Friday, October 22, 2021

Medical Professionals Turned Professional Fraudsters 

Two Kentucky men, Dr. Jeffrey Campbell and Advanced Practice Registered Nurse Mark Dyer, and Physicians Primary Care, PLLC (PPC) were charged with conspiracy to unlawfully distribute and dispense controlled substances, conspiracy to commit money laundering, and conspiracy to commit healthcare fraud. After a six-week trial, a federal jury convicted Campbell and Dyer on 13 charges.    These two fraudsters were found guilty of distributing and dispensing controlled...

Pharma Pusher

Defrauding a lifeline program like Medicaid or Medicare is immoral. Doing so while dispensing controlled substances that carry high risk of addiction and the potential to be lethal is beyond evil. (But oh, so alluring to fraudsters, because the repeat business is so lucrative.) The...

Fraud on the RISE

All fraudsters are greedy, but some have an unquenchable drive to steal. Look no further than the California chiropractor, Joserodel Zavala Candelario, who scammed Medicare and TRICARE in one scheme, bilked Workers’ Compensation insurers in another, and threw in a side of tax evasion...

Massive Scheme Laid to Rest

In a twisted scheme, a group of Texas healthcare fraudsters convinced patients they were dying and illegally enrolled them in hospice services. From 2009 to 2018, leaders of Merida Group, a chain of hospice and home health agencies throughout Texas, raked in $150 million....

Healthcare Shell Game

A Roanoke, Virginia, medical practice dreamed up a lucrative scam to charge the government for doses of an expensive medication that it didn’t administer. Over about nine and a half years, Allergy and Asthma Associates (AAA) billed Medicare $627,540 for Xolair that it didn’t...

Terminal Fraudster

The former head of Novus and Optimum Health Services has pleaded guilty to conspiracy to commit healthcare fraud and healthcare fraud. Bradley J. Harris, 39, admitted in court to using his hospice business to defraud Medicare and Medicaid out tens of millions of dollars. Harris...

Knowledge vs. Wisdom

There’s a difference between being knowledgeable and being wise. You can have knowledge without wisdom, but you can’t have wisdom without knowledge. Uzma Ehtesham, a psychiatrist from Wise, Va., who knew better, was not very wise when she used her knowledge to carry out...

The Stakes Are High

Mississippi residents Dempsey “Bryan” Levi, 51, and Jeffrey Wayne Rollins, 44, have been sentenced for their role in a multi-million-dollar scheme to defraud healthcare programs. This included defrauding Tricare, the healthcare benefit program that provides affordable insurance for members of the U.S. military, veterans,...

Like Father, Like Son

A father-son duo has been sentenced for their roles in defrauding Affordable Care Act (ACA) programs in at least 12 states. California residents Jeffery White, 63, and Nicholas White, 35, admitted to participating in a scheme that resulted in more than $27 million in...

Cracking the Ethics Code

A Rhode Island chiropractor has been sentenced for executing a scheme to defraud a healthcare benefits program and failing to pay taxes on the income he received from his business. (Hiding money from the government doesn’t tend to go well.) Eugene Kramer, 51, was...

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