April 2004 Criminal Enforcement Report

Archive Criminal Enforcement Archive

Misuse of Grant Funds

In Montana, a former university professor was sentenced to 5 months incarceration and ordered to pay $39,000 in restitution for embezzlement. While employed at a State university, the man received grant funds to coordinate a community campaign against teen drug, alcohol and tobacco use. Although the man failed to complete the project, he used the grant funds for his own personal use.

Durable Medical Equipment

In Florida, a durable medical equipment owner was ordered to pay $3,000 in restitution related to a scheme to defraud. The owner paid a printing and graphics company to print 20 prescription pads using the licensing and business information of a physician without his knowledge. In addition, the owner submitted 16 fraudulent claims to Medicare for custom fitted orthotic equipment purportedly prescribed by the physician.

Employee Misconduct

In New Mexico, a former Indian Health Service nurse was sentenced for unlawful possession of a controlled substance. An investigation revealed that the nurse removed numerous narcotic drugs from the hospital’s emergency room without physician orders.

Physicians and Other Health Care Professionals

In New York, three subjects were sentenced for their roles in a scheme to defraud the Government and private insurers. A podiatrist was sentenced for submitting claims for services that were either upcoded, not rendered, or were medically unnecessary. Also sentenced were two billing clerks who at the direction of the office manager, submitted claims that they knew were fraudulent.

Child Support Enforcement

In Montana, a man was sentenced to 24 months in prison and ordered to pay $45,000 in restitution for failure to pay child support. The man used various dates of birth and Social Security numbers to avoid detection.

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