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Misuse
of Grant Funds
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| April 2004 |
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In Montana, a former university professor was sentenced to 5 months incarceration and ordered
to pay $39,000 in restitution for embezzlement. While employed at a State university, the man received
grant funds to coordinate a community campaign against teen drug, alcohol and tobacco use. Although
the man failed to complete the project, he used the grant funds for his own personal use.
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Durable
Medical Equipment
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| April 2004 |
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In Florida, a durable medical equipment owner was ordered to pay $3,000 in restitution related
to a scheme to defraud. The owner paid a printing and graphics company to print 20 prescription pads
using the licensing and business information of a physician without his knowledge. In addition, the
owner submitted 16 fraudulent claims to Medicare for custom fitted orthotic equipment purportedly
prescribed by the physician.
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Employee
Misconduct
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April 2004
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In New Mexico, a former Indian Health Service nurse was sentenced for unlawful possession of a
controlled substance. An investigation revealed that the nurse removed numerous narcotic drugs from
the hospital’s emergency room without physician orders.
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Physicians
and Other Health Care Professionals
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| April 2004 |
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In New York, three subjects were sentenced for their roles in a scheme to defraud the Government
and private insurers. A podiatrist was sentenced for submitting claims for services that were either
upcoded, not rendered, or were medically unnecessary. Also sentenced were two billing clerks who
at the direction of the office manager, submitted claims that they knew were fraudulent.
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Child
Support Enforcement
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April 2004
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In Montana, a man was sentenced to 24 months in prison and ordered to pay $45,000 in restitution
for failure to pay child support. The man used various dates of birth and Social Security numbers
to avoid detection.
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