June 2005 Criminal Enforcement Report

Archive Criminal Enforcement Archive

Practitioners

In Utah, pursuant to his guilty plea, a doctor was sentenced to time served and ordered to pay $146,000 in restitution. The doctor billed Medicare, Medicaid and private insurers for IV therapy but actually treated patients with chelation therapy, a non-covered service. In Wisconsin, a cardiologist was ordered to pay a $5,000 fine for transporting an unapproved medical device which he used in a medical procedure. In March 2005, the cardiologist entered into a $1 million settlement with the Government to resolve his liability under the False Claims Act for allegedly submitting claims to Medicare for medical procedures using the unapproved medical device.

Kickbacks

In Louisiana, the former owner/administrator of a geriatric psychiatric facility was sentenced to 15 months in prison and ordered to pay $313,000 in restitution for health care fraud and for illegal payment of kickbacks. The man failed to disclose a related party on the facility’s 1999 cost report and paid marketers for Medicare referrals. In addition, for receiving illegal kickback payments, a marketer was ordered to pay $67,000 in restitution.

Child Support Enforcement

In Illinois, pursuant to his guilty plea, a man was sentenced to 5 years probation and ordered to pay $48,000 in restitution for failure to pay child support. A former law enforcement officer, the man never made a voluntary payment since ordered in 1992.

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