Saturday, January 22, 2022

Don’t Even Try It

Tricare covers the cost of compounded drugs, which are a combination of two or more drugs prepared by a pharmacist for a patient’s individual needs. (Of course, the compounded medication needs to be medically necessary to qualify for Tricare coverage.) Jonah Miller, 48, of...

Pandemic Pie

Ever had a craving for pie? Perhaps apple pie a la mode or pumpkin pie with whipped cream sounds delicious to you at this time of the year. There’s a relatively new flavor of pie that has gained the attention of many unscrupulous individuals...

Brace for Prison

Patsy “Pat” Joseph Truglia, 53, of Parkland, Fla.,  pleaded guilty to two counts of conspiracy to commit health care fraud and one count of making a false statement in a matter involving a health care benefit program. Truglia faces a maximum penalty of 15...

A Failed Eight-man Defense

Alberto Orian Gonzalez-Delgado, 46, of Miami, Fla., has been sentenced after conspiring to commit health care fraud and wire fraud. Co-conspirators including Eduardo Rubal, 41, Vicente Gonzalez Acosta, 50, Alexander Fernandez, 49, Yaxing Tapanes, 24, Jose Carlos Valladares Rivera, 43, Hector Suarez Gonzalez, 45, and...

A $20 Million Lie

Dr. Richard Davidson, 42, of Florida has been sentenced to six years behind bars for conspiring with others to commit healthcare fraud. (Unfortunately, he is just one among many fraudsters who enjoy taking government healthcare benefits from those who truly need them.) Davidson worked with...

From Luxury Hotels to Prison Cells

Danielle Miller of Miami, 31, Fla., has been indicted for allegedly lying on her pandemic-related loan applications so she could obtain Economic Injury Disaster Loan (EIDL) funds and Pandemic Unemployment Assistance (PUA). Then, she used the ill-gotten funds to pay for personal expenses. (In...

Using Groceries for Personal Gain

Russel Leroy Dotson, Jr., 63, of Jacksonville, Fla., and his wife, Maria Luisa Dotson, 66, have been sentenced after conspiring to commit wire fraud against the U.S Department of Agriculture’s Supplemental Nutrition Assistance Program (SNAP). The Dotson couple owned two Asmarina Food Mart locations in...

Hemorrhaging Money

Fraudsters are always looking for ways to fraudulently make money off of the Medicare program. A prime example is the president and owner of a wound care supplier who changed data on Medicare claims to inflate payments for his company’s supplies from at least...

Therapists, Heal Thyselves?

Former Florida residents Stephanie Lynn Fleming and Helen Elizabeth Storey of Waldorf, Md., were convicted of healthcare fraud conspiracy, healthcare fraud, and aggravated identity theft for a Medicaid scheme carried out in Storey’s North Florida Mental Health (NFMH) business in Tallahassee. Fleming was also...

Poorly Constructed Fraud Gets Razed

Gregorio Jose Fuentes-Zelaya and Dennis Alexander Barahona of Jacksonville, Fla., concocted a scheme that included payroll tax evasion and workers’ compensation fraud. They established phony shell construction companies and obtained workers’ compensation insurance policies for a few fake employees. They then “rented” the insurance to...
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