December 2005 Criminal Enforcement Report

Archive Criminal Enforcement Archive

Medicaid Fraud

In Illinois, a dentist was sentenced to 63 months in prison and ordered to pay $827,000 in restitution and a $20,000 fine; he was found guilty in a jury trial on charges of mail fraud and health care fraud. The dentist performed unnecessary dental procedures on patients and billed for services not performed or not performed as indicated.

Physicians

In Washington D.C., a podiatrist was sentenced to 6 months home detention and ordered to pay $30,000 in restitution for submitting false claims to Medicare. Investigation revealed that the podiatrist billed Medicare for services such as surgery when he actually only provided routine foot care. The podiatrist also submitted claims to Medicare for patients that he did not treat at all.

Child Support Enforcement

In Illinois, a man was sentenced to 22 months in prison, 1 year supervised release and ordered to pay $59,000 in restitution for failure to pay child support. In addition, after his release from prison, the man must obtain full-time employment or work 20 hours per week of community service until he secures a full-time job.

Return to Top Top