OIG Home 
Fraud
Enforcement Actions
September 2007 Criminal Enforcement Report
Practitioners
In Pennsylvania, a licensed physical therapist was sentenced to 6 months incarceration and ordered to pay over $1.2 million in restitution for health care fraud. An investigation revealed that the physical therapist submitted claims to Medicare from January 2000 through December 2002 for physical therapy services not rendered or not rendered as billed. Some of the claims filed were for dates of service that would have required him to work more than 24 hours in a day. In Hawaii, a physician was sentenced to 1 year and 1 day in prison and ordered to pay a $10,000 fine for dispensing Oxycodone outside the course of professional medical practice and for no legitimate medical purpose. An investigation revealed that the physician was illegally prescribing Oxycodone. The physician will be deported to Canada upon completion of his prison sentence.Transportation Fraud
In Virginia, an owner of a transportation business was sentenced to 12 months and 1 day in prison and ordered to pay $136,000 in restitution for health care fraud. The man's business provided transportation services to the District of Columbia's Medicaid recipients. An investigation revealed that from approximately November 2002 through May 2006, the Medicaid program was billed for non-emergency transportation services that were not rendered some of which were for dates of service that occurred after the beneficiaries' date of death.
Durable Medical Equipment
In Pennsylvania, a man was sentenced to 37 months in prison and ordered to pay over $1.6 million for transporting stolen goods in interstate commerce. The man stole 66 colonoscopes from 22 different hospitals throughout Pennsylvania, New York, West Virginia, Ohio and Indiana and then sold the equipment to various medical equipment companies.
Child Support Enforcement
In Florida, a man was sentenced to time served of 4 months, 1 year of supervised release and ordered to pay $25,000 in restitution for failure to pay child support. The man, who owed support for two different children by two different women, avoided paying his support obligation by quitting jobs once wage withholding orders were in place. One of his children was diagnosed with Attention-Deficit/Hyperactivity Disorder and has a learning disability.
Public Health-Related Investigation
In Oregon, a woman was sentenced to 6 months of home detention and ordered to pay $50,000 in restitution for fraudulently obtaining money from the Ricky Ray Hemophilia Relief Fund Program. The woman submitted a false application to the Health Resources and Services Administration purporting that she was the surviving child of an eligible Ricky Ray Relief Fund recipient. The fund provides for payment to certain individuals or the survivors of certain individuals with a blood-clotting disorder who may have contracted HIV from a blood transfusion.
