Insurance fraud

January 04, 2008 -- BOSTON – Massachusetts Attorney General Martha Coakley’s Office filed a lawsuit in Suffolk Superior Court against Ohio-based insurer Great American Insurance Group for submitting a false insurance premium quote to a Massachusetts company. The complaint seeks relief in the form of restitution, attorneys’ fees, civil penalties, and a court order prohibiting the company from engaging further in unfair and deceptive business practices.    » read more »

December 20, 2007 -- TRENTON - New Jersey Attorney General Anne Milgram and Criminal Justice Director Gregory A. Paw announced that a Louisiana woman pleaded guilty today to stealing nearly $80,000 by filing hundreds of fraudulent claims for services that were never provided.

According to Insurance Fraud Prosecutor Greta Gooden Brown, Carol Sadowsky, 56, formerly of River Vale and currently of Jefferson, Louisiana, pleaded guilty before Superior Court Judge William C. Meehan in Bergen County, to a criminal accusation which charged her with third-degree insurance fraud.    » read more »

December 20, 2007 -- New Hampshire Attorney General Kelly A. Ayotte and Insurance Commissioner Roger A. Sevigny announced today the conviction of Terri Chase for one count of Insurance Fraud following an automobile accident.    » read more »

December 19, 2007 -- Jackson, MS - Mississippi Attorney General Jim Hood today confirmed the arrest of a Mississippi insurance agent on fraud charges. David Bass Williams (DOB 02-22-42), 2497 Country Club Road, Senatobia, MS surrendered last night (December 18, 2007) to an arrest warrant alleging three counts of mail and wire fraud following an investigation by the Mississippi Attorney General’s Insurance Fraud Unit.    » read more »

Minnesota man accused of defrauding his father out of more than $144,000

December 20, 2007 -- TALLAHASSEE, FL – Florida Attorney General Bill McCollum today announced that his Medicaid Fraud Control Unit arrested a Boynton Beach man on charges stemming from a Minnesota elder exploitation case. George Spires, Jr. was wanted on a Minnesota felony warrant for allegedly defrauding his elderly father out of more than $144,000. The arrest was made by the Florida Medicaid Fraud Control Unit after receiving a request for assistance from the Minnesota State Attorney General’s Office.    » read more »

December 19, 2007 -- TRENTON - New Jersey Attorney General Anne Milgram and Criminal Justice Director Gregory A. Paw announced today that a Mercer County man has been charged in a state grand jury indictment for his role in an insurance fraud and identity theft scam.

According to Insurance Fraud Prosecutor Greta Gooden Brown, Daniel L. Martin, aka Paul B. Harris, Jr., aka Preston C. Adams, aka Preston Adams, 46, Trenton, was charged with second-degree insurance fraud and three counts of second-degree identity theft.    » read more »

December 19, 2007 -- TRENTON - New Jersey Attorney General Anne Milgram and Criminal Justice Director Gregory A. Paw announced today that three North Jersey residents and a Newark home health care agency were charged in a state grand jury indictment with fraudulently billing the Medicaid program nearly $1 million for services that were never rendered or were ineligible for Medicaid reimbursement.

According to Insurance Fraud Prosecutor Greta Gooden Brown, the state grand jury indictment handed up late yesterday charges:    » read more »

December 18, 2007 -- Olympia - The Washington Attorney General’s Office announced today the sentencing of care givers in Spokane and Lincoln counties. The care givers pled guilty to charges of Medicaid fraud in separate and unrelated cases.

In September, the Attorney General’s Medicaid Fraud Control Unit charged Ellen M. Spease with one count of theft in the first degree, three counts of health care false claim (as Medicaid False Statements) and three counts of forgery. She pled guilty to the charges and was sentenced on December 17 in Spokane County.    » read more »

December 18, 2007 (ALBUQUERQUE) -- New Mexico Attorney General Gary King’s Medicaid Fraud and Elder Abuse Division is prosecuting formerAlbuquerque business owner Israel Keppel on two counts of Medicaid fraud.

A Bernalillo County grand jury returned a two count indictment against Keppel last week based on alleged Submission of False Claims to the Medicaid Program in early 2005.

Each count is a fourth degree felony, punishable by 18 months imprisonment and/or a $5,000.00 fine.    » read more »

NC recovers $20 million, wins 16 criminal convictions in 2007 Medicaid fraud cases

December 17, 2007 -- Raleigh: North Carolina’s Medicaid fraud investigators recovered more than $20 million and investigated dozens of cases of fraud and patient abuse in 2007, North Carolina Attorney General Roy Cooper said today.

“Medicaid cheaters drive up health costs and keep needy patients from getting care,” said Cooper. “We’ll continue our crackdown on fraud and abuse to protect patients and save taxpayers’ money."    » read more »

December 13, 2007 -- TALLAHASSEE, FL - Florida Attorney General Bill McCollum today announced the arrest of a Miami-Dade physician for defrauding Florida’s Medicaid program out of more than $65,000. Dr. Jose Joaquin Rodriguez, a Miami pediatrician, was arrested by law enforcement investigators with the Attorney General’s Medicaid Fraud Control Unit in Miami and will be charged with organized theft and grand fraud.    » read more »

December 11, 2007 -- TRENTON - New Jersey Attorney General Anne Milgram and Criminal Justice Director Gregory A. Paw, announced that a Newark woman has been indicted for her role in a phony bus accident insurance claim.

According to Insurance Fraud Prosecutor Greta Gooden Brown, Sharonda Thomas, 33, Newark, was charged with second-degree health care claims fraud, third-degree attempted theft by deception, and fourth-degree false swearing. The indictment was handed up today in Superior Court in Morris County.    » read more »

Christian Onwuegbusi stole more than $900,000 from Medicare program

December 6, 2007 -- HOUSTON – A Houston durable medical equipment provider was sentenced to 15 years in state prison Wednesday for stealing more than $900,000 from the Medicare program. Texas Attorney General Greg Abbott’s Medicaid Fraud Control Unit investigated the case, along with the FBI and Office of Inspector General of the Health and Human Services Commission (HHSC-OIG). The Harris County District Attorney’s Office handled the prosecution.    » read more »

Corporation Also Enters Into Settlement Agreement and Will Pay $400,000 to the Commonwealth

December 05, 2007 -- BOSTON – Yesterday, a local dental corporation pled guilty to charges that it fraudulently billed MassHealth, the state’s Medicaid program, for dental services that were never rendered. Joseph Y. Ng, D.M.D., P.C., a dental office in Chinatown, pled guilty to a charge of Medicaid False Claims. Boston Municipal Court Judge Michael Coyne sentenced the corporation of Joseph Y. Ng, D.M.D., P.C. to a term of probation for five years.    » read more »

November 30, 2007 -- TRENTON - New Jersey Attorney General Anne Milgram and Criminal Justice Director Gregory A. Paw announced that an Old Bridge man and his firm have pleaded guilty in a car “give up” scam.    » read more »