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.

Click here to read the article.

Filed under Fraud, Healthcare

Couple Denied Coverage After Water Heater Leak Under Policy’s Earth Movement Exclusion

Barbara and Charles Hatch had a water heater leak about 4,000 gallons of water flooding their home. Their insurance company, GeoVera Specialty Insurance Co., inspected the claim and issued payment to mitigate the damage. However, after then work had begun the Hatch’s discovered damage to the foundation and structure of the home.

Upon further inspection, GeoVera denied coverage based on the Hatch’s policy that excludes under the earth movement, which caused the foundation and structural damage. The district court ruled the structural damage to the Hatches’ home was excluded as the company claimed and GeoVera was entitled to summary judgment on that portion of the Hatches’ claim. In its decision, the district court explained that, under the policy, any damage caused by the accidental discharge of water from the water heater, including the structural damage to the Hatches’ home, was covered “unless otherwise excluded.”

Click here to read the article.

Filed under Property (Homeowners)

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.

Click here to read the article.

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.

Click here to read the article.

Filed under Fraud

10 Unlicensed Workers Arrested in Fraud Sting

Florida Department of Financial Services and the Pinellas County Sheriff’s Office launched ‘Operation Stonewall,’ a three-day fraud sting to catch contractors allegedly agreeing to perform work without the required licenses and proper workers’ compensation insurance coverage.

Ten individuals were arrested in the fraud sting and could serve up to 5 years in prison if convicted.

Click here to read the article.

Filed under Property (Homeowners)

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)

Filed under 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.

Click here to read the article.

Filed under Fraud, Healthcare

Cape Coral Roofing Company Accused of Taking Money and Not Completing Work

According to WINK News of Fort Myers, FL, twenty-four people are accusing Campbell Roofing and Sheet Metal of Cape Coral of taking deposits for roofing jobs, starting the work and abandoning the jobs. In some cases, the roofer never started the job at all.

Click here to read the article.

Filed under Fraud, Property (Homeowners)

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.”

Click here to read the article.

Filed under Fraud, Personal Injury Protection (PIP)

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.

Click here to for the video.

Filed under Fraud