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In Florida, a doctor was sentenced to 78 months in prison and ordered to pay $504,000 in restitution and forfeit an additional $705,000 after a jury found her guilty on all counts of an 89-count indictment including 44 charges of health care fraud. The female physician, who practiced dermatology, billed Medicare as if she performed highly complex surgical closure procedures when she actually only performed simple surgical stitches or no procedure at all. |
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In Florida, three subjects were sentenced for their roles in a scheme to submit false claims to Medicare for medically unnecessary DME. The DME company owner was sentenced to 63 months in jail; his wife was sentenced to 6 months of home confinement. As part of the scheme, the company owner paid Medicare beneficiaries for the use of their Medicare numbers in order to submit the false claims. In addition, a physician was paid for fraudulent prescriptions for the medically unnecessary DME. For his involvement in the scheme, the physician was sentenced to 36 months in jail. The 3 subjects were ordered to pay $1.3 million in joint and several restitution.
In New York, a man was sentenced to 15 months incarceration (time served) and ordered to pay $334,000 in restitution for his involvement in a health care fraud scheme. The man, who owned a durable medical equipment (DME) company, was involved in a scheme involving staged motor vehicle accidents. As part of the scheme, individuals were paid to participate in staged accidents so patients could be given DME and be referred for treatments that were not provided and/or not necessary. In turn, insurance companies were billed for fraudulent claims.
In Pennsylvania, a DME company owner/operator was sentenced to 6 months home detention and ordered to pay $31,000 in restitution for health care fraud. The man billed the Medicare program for prosthetic limbs and other DME that was never provided to beneficiaries.
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