Tag:

Health Care Claims Fraud

GUILTY: Woman Defrauded Medicaid By Billing For NJ Ex's Care While Really At Work In Michigan GUILTY: Woman Defrauded Medicaid By Billing For NJ Ex's Care While Really At Work In Michigan
Guilty: Woman Defrauded Medicaid By Billing For NJ Ex's Care While Really At Work In Michigan A substitute teacher from Michigan was convicted of billing Medicaid for giving care to her stroke-stricken Morris County ex-boyfriend while she was actually back home at work. Michael Ann Ellis, 62, of Flint, MI, was found guilty by jurors in Morristown who heard testimony from, among others, a schools superintendent from her district during a four-day trial, New Jersey Attorney General Matthew J. Platkin said. Evidence also included timesheets and payroll records with school locations, dates, and hours for more than four years that Ellis collected $45,000 from the New Jersey Medicaid Prog…
State: Jersey Shore Chiropractor, 73, With Fraud History Files 261 Bogus Insurance Claims State: Jersey Shore Chiropractor, 73, With Fraud History Files 261 Bogus Insurance Claims
State: Jersey Shore Chiropractor, 73, With Fraud History Files 261 Bogus Insurance Claims A Bayonne-based chiropractor from the Jersey Shore with an insurance fraud conviction already on his record did it again, state authorities charged. Charles B. Boas, 73, of Matawan, got probation seven years ago after pleading guilty to collecting nearly $13,000 through bogus claims, records show. State officials announced Wednesday that they'd caught him in an even bigger scam -- this time involving hundreds of false submissions to Horizon Blue Cross Blue Shield. A grand jury in Trenton indicted Boas on 261 counts involving health care claims fraud, theft by deception and tax evasions, Ac…
Oakland 'Candy Man' Doc Who Dubbed Himself ‘El Chapo Of Opioids' Admits Scamming Insurers Oakland 'Candy Man' Doc Who Dubbed Himself ‘El Chapo Of Opioids' Admits Scamming Insurers
Oakland 'Candy Man' Doc Who Dubbed Himself ‘El Chapo Of Opioids' Admits Scamming Insurers An Oakland doctor who boasted of being the “El Chapo of Opioids” will be sentenced to a plea-bargained five years in state prison after admitting that he submitted $32,000 in bogus health insurance claims. Under the terms of his deal with the state, Robert Delagente will be sentenced to the five years on Jan. 10 in exchange for pleading guilty to health care claims fraud during a hearing in Superior Court in Hackensack. Delagente, 45, admitted that he submitted seven fraudulent claims to Blue Cross/Blue Shield of New Jersey totaling $32,006 between May and December 2016 while practicing at …