October 20, 2016, Gloucester County, AZ -- A fugitive sought on insurance fraud charges in Arizona was arrested in Gloucester County this week, according to the county prosecutor's office.
Brian D. McFarland, 43, faces multiple counts of fraud and theft in Arizona, where he allegedly took more than $450,000 from nearly 90 insurance customers, officials said.
Gloucester County Prosecutor's Office Fugitive Investigations Unit officers determined McFarland was living in Swedesboro and arrested him without incident.
He waived an extradition hearing on Tuesday and agreed to return to Arizona, according to the prosecutor's announcement.
October 19, 2016, Irvington, NJ -- A Woodbridge man was sentenced on Tuesday to three years in prison for reporting that his motorcycle had been stripped of its parts by thieves on two occasions, when in actuality he directed a repair shop to remove the parts so that he could make claims with his insurance companies.
Lew Alicock, 32, must also pay $5,512.96 in restitution to Pacific Specialty Insurance Co. under the sentence handed down by Superior Court Judge Michael Toto.
Alicock plead guilty in April to the second-degree charge. He had been rejected admission to a pre-trial intervention program, according to a news release.
In pleading guilty, Alicock
October 19, 2016, New Orleans, LA -- The owner of a New Orleans medical service company and a doctor who served as the company’s medical director were sentenced to prison today for their involvement in a $34 million Medicare fraud scheme.
Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, U.S. Attorney Kenneth A. Polite of the Eastern District of Louisiana, Special Agent in Charge Jeffrey S. Sallet of the FBI’s New Orleans Field Office and Special Agent in Charge C.J. Porter of the U.S. Department of Health and Human Services-Office of Inspector General’s (HHS-OIG) Dallas Regional Office made the announcement.
Elaine Davis, 60, of New
October 19, 2016, Sun Valley, CA -- A 22-year-old man was sentenced Wednesday to 21 years in state prison for his role as an accomplice in a Sun Valley killing that was motivated by a plot to collect on a $2.5 million life insurance payout.
Nazaret “Nick” Bayamdzhyan pleaded no contest Sept. 12 to voluntary manslaughter and admitted a gun allegation stemming from the April 24, 2013, killing of 33-year-old Joshua West.
“It’s very scary what can happen to a young mind controlled by people around you,” Bayamdzhyan’s attorney, Karine Basmadjian, said outside court. “He was just frightened. He was entirely at the wrong place at the wrong time.
October 19, 2016, Cincinnati, OH -- A Cincinnati-area man accused of running a roofing scam affecting dozens of consumers in southwest Ohio was indicted today.
David M. Nelson, 36, of Norwood, was indicted by a Hamilton County grand jury on 30 counts including one count of engaging in a pattern of corrupt activity, 24 counts of theft, and five counts of insurance fraud.
Nelson is accused of accepting money for roof work he never provided. He allegedly contacted consumers at their homes, claimed their roofs were damaged, and encouraged them to file an insurance claim. After accepting consumers’ insurance money, he allegedly failed to provide any services in
October 19, 2016, Grinnell, IA -- A Grinnell, Iowa physician has pleaded guilty in federal court on two counts of health care fraud, says U.S. Attorney Kevin VanderSchel .
Richard Hauser, 66, of North Liberty, submitted claims to Iowa Medicaid and Wellmark Blue Cross Blue Shield for a more expensive service than was actually performed in order to receive a profit, according to the plea agreement. Hauser “up coded” these services from November 2011 through December 2012 while working at a clinic in Grinnell called The Hauser Clinic.
Both counts of health care fraud are felonies.
Hauser is scheduled to be sentenced in federal court on February 16, 2017.
October 19, 2016, Jefferson County, OH -- A former mayor was found guilty of three charges in Jefferson County court on Wednesday.
Patricia Freeland, former mayor of Smithfield was found guilty of all of the charges brought against her: theft in office, insurance fraud and failure to make payment of undeposited taxes.
The jury took about two hours to reach their verdict. Before that, during closing arguments the prosecution with the state auditor’s office argued that Freeland committed insurance fraud following a 2009 break-in, when she reported the incorrect amount for stolen pumps from the village and never paid for work done to damaged equipment.
The prosecutor also touched on
October 19, 2016, Washington, DC -- More than 80% of the money that Medicare paid to chiropractors in 2013 went for medically unnecessary procedures, a new federal audit found.
The federal insurance program for senior citizens spent roughly $359 million on unnecessary chiropractic care that year for treatment of strains, sprains or joint conditions, a review by the Department of Health and Human Services’ Office of Inspector General found.
The OIG called on the Centers for Medicare and Medicaid Services to tighten oversight of the payments, noting its analysis was one of several in recent years to find questionable Medicare spending on chiropractic care. “Unless CMS implements strong
October 19, 2016, Ontario, none -- Drivers living in Toronto and the 905 are paying the highest auto insurance premiums in the province, a new list shows.
The list, compiled by online auto insurance marketplace tool Kanetix.ca, lists the 10 most expensive cities for auto insurance in Toronto.
According to the list, Toronto ties with Markham at fourth most expensive city in Ontario when it comes to the highest estimated premiums.
According to Kanetix, Toronto and Markham drivers can expect to pay $1 886 a year for auto insurance, some 30 per cent higher than the provincial average of $1,448.
But that might seem like a bargain if you live
October 19, 2016, Hong Kong, none -- More than 700 people are believed to have fallen prey to motor insurance scams, police said after four members of a syndicate suspected to have forged policy documents were arrested.
The Commercial Crime Bureau of the force first received a complaint from a victim over an insurance intermediary, named Lap Shing Insurance Broker, in August last year, after the policy document issued by the broker was found to be bogus.
Superintendent So Man-kuen from the bureau said the syndicate allegedly set up the insurance intermediary and claimed it could help victims purchase motor insurance policies from leading insurance companies at lower premiums.
October 19, 2016, London, none -- Law firm Thompson Solicitors has lambasted insurers for “manufacturing hysteria” over car insurance fraud and for allegedly profiteering from honest drivers.
According to Thompson, figures from the Association of British Insurers (ABI) showed that costs of car insurance claims declined from £8.3 billion in 2010 to £5.8 billion in 2015.
However, the ABI “sat” on this figures because they compromised its lobbying efforts for further reform of personal injury, the law firm alleged, as reported by the Law Society Gazette.
“This latest information that has been sat on by the ABI completes a picture they would rather not have out
October 18, 2016, Spokane Valley, WA -- Spokane Valley Sheriff’s Detectives arrested 39-year-old Martie M. Soderberg (aka: Maxwell) for Criminal Solicitation to commit 1st Degree Murder, Monday afternoon.
The incident was reported to Spokane Valley Sheriff’s Deputies on October 11th, 2016 by a subject Soderberg asked to carry out her plan. The subject told investigators he knew Soderberg from high school and hadn’t talked to her since that time. He said recently, they reconnected through social media and began chatting.
On October 11th, he met with Soderberg at a restaurant for coffee in Spokane Valley. It was during that conversation Soderberg told the subject she had been married to
October 18, 2016, Dallas, TX -- Prosecutors say the two men threatened to hurt snitches and if caught planned to flee to Costa Rica. One of the pair claimed that former Special Forces soldiers would make turncoats “disappear,” the government says in court filings.
The North Texas men are not gangsters or suspects in a murder conspiracy. Instead, John Paul Cooper and Richard Cesario are accused of running a white-collar fraud: scamming the military’s health insurance program.
Health care fraud has become big business in North Texas, experts say. In this case, millions of dollars that could have gone toward health care for members of the
October 18, 2016, St. Francois County, MO -- A St. Francois County jury has found Nanette S. Litherland guilty of first degree murder and first degree assault for the 2009 murder of her husband, Jerry B. Litherland, formerly of Cadet, and attempted murder of her father-in-law, James B. Litherland.
In 2009, the defendant contracted with Jacob E. Feldman to murder her husband for $100,000, to be paid from life insurance proceeds. Nanette Litherland stood to gain nearly a half million in insurance proceeds and land she and her husband owned jointly. The defendant provided Feldman with a gun and a ride to her husband's farm. She requested he also
October 18, 2016, Pittsburgh, PA -- A New Jersey eye doctor who operates 11 Pearle vision centers in Pennsylvania and New Jersey has been indicted by a federal grand jury in Pittsburgh on a charge of health care fraud.
Dr. Vincent J. Gamuzza, 30, of Hazelet, N. J., was indicted Oct. 12 on one count of fraud, U. S. Attorney David J. Hickton announced Friday.
Gamuzza owns the franchises for 11 Pearle Vision Centers, including those in Hanover, Camp Hill, Harrisburg and Pennsdale in Lycoming County, said the U.S. attorney's office. He is currently licensed in Pennsylvania and New Jersey. He also owns Liberty Eye Care in Trenton,
October 18, 2016, Derby, CT -- A former executive of Insys Therapeutics has been criminally charged for leading a special "reimbursement unit" at the company that defrauded insurers into paying for a potent opioid pain medication by falsely claiming patients had cancer and other conditions needed for pre-approval.
Elizabeth Gurrieri, a former manager of reimbursement services for Arizona-based Insys, was charged with wire fraud conspiracy in a criminal complaint filed in federal court in Boston. The complaint sheds light on a Connecticut case involving a Derby nurse who has been charged with taking kickbacks from Insys in exchange for prescribing the company's fentanyl spray, Subsys. The nurse,
October 18, 2016, Spartanburg, SC -- A former Spartanburg Regional Health System worker has filed a lawsuit against the health care system.
The lawsuit claims Spartanburg Regional Health System took part in a scheme to defraud the federal government by filing false claims through referrals.
Greenville Attorney R. Mills Ariail Jr. is representing the former SRHS employee, Elisabeth Markley. She started working for Spartanburg Regional in 2013, but was let go last year. Markley's job as a physician compensation coordinator involved overseeing pay and benefits for doctors. Now she's suing her former employer.
Her suit states several doctors' offices were acquired by the hospital system and the
October 18, 2016, Coryell County, TX -- A trial of Margaret Litchfield for the 1999 murder of her husband Raymond "Red" Litchfield begn on Monday Oct. 4, 2106 in Gatesville, Tx of Coryell County.
The case had been a cold case until reopened by Coryell County district attorney Dusty Boyd in January 2014.
Margaret Litchfield, the victim’s widow, was arrested in April 2015 and booked into the Coryell County jail for the murder. She was later released on bond.
The trial has had several continuances requested by both the prosecution and the defense which were granted by 52nd district court judge Trent Farrell. The last trial date had been set
October 18, 2016, Pierre, SD -- Attorney General Marty Jackley announced that South Dakota has joined with other states and the federal government to reach an agreement with Omnicare Inc. (Omnicare), acquired by CVS Health Corporation effective August 18, 2015, to settle civil allegations that Omnicare conspired with Abbott Laboratories (Abbott) through a number of disguised kickback arrangements to increase overall utilization of Depakote. The states contend that from January 1, 2001 through December 31, 2008, Omnicare knowingly solicited and received illegal remuneration from drug manufacturer Abbott in the form of agreements that required Omnicare to engage in certain promotional programs, grants, and other financial
October 18, 2016, London, none -- Lifting the Bonnet report outlines five key points to tackle higher insurance premiums including capping IPT.
The Association of British Insurers (ABI) has published a report outlining five key ways for motor insurance to be reduced.
The Lifting the Bonnet report also highlights what the motor insurance premium pays for, and steps to take to help reduce the cost of cover.
The ABI's five point plan calls for:
• Further reforms to the personal injury compensation system. While further plans to stem frivolous and exaggerated personal injury claims have stalled, with the number of soft tissue injuries increasing, the government needs to push much-needed
October 18, 2016, London, none -- The Government must press ahead with planned reforms to clamp down on fraudulent whiplash insurance claims, according to insurance and road safety organisations.
Nearly a year after former Chancellor George Osborne promised in his Autumn Statement that the Government would consult on how to implement proposals to “crack down on the fraud and claims culture in motor insurance” and “end the cycle in which responsible motorists pay higher premiums to cover false claims by others”, little or no progress has been made.
In addition, a consultation paper setting out how to implement the reforms has still not been published nearly six months
October 18, 2016, Milton Keynes, none -- A father and daughter from Milton Keynes have been sentenced in the High Court after fabricating a story about injury caused by tripping over a drain cover.
Shaun Sturges, 51, of Kemble Court, Downhead Park, was jailed for eight months, after pleading guilty to contempt of court.
His daughter, Danielle, of Bradwell Common Boulevard, Bradwell Common, who supported his original claim, had also admitted the same offence and was given a six-month sentence, suspended for a year.
Mr Sturges brought a personal injury claim against Milton Keynes Council for damages and injury sustained as a result of tripping on a drain cover outside
October 18, 2016, Houston, TX -- Several officials with Team Work Ready (TWR) have been convicted of conspiracy, health care fraud, wire fraud and money laundering, announced U.S. Attorney Kenneth Magidson. TWR had clinics in five states including Federal Work Ready in Houston, Alamo Work Ready in San Antonio and Bayou Work Ready in New Orleans, Louisiana.
The federal jury deliberated for 14 hours following a 16-day trial before convicting CEO Jeffrey Eugene Rose Sr., 54, chief financial officer Pamela Annette Rose, 55, along with the clinic’s vice president of operations Frankie Lee Sanders, 55. The verdicts were returned late yesterday.
Today, the same jury
October 18, 2016, Los Angeles, CA -- A member of the International Longshore and Warehouse Union (ILWU), Local 13, was convicted by a federal jury on federal fraud charges for causing two medical clinics to bill the union’s health care plan for chiropractic services that were not provided or were not medically necessary.
David Gomez, 52, of San Pedro, was convicted late Friday by a jury in Los Angeles of 20 counts of mail fraud. After the verdicts were returned, United States District Judge R. Gary Klausner ordered Gomez taken into custody.
October 18, 2016, Tampa, FL -- United States Attorney A. Lee Bentley, III announces the return of an indictment charging Cordera Hill (27, Tampa), Anthonio Miller (25, Tampa), and Rashad Barr (24, St. Petersburg) with one count of conspiracy and nine counts of offering to pay and paying kickbacks in connection with a federal health care benefit program. If convicted, each faces a maximum penalty of five years in federal prison on each count. The indictment also notifies the individuals that the United States intends to forfeit the proceeds traceable to the offenses.
According to the indictment, in October 2014, Hill, an active duty member