March 22, 2018, Wilmington, CA -- A Wilmington businessman is being investigated by a California license board for debris removal work in the city of Santa Rosa, struck recently by wildfires.
Peter Koke, owner of Koke Demolition & Salvage in Wilmington, also operates an office in Santa Rosa. Rick Lopes, spokesman for the California Contractors State License Board, said Koke has been offering debris removal services in the city and clients have contacted the board alleging they paid Koke for services that have not been rendered.
Wildfires last fall destroyed thousands of buildings in the area.
“We’ve gotten a number of complaints from the fire survivors here, the consumers,”
March 16, 2018, Los Angeles, CA -- A former Newcastle woman will spend the next decade in a United States jail for her role in one of the largest insurance frauds in Californian history.
Kirsten Wallace was sentenced to 11 years’ jail after admitting she was involved in an “elaborate conspiracy” to defraud patients and insurers in a scheme that relied on false claims amounting to $US175 million ($233 million).
Wallace last week pleaded guilty to 46 counts of money laundering, grand theft, identity theft and insurance fraud.
The former Mayfield woman was the chief financial officer of Community Treatment Los Angeles, a company which ran about 30
March 16, 2018, Washington, DC -- On Friday, the Office of Inspector General (OIG) revealed that between the fiscal years 2010-2015, roughly half of chiropractic Medicare payments went towards services that were medically unnecessary, not billed properly, or insufficiently documented.
During that time, the massive entitlement program spent $2.9 billion overall on chiropractic services, generally considered an alternative form of medicine, with between $257 million to $304 million per fiscal year going toward improper payments:
Chiropractic services, according to OIG, were susceptible to fraud and experienced a higher percentage of improper payments than other Medicare Part B services.
The OIG report complained that the Centers for Medicare and Medicaid
March 16, 2018, Naperville, IL -- A DuPage County judge will rule Wednesday whether to send a former Naperville man back to prison to finish serving the final year of a 23-year sentence or to set him free for the first time since 1995.
Judge Liam Brennan will decide William Amor's future at 10 a.m. in Wheaton.
Amor's nearly two-week bench trial concluded Feb. 2, but Brennan said he needed time to review his notes and evidence before handing down a verdict.
Amor was convicted in 1997 of arson and murder in connection with the 1995 death of his mother-in-law, Marianne Miceli, in a fire at a Naperville condo
March 16, 2018, Oklahoma City, OK -- The Oklahoma Insurance Department is working to protect seniors from scammers through a series of free events across the state.
“The rise in the use of technology has given crooks new ways to scam people out of their hard-earned money,” said Oklahoma Insurance Commissioner John D. Doak. “Seniors are especially susceptible because many of them have a substantial savings, excellent credit and aren’t likely to go to police if they think they’ve been scammed. We want to give seniors the upper hand the next time someone tries to take advantage of them.”
The U.S. Subcommittee on Health and Long Term Care estimates
March 16, 2018, Detroit, MI -- An $8 million state grant awarded to a Michigan autism therapy provider is on hold amid an investigation by the state attorney general's office into alleged Medicaid fraud.
Jeff Mason, CEO of the Michigan Economic Development Corp., tells the Detroit Free Press the Michigan Strategic Fund board awarded the grant in October but the contract hasn't been signed. He says it's on hold as the MEDC monitors the investigation.
The update comes after the newspaper reported Sunday that former executives of Centria Healthcare have accused the company of fraud, forgery, violating patient privacy and employing unqualified staffers to serve autistic children.
March 16, 2018, New York, NY -- Insurers in New York are launching a $1-million awareness campaign to alert the public about the dangers of opioid abuse. The multi-media campaign — “Painkiller Fraud: A Prescription for Tragedy” — focuses on the fraud committed by physicians and pharmacies who illegally profit in plying patients with addictive painkillers.
, radio, billboards and social media will carry the consumer messages beginning later this spring. The campaign was announced at today’s annual meeting of the New York Alliance Against Insurance Fraud
During the meeting, members also elected four members to the NYAAIF Board of Directors: Thomas Kelleher,
March 15, 2018, Paoli, PA -- A Paoli man has been charged in connection with the hit-and-run accident that killed a pedestrian in Radnor on March 6.
Kevin Gaughan, 30, arrived at the Radnor Police Department about 11 a.m. with his West Chester attorney, Robert Donatoni. He is accused of driving a vehicle that fatally struck Frederick Gitterman, 69, of Delaware County. Gitterman was crossing the busy commercial strip along the 500 block of East Lancaster Avenue when he was hit shortly after 8 p.m. The driver was passing through a green light and had the right of way, officials said.
Delaware County District Attorney Katayoun M.
March 15, 2018, Miami, FL -- Three Miami, Florida-area home health agency owners were charged in an indictment unsealed on March 13, 2018 for their alleged participation in a health care fraud scheme involving a now-defunct home health agency in Miami.
U.S. Attorney Benjamin G. Greenberg of the Southern District of Florida, Acting Assistant Attorney General John P. Cronan of the Justice Department’s Criminal Division, Special Agent in Charge Robert F. Lasky of the FBI’s Miami Field Office and Special Agent in Charge Shimon R. Richmond of the U.S. Department of Health and Human Services Office of Inspector General’s (HHS-OIG) Miami Regional Office made the announcement.
March 15, 2018, Lynbrook, NY -- The co-owner of a Lynbrook pharmacy was arrested on Feb. 15 and charged with defrauding the state Medicaid program out of millions of dollars, claiming his business dispensed expensive cancer medications to patients that it did not even have in stock.
State Attorney General Eric Schneiderman and Comptroller Thomas DiNapoli announced the arrest of Arkady Goldin, 39, of Brooklyn, who owns Value Pharmacy Inc., at 257 Broadway in Lynbrook.
When a Herald reporter went to the pharmacy seeking comment on Feb. 16, the door was locked, and the building was empty. Reached by phone on Monday, a representative of Value Pharmacy declined
March 14, 2018, San Gabriel, CA -- A San Gabriel Valley doctor who pleaded guilty to a federal drug trafficking charge for illegally distributing the powerful opioid best known by the brand name OxyContin was sentenced today to over 13 years in federal prison.
Dr. Daniel Cham, 49, a Covina resident who formerly operated a clinic in La Puente, was sentenced today by United States District Judge Andrew J. Guilford.
As he was sentencing Cham today, Judge Guilford expressed concern “that other doctors haven’t gotten the message of the seriousness of this activity.”
Cham pleaded guilty in April 2016 to one count of distribution of oxycodone, a powerful and addictive
March 14, 2018, Mercer County, WV -- Two men pled guilty today in federal court for their respective roles in a scheme to commit insurance fraud by arson, announced United States Attorney Michael B. Stuart. Dudley Bledsoe, age 63, of Hanover, Wyoming County, and Ricky Dwayne Gleason, age 54, of Peach Creek, Logan County, both pleaded guilty to a charge of unlawful monetary transactions before Senior District Court Judge David A. Faber in Bluefield. United States Attorney Mike Stuart commended the work of the United States Postal Inspection Service, the West Virginia State Police and the West Virginia Office of the Insurance Commissioner.
“As West Virginia
March 14, 2018, Fernwood, ID -- Attorney General Lawrence Wasden has announced a Benewah County woman was
sentenced Friday, February 23, for one count of Insurance Fraud.
First District Judge Scott Wayman sentenced 31-year-old Nessa Sullivan of Fernwood after she
pleaded guilty in December.
Judge Wayman sentenced Sullivan to three years in prison. He then suspended the sentence
and placed her on two years probation. Sullivan was ordered to pay $1,207 in restitution and a
fine of $500. The court also ordered her to pay court costs and $300 towards the cost of her
public defender. In addition, Sullivan was ordered to perform 200 hours of community service.
Judge Wayman also ordered 90 days
March 14, 2018, Olympia, WA -- Three people were sentenced to community service after pleading guilty to charges related to purchasing insurance after incurring property losses. Charges were filed after investigations by Insurance Commissioner Mike Kreidler’s Criminal Investigations Unit (CIU).
Hashim Makawi, 40, of Everett, was sentenced in Snohomish County Superior Court to 80 hours of community service and to pay $10,858 in restitution and $700 in court fees, all of which he has completed. Makawi pleaded guilty to second-degree attempted theft in December 2017.
According to the investigation, Makawi purchased renter insurance from Assurant Specialty/American Bankers Insurance on May 11, 2016, and the next day
March 14, 2018, Boise, ID -- Attorney General Lawrence Wasden has announced an Ada County man was sentenced Friday, March 9, for one count of Insurance Fraud.
Fourth District Judge Michael Reardon sentenced 36-year-old Benjamin Mokhtarani, of Boise, after he pleaded guilty in January.
Judge Reardon imposed a four year prison sentence, then suspended the sentence and placed Mokhtarani on four years of supervised probation. The judge also ordered the defendant to serve 60 days in jail and 200 hours of community service. Mokhtarani was ordered to pay restitution to the Idaho Department of Insurance in the amount of $520, a fine of $2,500 and court costs.
March 13, 2018, Frankfort, KY -- Legislation which would create a new range of penalties for those who have committed insurance fraud is now in the Senate for consideration.
Penalties in House Bill 323, sponsored by Rep. Steve Riggs, D-Louisville, would be based on the amount of fraud that has been committed. Felony penalty levels would be defined for insurance fraud ranging from $10,000 to $1,000,000 or more, with misdemeanor penalties for fraud of lesser amounts also defined.
The bill passed the House 83-0 on Friday.
“You don’t have to take my word for it that it (insurance fraud) is a problem in Kentucky,” said Riggs as he presented
March 13, 2018, Tallahassee, FL -- New Jersey Sen. Robert Menendez said his campaign has given away $19,700 in donations it received from convicted Medicare cheat Dr. Salomon Melgen. Melgen was sentenced last month to 17 years in prison after prosecutors said he stole nearly $100 million from Medicare over the years.
Menendez, a Democrat, had stuck by Melgen - a longtime friend – through the bribery case against both men that was dropped in January as well as Melgen’s separate Medicare fraud trial and conviction.
“I wish my friend Sal success in his continuing search for justice,” Menendez said to reporters in January.
But after the I-Team asked
March 13, 2018, Pittsburgh, PA -- A former Penn Hills doctor has been sentenced to five years in federal prison for illegally prescribing drugs and defrauding insurance companies.
The U.S. Attorney's Office in Pittsburgh announced Tuesday that Brent Clark, 55, was guilty of illegal distribution of oxycodone and amphetamine and health care fraud.
Clark was ordered to pay nearly $226,000 in restitution and $51,000 in fines, according to U.S. Attorney Scott Brady.
He also was ordered to forfeit $131,000, the building where he had his medical practice and committed the crimes, his federal Drug Enforcement Administration prescribing number, his state medical license and a vehicle.
According to information presented to
March 12, 2018, San Antonio, TX -- A 21-year veteran of the San Antonio Fire Department was fired last month for committing insurance fraud and lying about it to Fire Chief Charles Hood, documents obtained by mySA.com show.
Emilio Montes was fired on Feb. 20. Earlier that month, he pleaded no contest to a criminal charge of insurance fraud between $2,500 and $30,000 and received deferred adjudication, according to online court records. He's currently serving his sentenced probation.
According to suspension records obtained by mySA, Montes told an insurance investigator that his car had been stolen, when in reality, he had had someone drive it to Mexico so he
March 12, 2018, Chalotte, NC -- A North Carolina pastor who claims she’s suffering from a chronic pain condition is being sued by her insurer after she was spotted in photos playing Skee-Ball and gleefully going down an inflatable slide.
Cynthia McCullough, of Charlotte, told her insurer that she could not bathe or dress due to discomfort and complications from complex regional pain syndrome, a persistent condition typically affecting one limb after an injury. As such, McCullough said she needed constant home care, the Charlotte Observer reports, citing a lawsuit filed by New York Life in federal court in Charlotte on Friday.
Since 2010, McCullough has received roughly
March 12, 2018, Springfield, IL -- Illinois State Police (ISP) and the Illinois Office of the Attorney General announced the conviction and sentencing of two Illinois residents in a Medicaid defrauding scheme.
Jeanie Akamanti,59 of Carbondale, pleaded guilty to one count of Vendor fraud, a Class 1 felony. She was sentenced to 48 months of probation and ordered to pay $71,852.00 restitution.
Rene Cook, 69 of Murphysboro, pleaded guilty to one charge of Theft, a class 4 felony, on Sept. 20, 2017. Cook was sentenced to 24 months of probation, 30 hours of community service, and was ordered to pay $2,115.57 in restitution.
The ISP Medicaid Fraud Control Bureau
March 12, 2018, Hanover, none -- A 31-year-old woman faces numerous charges after allegedly forging a fentanyl prescription.
Hanover Police say the charges date back to a December 19th incident when a woman called a pharmacy in Hanover, claiming their doctor had mixed up the street name on their narcotic prescription.
The female allegedly told the pharmacy it was supposed to be sent to a location on Hanover Street in Toronto, and supplied a detailed cover story about relocating from the U-S after suffering a medical issue.
According to police, the female advised the pharmacy in Hanover she was willing to drive from Toronto to fill the prescription anyhow.
March 12, 2018, Harrisburg, PA -- A New York man has admitted to operating a crime ring that rented out more than a thousand fake Pennsylvania license plates.
Rafael Levi, 51, of Brooklyn, pleaded guilty Friday in Dauphin County Court to 36 third-degree felonies, Attorney General Josh Shapiro’s office said. Levi was charged in April 2017 with more than 500 counts.
Prosecutors said the ring charged $400 a month for fake plates that people used in order to avoid paying more than $1 million in parking fines and highway tolls in New York, Pennsylvania, and neighboring states.
The ring dubbed “Operation Car Wash” also provided fake insurance cards, rolled
March 12, 2018, Denair, CA -- A 31-year-old Denair woman has been convicted of workers' compensation fraud, under-reporting $2.8 million in payroll and costing the state about $525,000 in insurance premiums.
Aileen Ramirez on Feb. 27 pleaded no contest to one count of fraud to obtain insurance at a reduced rate, the Stanislaus County District Attorney's Office announced in a news release Thursday. Two other counts of insurance fraud were dropped.
Ramirez was sentenced to serve 120 hours of community service and three years of probation. She also was ordered to pay restitution of slightly more than $525,000 to the State Compensation Insurance Fund.
In 2012, Ramirez was the
March 12, 2018, Tipton County, IN -- Police are sending out a warning to homeowners about a new scam that could lead to a burglary.
The Sharpsville Town Marshal's Office is investigating after a man was caught taking pictures of a home for a fake insurance company.
The homeowner told Marshal Ray Sheppard that the man told him he was from Mutual Reliable Insurance. Sheppard said he doesn't believe that insurance company exists. The homeowner then asked the man for credentials, which he couldn't provide.
Sheppard said the suspect even knew the homeowner’s name. The suspect then asked the homeowner if he could take pictures of the back of the