United States of America v. Kakha Bendeliani and Goga Danelia

Concord, New Hampshire, criminal defense lawyers represented the Defendants charged with health care fraud.

Kakha Bendeliani, 48, and Goga Danelia, 37, both of the country of Georgia, were charged with conspiring to commit money laundering in connection with a nationwide health care fraud scheme in which nearly $3 billion in fraudulent claims were submitted to Medicare for durable medical equipment (“DME”). As a result of the claims, Medicare and Medicare Supplemental Insurers paid at least approximately $12.5 million to Centennial Med Supply LLC (“Centennial”), a fraudulent DME company linked to Bendeliani and Danelia.

Both Bendeliani and Danelia allegedly laundered proceeds for the Transnational Criminal Organization that perpetuated the largest health care fraud intended loss case ever prosecuted by the Department of Justice, as uncovered by Operation Gold Rush. The Organization, based in Russia and elsewhere, orchestrated a multi-billion-dollar health care fraud and money laundering scheme to target, exploit, and steal from Medicare, other government-sponsored health insurance programs, and private health insurance companies.

As alleged in charging documents, the fraudulent claims relied, in part, on the stolen identities of citizens from New Hampshire, across New England, and throughout the United States to justify the fraudulent billings. Hundreds of thousands of Americans, including the elderly and disabled Americans, reported their concerns to Medicare and its contractors after receiving explanation of benefit forms that reflected them purportedly receiving DME that they did not in fact receive, that was purportedly prescribed by doctors whom they had never visited, and purportedly delivered from DME companies with which they were unfamiliar.

As further alleged, the Organization exploited the United States’ financial system by depositing insurance reimbursement checks from the fraud. The health care fraud proceeds were particularly susceptible to laundering because they originated from legitimate sources—Medicare and established private insurance carriers—giving the funds the initial appearance of legitimacy. To gain access to the United States’ financial system, the Organization deployed a range of tactics to circumvent internal controls at multiple banks and in some cases coordinated directly with associates employed at the banks, and, in doing so, exposed United States banks to substantial compliance risk.

As further alleged, to open financial accounts, the Organization armed its nominee owners, many of whom were not lawfully present in the United States, with false sale documentation and false corporate registration documents. This documentation falsely reflected that the nominee owners maintained beneficial ownership and control of various fraudulent DME companies. This disguised the true beneficial ownership and control of the companies and the financial accounts. Upon opening the financial accounts, the Organization funneled fraud proceeds from Medicare and other legitimate health care insurers into the accounts as seemingly “clean” money. From there, the Organization siphoned off the funds to shell companies and various banks overseas.

Surveillance showing Kakha Bendeliani at a financial institution during the conspiracy

“This transnational operation is accused of defrauding Medicare out of big money by using vulnerable patients, including many right here in New England, as pawns,” said Ted E. Docks, Special Agent in Charge of the FBI’s Boston Division. “The FBI would like to thank the hundreds of thousands of Americans who noticed that Medicare was being billed for catheters they either did not need, or did not receive, and reported it. By working together, we increase our chances of bringing those who fleece the U.S. government to justice.”

“Criminal efforts to steal billions from Medicare are, at their core, a direct theft from the pockets of America’s taxpayers,” said Roberto Coviello, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General. “As alleged, these defendants helped launder millions in fraudulent Medicare proceeds overseas, and HHS-OIG will use every tool at our disposal to bring to justice those who participate in schemes that target federal health care programs.”

“These charges demonstrate the VA OIG’s unwavering commitment to ensuring the integrity of claims submitted to VA healthcare programs,” said Special Agent in Charge Chris Algieri with the Department of Veterans Affairs Office of Inspector General’s Northeast Field Office. “The VA OIG thanks the US Attorney’s Office for the District of New Hampshire, the New England Strike Force, and our law enforcement partners for their efforts in this investigation.”

“Millions of dollars that should have gone to patients with legitimate medical needs were siphoned away and sent to overseas accounts by this wide-ranging fraud scheme,” said FBI Denver Special Agent in Charge Amanda Koldjeski. “The FBI’s health care fraud teams will continue to expose the criminals illegally taking hard-earned money from American taxpayers.