Tag Archives: Insurance Fraud

Land o’ Lakes Medical Marketing Company Owner Found Guilty in $2M Medicare Fraud Scheme

David Brock Lovelace, the owner of the medical marketing company DBL Management LLC, was found guilty of Medicare fraud. After a four-day trial, Lovelace was found guilty of conspiracy to pay health care kickbacks and structuring currency transactions to avoid the reporting requirement.

Lovelace paid cash kickback and bribes in exchange for the referral of Medicare beneficiaries’ DNA swabs. He was then paid a percentage of the reimbursements from the $2.2 million in claims submitted by a clinical lab.

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Filed under Medicare

Williston Hospital Being Investigated for Fraud

Williston’s Regional General Hospital has been allegedly involved in a $57 million fraud scheme with Jacksonville businessman Kyle Marcotte. Marcotte ran a urine testing operation which used Regional General and another hospital to bill insurance companies. Marcotte has agreed to plead guilty on charges of money laundering.

Regional General lost its hospital license but still operates a clinical lab. The hospital is now being investigated for fraud in connection with Marcotte’s charges and an unnamed person who “exercised control” over the hospital.

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Filed under Fraud

Brothers Sentenced in $20 Million Insurance Fraud Scheme

Former insurance agent Stuart Alan Starr of One Stop Insurance Agency pled guilty to conspiracy to commit wire fraud and wire fraud in April 2019. Starr’s brother, Glen Wayne Starr pled guilty to the conspiracy to commit wire fraud in August 2018. The brothers received the same sentence of 101 months in prison, followed by three years of supervised release. They are both been ordered to pay over $20 million in restitution to the financial institutions they defrauded.

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Filed under Insurance Fraud

UPDATE – Miami School Bus Workers Arrested for Fraudulent Insurance Claims

Twelve Miami-Dade County Public Schools bus workers (both current and former) have been arrested for allegedly submitting $426,933 in fraudulent insurance using children’s information.

Fraud detectives found that the bus workers submitted 68 false accident claims between 2015 and 2018.

Click here to read the article. (Previous post)

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Filed under Insurance Fraud

South Florida Pain Clinic Owner Sentenced in Health Care Fraud Case

Scott Novick, owner of pain clinics in Palm Beach, Broward and Miami, was sentenced to six and a half years in prison and forfeit almost $1.4 to Medicare. Novick pled guilty to conspiracy to commit health-care fraud resulting in Medicare losses in the amount of $2.2 million. He was sentenced to six and a half years in prison and ordered to forfeit $1.4 million to Medicare.

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Filed under Insurance Fraud

Florida CFO Jimmy Patronis says a Quarter of Pedestrian Accidents in 2018 are Faked

According to Florida Chief Financial Officer Patronis, “In 2018, there were 9,300 pedestrian crashes and of those, an estimated 25 percent were staged.”

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Filed under Auto Insurance Fraud

Miami Woman Facing 47 Charges in Insurance Fraud Scheme

Shanequa Veal, alleged “ringleader” of an insurance fraud scheme, is facing 47 charges for these crimes. Veal is being accused of submitting about $357,000 in doctored insurance claims for herself and other people, including her two children.

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Filed under Insurance Fraud

Kissimmee School Teacher Arrested for Staged Accident Scheme

Kissimmee elementary school teacher, Lanfranco Palman, is facing three felony charges for allegedly faking being hit by a car to defraud his insurance company. The staged accident occurred at a grocery store in 2016 where Palman claimed he was hit by a vehicle, but witnesses say he fell onto the hood after the car had stopped.

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Filed under Insurance Fraud

Former Gubernatorial Candidate Charged with Insurance Fraud

Michael Williams, former candidate for governor has taken a plea deal on charges of insurance fraud and falsely reporting a crime. Williams was sentenced to four years of probation for making false statements claiming computers were stolen from his Gainesville office.

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Filed under Insurance Fraud

Tampa Bay Residents Charged in $200M Health Care Fraud Scheme

Jessica Linton of Clearwater and Juan Rodriguez of Tampa are two of 10 people who were charged in an indictment alleging over $200 million in insurance fraud. Linton is facing 24 charges in the indictment while Rodriguez is facing 6 charges including health care fraud, mail fraud and aggravated identity theft. The scheme included altering prescriptions to add non-prescribed drugs including Tramadol and ketamine.

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Filed under Healthcare Fraud