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Fraud Prevention & Detection / Enforcement Actions / Criminal Actions

July 2003
 
 

Child Support Enforcement

Durable Medical Equipment

Kickbacks

Physicians and Other Health Care Professionals

Child Support Enforcement

 

 

July 2003

 

 

In Minnesota, a man was sentenced to 5 years probation and ordered to pay $64,000 in restitution for failure to pay child support. From 1999 through 2001, the man was an executive vice president of a company earning a substantial income. In an effort to conceal his income, he used a slightly different Social Security number.

 

Durable Medical Equipment

 

 

July 2003

 

 

In Washington, a physician was ordered to pay $11,000 in fines and restitution for making false statements. The physician signed prescriptions that were in turn used by various durable medical equipment companies to bill Medicare and Medicaid for custom fitted and custom molded orthotic devices.

 

Kickbacks

 

 

July 2003

 

 

In Pennsylvania, a former chief executive officer and president of a durable medical equipment company was sentenced to 4 months incarceration and ordered to pay a $40,000 fine for conspiracy to pay kickbacks to physicians in return for physicians’ referrals.

 

Physicians and Other Health Care Professionals

 

 

July 2003

 

 

In Montana, a registered nurse was sentenced for fraudulently obtaining controlled substances from a hospital where she was employed. From October 2001 through August 2002, the woman stole narcotics and altered narcotic distribution logs in an attempt to conceal the thefts.

 
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