March 2005 Criminal Enforcement Report
Transportation Fraud
In Delaware, the co-owner of a non-emergency transportation company was ordered to pay $88,000 in restitution for health care fraud. Investigation revealed that Medicaid was billed for trips to non-medical destinations, trips that never occurred, and for escorts that were not present.
Physicians and Other Health Care Professionals
In California, a doctor was fined $5,000 pursuant to his guilty plea for importing an unapproved drug from the United Kingdom. In addition to the sentencing, a $150,000 civil settlement was reached. The settlement resolved the doctor’s liability for billing vein procedures performed on patients using the unapproved drug.
Child Support Enforcement
In Ohio, a man was sentenced to 5 years probation and ordered to pay $52,000 in restitution for failure to pay child support. In 1988, the man was ordered to pay support for his three children. He made sporadic payments until May 1997 at which time he stopped paying completely. As part of his probation, the man was ordered to participate in a drug treatment program.