Saturday, January 22, 2022
Home Healthcare Fraud

Healthcare Fraud

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...

Fraudsters R Us

There are insurance policies for just about everything. There’s no doubt that policies covering long-term disability, life, health, homeowner’s and automobile insurance are necessary. But Melissa Alvarez Torres and Jose Luis Olmos Hernandez, both of Chula Vista, Calif., sold bogus insurance to pregnant women...

You Scratch My Back, I’ll Scratch Yours

There was a lot of back scratching going on at the Cleveland VA Medical Center between October 2010 and January 2019, thanks to William H. Precht, 54, of Kent, Ohio. Precht used his position as an Inventory Management Specialist, and later as a Supervisory...

Living the High Life

Fraudsters like to live the high life. Luxurious living, all-expense paid vacations, and designer brand purchases are just a few things criminals use to justify fraud and victimize others just so they can live comfortably. Mable Jones, 78, is the former owner of a Richmond,...

CEO of Fraud and Forgery

The CEO of a Long Beach, Calif., substance abuse treatment program has been sentenced after pleading guilty to participating in a healthcare insurance fraud scheme in which he exploited at-risk youths. (Isn’t that just like a fraudster?) Richard Mark Ciampa, 67, of Commerce, admitted to...

Zero Refills Available

During summer, things can still get a bit chilly up North, especially for fraudsters who have found themselves on the wrong end of the law. A federal judge sentenced a resident of Washington for conspiracy to commit healthcare fraud. William Robert Fayant, 56, of...

Rubber Stamped Fraud

Rubber stamps have lots of creative uses such as journaling, card making and scrapbooking. (They can also be used for repetitive signature signing and eliminating hand cramps.) Some unscrupulous individuals use rubber stamps to commit fraud. Kenneth Myers, Jr., 43, of Alpharetta, Ga., and...

Unhelpful Helping Hands

The Helping Hands Academy in Connecticut was supposed to provide applied behavior analysis for children diagnosed with Autism Spectrum Disorder (ASD). Instead, the business owner and a phony “behavior analyst” conspired to defraud Medicaid (while victimizing families and patients with subpar services). Medicaid requires that...

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...

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