January 2006 Criminal Enforcement Report

Archive Criminal Enforcement Archive

Transportation Fraud

In Virginia, an owner/operator of a non-emergency medical transportation provider was sentenced to 8 months in jail and ordered to pay $21,000 in restitution for health care fraud. The owner/operator defrauded the Virginia Medicaid program by billing for trips for individuals as non-ambulatory when, in fact, they were ambulatory, and for billing excessive mileage.

Employee Misconduct

In Maryland, a former NIH program specialist was sentenced to 9 months home detention and ordered to pay $142,000 in restitution for theft of Government property. The man used his Government-issued credit card to make unauthorized purchases.

Practitioners

In Virginia, a doctor was sentenced for racketeering, illegal distribution of prescription drugs, illegal distribution of marijuana to a patient, and health care fraud. The doctor owned and operated a criminal enterprise where he illegally distributed prescription narcotics, as well as, submitted false claims to Medicare and Medicaid.

Child Support Enforcement

In California, pursuant to his guilty plea, a man was sentenced to 5 years probation, to include 1 year of home detention, and ordered to pay $186,000 in restitution for failure to pay child support. The man, who was a master craftsman/carpenter, provided a false Social Security number to employers, and has not filed taxes for at least the past 5 years.

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