Misprision Can Lead to Prison

27921851 - success smart medical doctor working with operating room as concept

Knowing about a crime and not reporting it is just about as bad as actually committing one. The official term for this act is misprision, or the failure to report a known felony to authorities even though the person reporting the offense is not directly involved. In today’s ”Fraud of the Day,” an article posted on WKRG.com details the story of a doctor who knew about billing fraud occurring at his skin care clinic, but did nothing to report the illegal act. (Just knowing about a crime unfortunately means you are involved.)

The story states that a nurse practitioner, who worked at a Mobile-area skin care clinic, had a bad habit of creating false billing records for patients who sought treatment at the facility. She allegedly fabricated statements that showed patients had received certain treatments, when in reality they had not received any services at all. The fake bills were then submitted to an Alabama insurance company as well as to Medicare and Medicaid for payment.

Apparently, the well-known doctor was aware of the billing fraud taking place in his office. (If only he could have confessed or even stopped the unlawful practice, prospects of a jail-free future would have been better.)

The doctor pleaded guilty to allegations that he knew about the fraud and admitted he concealed the offense to avoid an investigation. (Avoiding a difficult situation in the beginning can mean a higher price is paid in the end.) He faces three years in prison and a $250,000 fine. The nurse’s court date has been scheduled.

It is hard to tell what kind of impact this doctor’s actions will have on his practice. By concealing the nurse practitioner’s alleged crime from the authorities, his actions may cause his patients to think twice about seeking treatment from his clinic. Hopefully, the doctor has learned a valuable lesson in that it only takes one lie, or an act of misprision, for people to lose faith in you.

Source: Today’s ”Fraud of the Day” is based on an article entitled ”Mobile Doctor Involved in Fraud Case” published by WKRG.com on June 18, 2014.

A well-known Mobile doctor has pleaded guilty in Federal Court to allegations he knew about billing fraud in his office.

According to court documents obtained by News 5, Dr. Lawrence “Chip” Carpenter was indicted along with registered nurse practitioner, Diantha Miller on April 24th, 2014.

Read More

Previous articleOwning Up
Next articleImage is Everything

Larry Benson, Senior Director of Strategic Alliances, LexisNexis Risk Solutions - Government

Larry Benson is responsible for developing strategic partnerships and solutions for the government vertical. His expertise focuses on how government programs are defrauded by criminal groups, and the approaches necessary to prevent them from succeeding.

Mr. Benson has 30 years of experience in sales and business development. Before joining LexisNexis® Risk Solutions, he spent 12 years founding and managing two software technology startups. During the 1990s he spent 10 years as a Regional Director helping to grow a New England-based technology company from 300 employees to 7,000. He started his career with Martin Marietta Aerospace working on laser guided weapons and day/night vision systems.

A sought-after speaker and accomplished writer, Mr. Benson is the principal author of “Fraud of the Day,” a website dedicated to educating government officials about how criminals are defrauding government programs. He has co-authored WTF? Where’s the Fraud? How to Unmask and Stop Identity Fraud’s Drain on Our Government, and Data Personified, How Fraud is Changing the Meaning of Identity.

Benson holds a Bachelor of Science in Physics from Albright College, and earned two graduate degrees – a Master of Business Administration from Florida Institute of Technology, and a Master of Science in Engineering from Lehigh University.