Hospitals, Laboratories and Clinics

In Texas, an owner/operator of a physical therapy clinic was sentenced to 51 months in prison for conspiracy to commit health care fraud. Her co-defendant was previously sentenced to 33 months in prison. In addition, the two were ordered to pay $1.3 million in joint and several restitution. The investigation revealed that from April 1999 through July 2000, claims submitted to Medicare and Medicaid were for physical therapy services that were not performed, or were not performed or supervised by a licensed physician.

Practitioners

In Alaska, a chiropractor was ordered to pay $38,000 in fines and restitution for health care fraud. The chiropractor billed for services that were upcoded, not rendered, and/or delivered by another provider.

Child Support Enforcement

In Michigan, a man was sentenced to 5 years probation and ordered to pay $49,000 for failure to pay child support for his daughter. The man was a professional heavy weight boxer and currently an owner of a record label company. In addition, the man was returned to Georgia to face charges of aggravated assault and battery.

Other Cases of Interest

In Montana, a woman was sentenced to 10 months home detention and ordered to pay $20,000 in restitution for wire fraud and education assistance fraud. The woman used a fraudulent General Education Development Certificate to apply for and receive Indian Health Service, Department of Education, and Department of Interior educational assistance funds for which she was not entitled. This investigation involved OIG, Department of Education, and Department of Interior.