From the Becker’s Hospital Review news article: The owner of a home health company in Houston was sentenced Dec. 8 to 80 years in prison for his role in a $13 million Medicare fraud scheme and for filing false tax returns, according to the Department of Justice. In November 2016, Ebong Tilong pleaded guilty to conspiracy […]
Canada: Pharmacist fakes robbery at his own store to cover up fentanyl trafficking
From the Ottawa Citizen article: An Ottawa pharmacist who faked a robbery at his own drugstore to cover up the “mountains” of fentanyl patches he trafficked has been found guilty of his crimes, in what appears to be the city’s first case of narcotics trafficking in the profession and the latest effort to deal with […]
Ex-WellCare general counsel gets six months in U.S. prison
From the Reuters news article: A former general counsel of insurer WellCare Health Plans Inc was sentenced on Wednesday to six months in prison for making a false statement to Florida’s Medicaid program as part of what prosecutors called a $35 million healthcare fraud scheme. Thaddeus Bereday, who was indicted in 2011 along with four […]
Opinion: Why an insurer invites mandatory fraud reporting (Canada)
From the Canadian Underwriter opinion piece: …Aviva released Thursday Crash, Cash and Backlash: Aviva Fraud Report 2017, which includes results of a survey in which two in three respondents said they “feel that cracking down on fraud would reduce their current auto insurance premiums.” That survey is based on interviews of 1,502 Canadians conducted in October by Pollara […]
UK — Dental fraud due to ‘discredited contract’
From the Dentistry News item: …‘Genuine fraud must be exposed, but we are working under a discredited contract system that breeds confusion. ‘Put 10 NHS dentists in a room and you’ll get nearly half a dozen different views on how to claim for a treatment. ‘It’s an insane system, and not even officials can navigate […]
US — Florida Doctor Sentenced On 162 Counts Of Health Care Fraud
From the Insurance News Net item: Ona M. Colasante, 60, a physician who formerly practiced in Gainesville, was sentenced Friday afternoon to 12 months in prison and ordered to pay a $1,134,000 fine and more than $1 million in restitution after being convicted on May 2, 2016, of 162 counts of health care fraud. As […]
US: Physician Gets 35-Year Sentence for Massive Medicare Fraud
From the Medscape news item: If he had pulled off his escape plan, Jacques Roy, MD, might be living in Canada or France now under the alias of Michel Poulin, subsisting off millions in ill-gotten gains, according to federal prosecutors. Instead, a federal judge in Dallas last week sentenced the 60-year-old physician from Rockwall, Texas, […]
UK — Redhill woman faked identity and invented dependent children to defraud NHS
From the Surrey Mirror: …Eleanor Bonde, 57, of Carrington Close, was handed a 15-month prison sentence, suspended for two years, at Guildford Crown Court on June 26 after pleading guilty to three counts of fraud. The total loss to the NHS was £88,804.00 – enough to pay four newly qualified nurses’ annual salaries. Read more […]
Canada — 10 TTC employees charged with fraud in alleged $5M insurance scheme
From the national Post news item: To date, the TTC says 150 employees have been fired, retired or resigned to avoid dismissal as a result of the investigation, which started in 2014. All 10 people charged face one count of fraud over $5,000. Of the 10, one is an employee on medical leave. The allegations […]
US — Lexington, Kentucky, Jury Convicts Clinical Psychologist for Role in $600 Million Social Security Disability Fraud Scheme
From the Department of Justice news article: After a one-week trial in federal court in Lexington, the jury convicted Alfred Bradley Adkins, 45, of Shelbiana, Kentucky, of one count of conspiracy to commit mail fraud and wire fraud, one count of mail fraud, one count of wire fraud, and one count of making false statements. […]
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