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Child
Support Enforcement
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| November 2003 |
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In Nevada, a man pled guilty and was ordered to pay a $5,000 fine for failure to pay child support.
At the court hearing, the man paid $63,000 to satisfy his arrearage in full. Since 1990, the man
concealed his assets through a business partner and other associates. Over a two-year period, he
also wired over $450,000 from business accounts to personal accounts in an effort to avoid paying
child support.
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| Physicians
and Other Health Care Professionals |
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| November 2003 |
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Pursuant to his guilty plea, a California Otolaryngologist was sentenced to 6 months incarceration
for mail fraud. The man previously agreed to pay the Government $1 million and agreed to a 15-year
exclusion to resolve his civil liability. The man routinely billed for surgical nasal endoscopies
that were not performed and billed for unnecessary ancillary tests.
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| Prescription
Drug Fraud |
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| November 2003 |
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In Maryland, a woman was found guilty on 9 counts of a 41-count indictment relating to her involvement
in a drug distribution scheme. On one count alone, the woman was ordered as part of her sentence
to be incarcerated for 10 years without the possibility of parole; she was also ordered to pay
$100,000 in restitution to the Medicaid program. In a joint investigation with the Medicaid Fraud
Control Unit, it was discovered that while employed at a clinic serving the developmentally disabled
community, the woman used her position to gain access to prescription pads and a document stamp
that was used to authenticate prescriptions for controlled substances.
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Psychological
and Psychiatric Services
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November 2003
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In Georgia, a licensed clinical social worker (LCSW) was sentenced to 12 months and 1 day incarceration
and ordered to pay $74,000 in restitution for submitting false claims to Medicare. From 1999 through
2002, the LCSW submitted claims to Medicare for psychotherapy services he did not render. On numerous
occasions, he billed for more than 24 hours worth of psychotherapy services in a day and also submitted
claims for dates of service when he was actually out of town. The man went door-to-door in senior
citizens' facilities to solicit beneficiaries, telling them that he could provide them with free "social
services." During the investigation, it was discovered that he provided false information
on his application to become a LCSW by failing to disclose past criminal history.
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