Category Archives: Fraud

Three South Floridians Arrested in Sober Home Health Care Fraud Scheme

Peter Port, 64, of Boca Raton; Brian Dublynn, 62, of Fort Lauderdale; and Jennifer Sanford, 57, Hollywood were arrested for allegedly billing health-insurance companies for services that were not performed or medically necessary. Port, Dublynn and Sanford made about $13 million in the scam through Safe Haven Recovery, a substance abuse treatment facility in Miami.

The trio was charged with conspiracy to commit health care fraud and wire fraud, health care fraud, conspiracy to commit money laundering and money laundering. They could face at least 20 years in prison if convicted.

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Filed under Fraud, Healthcare

Former Medical Clinic Bookkeeper Charged with Insurance Fraud

Teresa Johnson of Lecanto has been charged with insurance fraud for allegedly defrauding Medicare and Medicaid while working as a bookkeeper for the now-closed Christ Medical Center. According to Johnson’s plea statement, she knowingly billed Medicaid and Medicare for services the now deceased clinic owner did not perform. She also ordered tests she knew were not medically necessary.

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Filed under Fraud, Healthcare

Titusville Man Sets 300-Acre Brush Fire Trying to Defraud Insurer

Brevard County Sheriff’s Office arrested Roger Garrett for allegedly setting his car on fire and causing a 300-acre brush fire. Investigators determined that Garrett set his car on fire to defraud his insurance company and ended up starting a brush fire that quickly covered 300 acres.

Garrett is being charged with several crimes, including arson, burning with intent to defraud an insurer and insurance fraud.

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Filed under Fraud

Three Miami Arrests in Physical Therapy Clinic PIP Fraud Scheme

Three individuals from the Miami physical therapy clinic Professional Medical Practice have been arrested in an alleged personal injury protection (PIP) fraud scheme. The clinic owner Alean Machado, recruiter Barbarito Leyva-Claro, and physical therapist Yoandra Rodriguez-Pena were charged with Insurance Fraud, Grand Theft, Patient Brokering and Organized Scheme to Defraud.

An undercover investigation uncovered the scheme which paid $2,500 for patients that participated in the fraudulent physical therapy sessions. Two insurance companies were billed over $39,000 in fraudulent claims from the clinic. Machado, Rodriguez-Pena and Leyva-Claro could face up to 45 years in prison if proven guilty.

Click here to read the article.

Filed under Fraud, Personal Injury Protection (PIP)

Unlicensed Contractor Arrested for Defrauding Elderly Man

Cleveland Brantley, an unlicensed contractor with a track record for scamming, was arrested on charges of scheme to defraud, grand theft and elderly exploitation. Brantley scammed a 77-year-old man out of more than $60,000 for repair but did little to no work. The victim contacted Brantley for repairs through HomeAdvisor.com, took his money and promised to do work, but showed up for work on and off for a week but never completed any repairs.

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Filed under Fraud

UPDATE: New Charges Filed Against Jacksonville Contractor & Suspected Fraudster

Eighteen new charges have been filed against Jacksonville contractor, Wyatt Green. Green was arrested in April on charges of organized fraud, forgery and grand theft. The list of Green’s victims has grown from a handful to 19. Homeowners contacted I-TEAM saying that their insurance companies had paid Storm RS to make repairs to their homes that were never completed.

Click here to read the article. (Previous post)

Filed under Fraud, Property (Homeowners)

Five People Charged in Mail-order Prescriptions Patient-Brokering Kickbacks

Five people have been charged with patient brokering, insurance fraud, money laundering, and racketeering in connection with a scam that raked in hundreds of thousands of dollars in kickbacks. Authorities allege that hundreds of prescriptions, many of them fraudulent, were sent to Express Care Pharmacy with prices ranging from $646 to $5,614. Many of the prescriptions were forged, unnecessary, or submitted without the patients or treating physician’s consent, according to the police report.

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Filed under Fraud, Healthcare

Clearwater Man Pleads Guilty in VA Benefits Fraud Scheme

Home care businessman Roland Brown pleaded guilty to paying $1M in bribes to a long-time friend who worked for the Department of Veteran Affairs. The scheme defrauded the organization’s benefits program for children with spina bifida. According to Brown’s plea, he allegedly set up Legacy Home Health in order to submit more than $3 million in false claims to the VA. This scheme is only one of several scams pulled off by Brown’s friend.

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Filed under Fraud, Healthcare

Medical Biller Sentenced to 4 Years for Healthcare Fraud Scheme

Sabrinea Brooks of Port St. Lucie was sentenced to four years in federal prison after pleading guilty to wire fraud, access device fraud and forgery. Brooks used her four jobs in healthcare billing from June 2014 through April 2015 to simultaneously work her fraud scheme rerouting over $873,000 to bank accounts that she controlled.

 

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Filed under Fraud, Healthcare

Pharmacy Owner Arraigned On Charges of Healthcare & Wire Fraud

Andrew Fisher, the president and part-owner of Physician Specialty Pharmacy, is being accused of conspiracy to commit health care fraud, wire fraud, and money laundering. Allegedly, Fisher and five co-conspirators submitted more than $4.8 million in fraudulent claims for prescriptions for compounded pain cream, scar cream, and wellness capsules. According to the indictment, Fisher agreed to fill prescriptions at his pharmacy while using drug formations that would maximize the amount his pharmacy could bill to insurance companies.

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Filed under Fraud, Healthcare