Louisiana Man Sentenced to 3 Years in Prison for Conspiracy to Commit Health Care Fraud
Jackson, Miss. – Joseph L. Wiley, II, 51, of West Monroe, Louisiana, was sentenced today by U.S. District Judge Keith Starrett to 36 months in prison, followed by 3 years of supervised release, for conspiracy to commit health care fraud, announced U.S. Attorney Mike Hurst, Special Agent in Charge Michelle Sutphin with the Federal Bureau of Investigation in Mississippi, Acting Special Agent in Charge Andrew M. Thornton of IRS Criminal Investigation’s New Orleans Field Office, Special Agent in Charge Cynthia Bruce of the Defense Criminal Investigative Service’s Southeast Field Office, and Director Steven Maxwell with the Mississippi Bureau of Narcotics.
Wiley was also ordered to pay a $500,000 fine and forfeit $300,000 to the government.
In April 2019, Wiley pled guilty to helping Mississippi pharmacies submit millions worth of fraudulent claims to government health care programs through the use of his business, Affordable Medication Solutions, LLC (AMS). Wiley used AMS to create a program that allowed compound pharmacies to provide healthcare benefit programs documents showing co-payments had been paid on prescription medications when in fact, AMS did not make payments to the pharmacies for the co-payments. When a few of the compound pharmacies were audited, Wiley assisted those pharmacies by providing fictitious documents, including explanations of benefits and fake checks. Through AMS, Wiley facilitated the concealment of at least $56 million in fraudulent billings to health care benefit programs.
This case was investigated by FBI’s Jackson Field Office, Internal Revenue Service Criminal Investigation, Defense Criminal Investigation Service, and the Mississippi Bureau of Narcotics. It was prosecuted by Assistant Chief Dustin M. Davis and Trial Attorney Sara E. Porter and Katherine Payerle of the DOJ Criminal Division’s Fraud Section and Assistant U.S. Attorney Kathlyn R. Van Buskirk of the Southern District of Mississippi.