News

Chiro charged with illegal patient referrals in California
May 22, 2018, Riverdale, CA -- A Riverside chiropractor was charged by the Riverside County DA's Office today, May 17, 2018, with 47 felony counts related to an insurance fraud and kickback scheme. Curtis Wayne Montgomery, DOB: 6-1-58, of Riverside, has been charged with three counts of insurance fraud, Penal Code section 550 (a) (1); 28 counts of receiving commission for referring clients, Labor Code section 3215; and 16 counts of money laundering, Penal Code section 186.10 (A). The charged crimes are alleged to have happened from 2011 through 2016. Montgomery was arrested on May 11, 2018. He posted bail and was released from custody that same day. ...

Louisiana woman claims she bit on razor in sandwich
May 21, 2018, Eunice, LA -- The Eunice Police Department says they have arrested a woman after she claimed she received a mouth injury from a razor blade found in her fast food sandwich. Police say that they were called to Mercy Regional Medical Center on Friday, May 15, after a woman claimed she had received a facial injury due to a razor blade found in the fast food she purchased at a local chain restaurant. The woman, identified by police as 29-year-old Correill Bradley, told police she purchased her food from the restaurant and upon biting into the sandwich felt a strange object in her ...

Driver suspected of falsifying collision with F150 in Alabama
May 21, 2018, Selma, AL -- Alesia Braswell Alwahishi, 206 W. Watson St., Selma, was charged with felony insurance fraud and felony obtaining property by false pretense, according to state Insurance Commissioner Mike Causey on Monday. According to the arrest warrant, Alwahishi told USAA Insurance Co. that a car driven by a motorist insured by USAA damaged the tailgate of her 2005 Toyota 4-Runner in a vehicle accident on May 19, 2017, when in fact the damage was pre-existing. The false pretense charge stems from Alwahishi receiving a $1,727.07 claim from USAA by making the same false statement. Alwahishi was arrested on April 25 in Johnston County and placed ...

Driver allegedly falsifies crash with F150 in Carolina
May 21, 2018, Goldsboro, NC -- North Carolina Insurance Commissioner Mike Causey today announced that special agents from the N.C. Department of Insurance Criminal Investigations Division filed insurance fraud and other related charges against two Goldsboro women. Janette Katrina Darden, 43, of 606-D S. Andrews St., Goldsboro, was arrested and charged with felony insurance fraud, felony attempting to obtain property by false pretense, and felony conspiracy to obtain property by false pretense. She was arrested on April 24 in Wayne County and placed under a $10,000 secured bond. Carlena Denise Hunt, 45, of 404-4 Wayne Ave, Goldsboro, was served a criminal summons and charged with felony insurance fraud, ...

Home health firm hands out kickbacks for Michigan patients
May 21, 2018, West Bloomfield, MI -- The owner of a Michigan home health agency pleaded guilty today to charges for his role in a scheme involving Medicare claims for home health services that were procured through the payment of illegal kickbacks. Acting Assistant Attorney General John P. Cronan of the Justice Department’s Criminal Division, U.S. Attorney Matthew J. Schneider of the Eastern District of Michigan, Special Agent in Charge David P. Gelios of the FBI’s Detroit Field Office and Special Agent in Charge Lamont Pugh III of the U.S. Department of Health and Human Services Office of Inspector General’s (HHS-OIG) Chicago Regional Office made the announcement. Atheir Amarrah, ...

Crasher’s crony makes claim for him in South Carolina
May 20, 2018, Sumter County, SC -- A Sumter County man pleaded guilty to defrauding Geico insurance company out of more than $10,000 by staging a car crash and letting someone else pretend to be him during the claim. South Carolina Attorney General Alan Wilson announced the May 16 plea of Shyquan Marquez Soloman, 20, on the charge of presenting a false claim for payment more than $10,000. "Staged car accidents and insurance fraud are serious problems in South Carolina, and we'll continue to go after anyone who commits those crimes," Wilson said. "The staged accidents can put innocent people in danger, and fraud raises insurance rates for everyone." Law ...

Cold callers try to sell suspicious roof repairs in Missouri
May 20, 2018, St. Louis, MO -- People around the St. Louis and Metro East have reported bogus phone calls asking that they give up their personal information. Geraldine Caldwell-Phillips said a local number called her in May. A man named Michael was on the other line. He said he was with Missouri Services. "He told me that, because, there were a lot of storms in this area, that they were contacting all of the constituents to see if they needed repairs on their roof and they would work diligently with them and their insurance company,” Phillips explained. She stayed on the line, but proceeded with caution. "He first asked me, ...

Alaskan charges comp insurer for fake massage therapy
May 20, 2018, Anchorage, AK -- An Anchorage jury has convicted a former Alaska Department of Transportation and Public Facilities (DOTPF) employee of multiple criminal charges related to workers’ compensation fraud. Scott Groom was found guilty of one felony count of scheme to defraud, two felony counts of theft in the second degree, and 34 felony counts of falsification of business records. The Anchorage jury also found an aggravating factor. Mr. Groom worked for DOTPF as a weigh station operator when he was injured on the job in 1999. Mr. Groom moved to Wisconsin in 2002 and settled his workers’ compensation claim with the State of Alaska ...

Construction payroll scams force legit firms to fold in Utah
May 20, 2018, Salt Lake, UT -- Payroll fraud is now so widespread in Utah’s construction industry that unions, government investigators and contractors agree it is pushing legitimate companies out of business — because they can’t compete financially with rulebreakers. “It’s very blatant,” said Brendan Call, an assistant Utah attorney general. The groups delivered that message to the Legislature’s Business and Labor Interim Committee this week, but offered few solutions. State and federal officials say they have many ongoing investigations, but are hampered by a lack of investigators. Patrick Bieker, representing the Southwest Regional Council of Carpenters labor union, displayed a pay stub that he said shows the heart of ...

Brooklyn doc sues for $75M, says fraud probe wrecked his career
May 19, 2018, Brooklyn, NY -- A Brooklyn doctor whose life was “destroyed” after he was wrongly swept up in an insurance-fraud investigation is suing the city and the District Attorney’s Office for $75 million. “It took me a lifetime to establish a practice . . . it vanishes right in front of your eyes,” cardiologist Abdul Q. Malik told The Post. Malik had a thriving, 4,000-patient practice in Prospect Lefferts Gardens when police showed up in March 2015 at his Brooklyn home, slapped handcuffs on him and hauled him to Rikers Island. One of nine doctors accused of taking part in a scheme to defraud Medicaid and Medicare ...

Tenant ring allegedly torches homes across Florida
May 18, 2018, Cape Coral, FL -- Tenants accused of torching homes across Florida are now behind bars. Investigators say they hit SWFL homes too. Two homes associated with the group went up in flames in 2009 and 2014 near Golden Gate, and one in Cape Coral in 2010. The flames caused about $90,000 in damage to the properties. Six accused members of the arson-for-profit ring were arrested Friday and now face charges for intentionally setting fire the rental homes across SWFL and making over $180,000 as a result. Officials say the group would put clothing and furniture inside the homes to make it look like someone was living there, ...

Denver TV warns about sleazy contractors, hail repairs
May 18, 2018, Denver, CO -- With storms moving through Colorado on Friday, some people could see extensive hail damage. Before getting the dents and damages fixed, some may be thinking there will be more hail to come. Why not just wait? Contact7 is helping you navigate the do's and don'ts of hail repair. "What you don't want to do as a homeowner is get the claim and do nothing with it and try to get another claim on the next storm next year that you never did anything for," said Bobby Laughlin, Senior Residential Estimator with Academy Roofing Inc. "That's running the risk of it being ...

Carolina driver allegedly claims he owned damaged rental car
May 17, 2018, Wilmington, NC -- A Wilmington man was arrested and charged with insurance fraud after an incident involving a rental car. According to a news release from the NC Department of Insurance, Chris Edwin McCoy, 53, was arrested on April 27 in New Hanover County and charged with one felony count of attempting to obtain property by false pretenses. The New Hanover County Sheriff's Office online inmate database lists McCoy as being additionally charged with failure to appear felony and misdemeanor charges, a failure to return a rental vehicle charge and a worthless check misdemeanor charge. His bond is listed at $31,000 and his next ...

Medicare scammers show up on Vegas woman’s doorstep
May 17, 2018, Las Vegas, NV -- A woman in her 70's said she received several unexpected phone calls from people claiming to have her new Medicare card before seeing them show up at her front steps. According to police, they were trying to scam the woman. Ila Miller said she knew she would be getting a new Medicare card sometime soon, but after alleged scammers showed up at her door, Miller's anticipation soon turned into fear for her safety. According to Miller, everything started with a phone call. "Hi, this message is for Ila or Ila Miller," the voicemail message said. "My name is Marie, and I'm ...

More than 200 docs still on Medicare rolls despite sanctions
May 17, 2018, Washington, DC -- Doctors who land in hot water with state regulators have a helping hand when it comes to keeping their practices running: The federal government. At least 216 doctors remained on Medicare rolls in 2015 despite surrendering a license, having one revoked, or being excluded from state-paid health care rolls in the previous five years, a Milwaukee Journal Sentinel/MedPage Today investigation found. In all, these doctors were paid $25.8 million by taxpayers in 2015 alone. Among them: Glen Marin, a family practice doctor from New York City. According to New York Department of Health disciplinary records, Marin didn’t contest charges that he was sexually ...

New Yorker allegedly cashes comp checks sent to dead mother
May 16, 2018, Rochester, NY -- New York State Inspector General Catherine Leahy Scott today announced the arrest of a City of Rochester man on charges he defrauded the Workers' Compensation system by cashing nearly $4,000 worth of benefits checks meant for his mother who had passed away months earlier. Curtis Lee Wilson, 56, of Norton Street, Rochester was arraigned today in Rochester City Court on charges of Grand Larceny in the Third Degree and six counts of Criminal Possession of a Forged Instrument in the Second Degree, all felonies. An investigation by Inspector General Leahy Scott found that Wilson cashed six Workers' Compensation benefit checks mailed to ...

$5.1M of comp penalties collected this FY in North Carolina
May 16, 2018, Raleigh, NC -- The North Carolina Industrial Commission's Compliance and Fraud Investigative Division continues to proactively identify businesses not complying with the Workers' Compensation Act at an unprecedented rate. At the end of the Third Quarter of Fiscal Year 2017- 2018, the Compliance Unit collected over $5.1 million in penalties, significantly more than the $1.15 million collected the first three quarters of Fiscal Year 2016-2017. The Commission attributes a significant portion of the increase in penalty collections to the earlier assignment of cases to investigators, and the substantial number of investigations commenced and completed. On average, cases are now assigned to investigators within 87 ...

Foot Healers in St. Louis settles Medicare fraud charges over toenail clippings
May 16, 2018, St. Louis, MO -- Foot Healers podiatry clinics in St. Louis settled with the federal government for $125,000 for Medicare fraud on false claims from 2010 to 2016. The clinics knowingly billed Medicare for medically necessary toenail removals, when the services provided were routine nail clippings that are not covered by the government insurance program for people older than 65 and others with disabilities, according to the U.S. Department of Justice. “After becoming aware almost five years ago of some billing errors, we successfully worked with the government to correct this. At all times we have been, and remain in good standing with Medicare. We appreciate ...

Eastern Kentucky eye center owner, former wife charged with Medicaid fraud
May 16, 2018, Franklin County, KY -- A man and his former wife were charged with theft over $10,000 and Medicaid fraud Wednesday. Attorney General Andy Beshear and the Office of Medicaid Fraud and Abuse indicted an Eastern Kentucky eye center owner and his former wife. Optician Marcus S. Minix, 67, and Amy K. Slone, 34, allegedly billed Medicaid in 2015 and 2016 for eye care services that were never provided. The bills were made on behalf of Minix Eye Care, PSC, a company formerly in Paintsville and Prestonsburg. Minix and Slone were married and working at the eye center at the time. They allegedly withdrew large amounts of money ...

State investigation finds Medicaid fraud among autism treatment providers
May 16, 2018, Miami, FL -- Florida officials will stop accepting new behavioral analysis providers in Miami-Dade and Broward counties after an investigation found Medicaid fraud, including cases of massive overbilling. Applied behavior analysis therapy is used to treat children with autism. The therapy can also be used treat a wide range of problems in children including substance abuse and other behavioral problems, but it's most commonly associated with autism treatment. The investigation found that providers had billed Medicaid for more than 24 hours in a single day or more than 40 hours in a single week. Officials said some of providers may have falsified their qualifications. More than ...

Senators threaten CMS chief with subpoena to testify on Medicaid fraud
May 16, 2018, Washington, DC -- Sens. Ron Johnson, R-Wis., and Claire McCaskill, D-Mo., are threatening to subpoena Centers for Medicare and Medicaid Services chief Seema Verma if she doesn’t appear before the committee to discuss Medicaid fraud. The senators wrote in a letter to Verma on Tuesday that they have tried to get her to attend a hearing before the Senate Homeland Security and Governmental Affairs Committee since April 20, but she has declined repeatedly to testify. Now the senators say if Verma doesn’t confirm her appearance for a hearing on June 20, then they may “seek alternative means to compel your testimony.” Johnson is the committee ...

Classic cars and claims fraud
May 16, 2018, Washington, DC -- Spending most of its life waiting for a turn on the open road, a classic car typically lives a pampered life in a structurally sound, climate-controlled garage equipped with a fire extinguisher, sprinkler system and alarm. When the weather turns warm or there is a chance to participate in a local car show, owners and their vehicles will hit the road looking to show off fancy rims, glossy paint jobs and lots of chrome. It is also when classic cars face the greatest risk of a loss or an accident. ...

Bossier Parish deer camp suspect pleads not guilty; authorities seize assets
May 16, 2018, Bossier Parish, LA -- A man held in connection with incidents of deer camp vandalism and arson in northern Bossier Parish pleaded not guilty in district court Wednesday. Gary Wilson appeared in Bossier district court via video. He faces a host of charges: one count of attempted first-degree murder of a law enforcement officer; two counts of communicating of false information of a planned arson; two counts of obstruction of justice by tampering with evidence; one count of injuring public records; one count of insurance fraud; one count of money laundering; one count of racketeering; one count of filing or maintaining false public record; one ...

Sentencing delayed for former Starkville Academy coach
May 16, 2018, Starkville, MS -- The former Starkville Academy baseball coach whose criminal trail has taken him through Clay County gets another brief chance when prosecutor agrees to delay sentencing until August to give the former Lowndes County baseball great time to pursue a workman’s compensation case against the Texas Rangers. The outcome of that case may allow 39-year-old Shane Bazzell a way to provide for his family, according to paperwork filed in Bazzell’s case in Lowndes County Circuit Court. Bazzell pleaded guilty Tuesday to possession of a firearm by a convicted felon. He pleaded as a habitual offender, meaning when he is sentenced he will have ...

Couple allegedly claims prior Louisiana hail damage was new
May 16, 2018, Monroe, LA -- A Monroe Fire Investigator and his wife have been accused of defrauding an insurance company. Louisiana State Police say that David and Dana Hill tried to scam their insurer over hail damage. The warrant affidavit alleges that the Hills bought a 2002 Volvo that had un-repaired hail damage in February of 2017. They then filed an insurance claim saying that it had been damaged in a hail storm. The insurance company totaled out the car and wrote the hills a check for roughly $3,200, which they deposited into their bank account. Both got out of jail little more than an hour after booking. Dana ...