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Durable
Medical Equipment
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| April 2006 |
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In Texas, a physician was sentenced to 10 years in prison and ordered
to pay almost $13 million in restitution for her involvement in a motorized
wheelchair scheme. The physician and her office manager sold fraudulent
certificates of medical necessity and prescriptions for motorized wheelchairs
and other durable medical equipment (DME). In addition, the physician
and her staff were involved with drug dealers in providing fictitious
prescriptions for controlled substances that were filled at area
pharmacies. For her involvement, the office manager received a 7-year
prison sentence.
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Also in Texas, pursuant to her guilty plea, a woman was sentenced
to 30 months in prison and ordered to pay $253,000 in restitution for
health care fraud. The woman and her husband, who owned and operated
a DME company, fraudulently billed Medicare and Medicaid for power
wheelchairs and other equipment that was either not provided or prescribed
by a doctor. The husband was previously found guilty for his involvement
in the scheme and was sentenced to 33 months in prison and ordered
to pay $286,000 in joint and several restitution.
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Employee
Misconduct
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April 2006
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In South Dakota, a former Indian Health Service employee was ordered
to pay $4,000 in restitution for larceny. The woman allegedly caused
the destruction of Government records to conceal payments made to contractors
in violation of Federal law. During this investigation, it was revealed
that in her capacity of treasurer, she stole funds from the Rosebud Public Health Service Employee
Association.
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Child
Support Enforcement
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April 2006
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In Montana, a man was sentenced to 250 hours of community service and 1 year probation for
failure to pay child support. He was also ordered to pay $348,000 in restitution, representing
his past due arrearage as well as future amounts owed.
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