Tag Archives: Insurance 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.

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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

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

Former Miami Insurance Agent Arrested in $1.7M Fraud Scheme

Former Miami insurance agent Antonio Jesus Zoghbi has been accused of stealing more than $1.7 million in insurance premiums. Zoghbi allegedly used fraudulent and stolen identities to create fictitious insurance policies and submit fake premium finance contracts. According to the investigation, Zoghbi diverted policy funds into his business account, which he used for personal gain. He faces up to 25 years in prison if convicted.

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Filed under 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 Fraud, Healthcare

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 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.

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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.

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Filed under Fraud, Healthcare

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 Fraud, Personal Injury Protection (PIP)