Over and Above

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on a Department of Justice press release entitled, “Co-owner of Chicago Medical Transport Company Sentenced to Five Years in Prison for Overbilling Illinois Medicaid $4.7 Million,” released on January 25, 2017.

SPRINGFIELD, Ill. – A Chicago man has been sentenced to five years in prison for fraudulent overbilling an estimated $4.7 million to Illinois’ Medicaid program for non-emergency medical transport. Gregory D. Toran, 68, of Hazel Crest, Ill., was also ordered to pay $4.7 million in restitution. U.S. District Judge Sue E. Myerscough, who sentenced Toran on Jan. 23, allowed Toran to remain on bond until the federal Bureau of Prisons directs him to self-report to a prison facility to begin his prison sentence.

Toran owned IBT Transportation, LLC., a non-emergency medical transport company, with Tina Kimbrough, 44, of Berwyn, Ill. In August, Kimbrough was sentenced to 30 months in prison for her role in the scheme. Kimbrough previously pled guilty to participating in the conspiracy with Toran. Kimbrough was also ordered to pay $4 million restitution, due jointly and severally with Toran.

If Only

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Woman sentenced to prison for welfare fraud,” published by Journal & Courier on May 30, 2017.

LAFAYETTE, Ind. — Forty-year-old Heather Nicole Dispennett admitted last month she received food stamps and Medicaid benefits which she wasn’t entitled to, and on Friday, she received a one-year prison sentence for welfare fraud.

Tippecanoe Superior 2 Judge Steve Meyer sentenced Dispennett to one year in prison and one year on probation.

Should Have Known Better

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Northeast Ohio mother, son sentenced to prison for $8 million health-care fraud scheme,” posted on Cleveland.com on May 17, 2017.

CLEVELAND, Ohio — A mother and son were sentenced to federal prison Wednesday for a multi-million dollar scheme to fraudulently bill government medical programs through a Northeast Ohio home health-care company.

Delores Knight, 71, of Cleveland Heights was sentenced to 10 years in prison. Isaac Knight, 30, of Macedonia, was given a sentence of more than seven years.

Dead Man Talking

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Dentist who posed as dead colleague fined $1M by Inspector General,” posted on NJ.com on January 23, 2017.

A 58-year-old Short Hills man who officials said assumed the identity of another dentist after he lost his own license must pay a $1.1 million fine for submitting false bills to Medicaid.

In addition to the fine, Roben Brookhim has agreed to a 50-year exclusion for participating in any federal health care programs, according to the Office of the Inspector General for the U.S. Department of Health and Human Services.

Oh, My Aching Feet

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Former Delco Doctor Gets 8 Year Sentence For Healthcare Fraud,” published by The Springfield Patch on February 8, 2017.

A former Havertown podiatrist was recently sentenced to 8 years prison time after he defrauded Medicare, Medicaid and private insurances between 2008 and 2014.

According to the U.S. Attorney’s Office Eastern District of Pennsylvania, Stephen A. Monaco was sentenced to 97 months – just over 8 years – in prison after he pleaded guilty to healthcare fraud in August 2016 and surrendered his DEA license.

Oh, Brother!

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Queens sanitation worker posed as dead twin for welfare benefits,” published by the New York Daily News on January 24, 2017.

A Queens sanitation worker has pleaded guilty to impersonating his dead twin to pocket more than half a million in welfare benefits, authorities said Tuesday.

Thomas Murphy, 54, copped to using the social security number of his twin brother, Robert – who died a day after their birth in 1962 – to build a double-life and collect public benefits for nearly two decades.

Fraud Chaser

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Clifton ambulance operator gets 18 years for fraud,” posted on NorthJersey.com on January 30, 2017.

A 57-year-old Clifton man who was convicted on health-care fraud and money-laundering charges as part of operating his illegal ambulance company, was sentenced on Monday to 18 years in federal prison.

Imadeldin Awad Khair was convicted following a nine-day bench trial before U.S. District Judge Susan D. Wigenton. He had been previously convicted on state health-care fraud charges in 2004 and was barred from working with health-care programs for 11 years.

Jamaican Me Crazy

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Counselor sentenced in Brodheadsville Medicaid fraud,” published by The Pocono Record on February 4, 2017.

Michael Johnston, 56, former owner/operator of Vision Counseling Services in Brodheadsville, was sentenced Thursday to two years and four months to five years in state prison after pleading guilty in a Medicaid insurance billing fraud case.

Johnston pleaded guilty to billing his patients’ insurance provider more than $100,000 for mental health services he never provided to the patients. He used that money to cover trips to Jamaica and other personal expenses, the state Attorney General’s Office learned.

Truly Ashamed

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “OKC woman sentenced to pay 200K from health care fraud scheme,” published by The Oklahoman on February 4, 2017.

An Oklahoma City woman who pleaded guilty to health care fraud was ordered Friday to pay more than $200,000 to Medicaid and spend 27 months in federal prison.

Shalonda Suggs, 37, gave a tearful apology during the sentencing.

Overwhelming Evidence

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Patrick Springs woman convicted on welfare fraud charges,” published by The Martinsville Bulletin on October 25, 2016.

STUART – A woman charged with 14 counts of felony welfare fraud and two counts of felony welfare perjury entered an Alford plea on Monday in Patrick County. Under terms of an agreement with the prosecution, she was found guilty of five counts of misdemeanor welfare fraud and in exchange, the other 11 charges were dropped.

In an Alford plea, a defendant asserts innocence but admits that substantial evidence exists with which the prosecution likely could convince a judge or jury to find her guilty beyond a reasonable doubt.

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