Tuesday, May 24, 2022

With the Check of a Box

Sometimes, the criminal justice system allows individuals or businesses to resolve allegations to avoid incrimination or incarceration. A 49-year-old physician from The Woodlands, Tex., was fortunate to settle allegations he submitted false claims for the placement of electro-acupuncture devices on his patients. (Oh, and...

A Faulty Operation

Dinesh Sah, 55, of Texas, has been sentenced to more than a decade in prison for submitting 15 fraudulent applications to the forgivable Paycheck Protection Program (PPP) loans. (Apparently, the judge was not in a forgiving mood when he lowered his gavel.) Sah submitted the...

One Count of Careless Physician

Physician Grigoriy Rodonaia, 45, of Port Neches, Tex., has been convicted of committing federal healthcare fraud after using patient identities to issue prescriptions without their knowledge. The fraudulent plan involved stealing the identities of military service members and their families to collect money from...

Taking Care of Business

A nurse practitioner from Waxahachie, Tex., was sentenced for his role in a healthcare fraud conspiracy. Trivikram Reddy, 39, pleaded guilty to conspiracy to commit wire fraud in October 2020 after participating in a scheme that defrauded Medicare and private insurance providers out of...

Two Doctors, A Nurse, and a CEO

Two doctors and a nurse from Gainesville, Tex., have been convicted of healthcare fraud and could face up to 35 years in federal prison. Consequently, Dr. Mark E. Gibbs, Dr. Laila Hirjee, and nurse Tammie Little face decades behind bars in federal prison. A federal...

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....

A Nettlesome Case

A licensed chiropractor in Rockport, Tex., will pay $273,000 to settle allegations that she falsely billed Medicare for the use of acupuncture devices. Stacy Hawkins is also the chief financial officer of Rockport Physical Medicine, PA. The company billed Medicare for the implantation of neurostimulator...

Uncaring CARES Fraudster

A Texas woman, La Donna Higgins, 37, allegedly used $3.7 million in Paycheck Protection Program (PPP) loan funds to buy herself two houses, multiple cars, and a wide array of luxury goods. (Meanwhile, thousands of businesses permanently closed, while families on the brink deferred...

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...

Prison is No Laughing Matter

Punishment for identity theft fraud is no joke, and definitely not during a pandemic. Emilee Fenton and Dalton Brewer, both 24, of Gilmer, Tex., are each facing up to 15 years in federal prison for conspiring to commit identity theft related to COVID economic...
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