Practitioners

In Arizona, a podiatrist was ordered to pay $400,000 in restitution for his previous guilty plea to theft of Government funds. The podiatrist billed Medicare for debridements when he actually only provided routine foot care, a service not covered by Medicare.

In Pennsylvania, a podiatrist was ordered to pay a $10,000 fine for obstruction of a Federal audit. After a suspicious billing pattern was observed and subsequent Medicare contractor audit was performed, the podiatrist was requested to refund Medicare for claims previously paid. The podiatrist disputed the audit findings and wanted to provide documentation to justify the claims. Knowing he did not possess accurate records, the podiatrist created and back-dated false, fictitious and fraudulent patient treatment records and physician orders to support the previously submitted claims.

Prescription Drug Fraud

In South Dakota, an Indian Health Service (IHS) beneficiary was sentenced to 4 months home confinement for obtaining a controlled substance by fraud. The beneficiary frequented multiple IHS clinics and private health care facilities seeking controlled substances for alleged back and tooth pain.

Child Support Enforcement

In Michigan, a man was sentenced to 16 months imprisonment, 1 year probation and ordered to pay $130,000 in restitution for failure to pay child support. The man worked for a major automaker for approximately 30 years but failed to pay his child support obligation. The man attempted to mitigate his actions by advising the court he had a gambling addiction.