND) — A federal jury in Texas convicted a former NFL player — and current laboratory owner — for orchestrating a $328 million health care fraud scheme involving “medically unnecessary genetic testing.”
The Department of Justice (DOJ) said 39-year-old Keith J. Gray was found guilty of conspiracy to defraud the U.S. and to pay and receive health care kickbacks, five counts of violating the Anti-Kickback Statute, and three counts of money laundering.
“Gray, the owner and operator of two clinical laboratories, Axis Professional Labs LLC (Axis), and Kingdom Health Laboratory LLC (Kingdom), offered and paid kickbacks to marketers in exchange for their referral of Medicare beneficiaries’ DNA samples, personally identifiable information (including Medicare numbers) and signed test orders from medical providers authorizing the medically unnecessary genetic tests,” the DOJ said on…
This category refers to crimes committed by employees or insiders against their own organizations. It is often the most damaging because the perpetrator has authorized access to systems.
- Asset Misappropriation: The most common form, involving the theft of company resources. This ranges from simple “skimming” (taking cash before it’s recorded) to complex schemes involving the theft of inventory or intellectual property.
- Payroll Fraud: Employees may create “ghost employees” on the system, falsify their own timesheets to claim unworked overtime, or divert salary payments to their own accounts.
- Financial Statement Fraud: Management deliberately misrepresents the company’s financial health by inflating revenue or hiding liabilities to attract investors or meet performance bonuses.