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…
Toms River Woman Posed As Doctor, Prescribed Medicine Without A License: Prosecutor Toms River Woman Posed As Doctor, Prescribed Medicine Without A License: Prosecutor
Toms River Woman Posed As Doctor, Prescribed Medicine Without A License: Prosecutor A 62-year-old woman from Toms River has been charged with multiple offenses including practicing medicine without a license, authorities said. Maria F. Macburnie, also known as Marife L. Macburnie, was additionally charged with forgery, drug dealing and health care claims fraud, they said. Macburnie presented herself as Dr. Fe Almazon-Condit who is a relative of Macburnie’s with an active license to practice medicine, according to Ocean County Prosecutor Bradley D. Billhimer and Special Agent in Charge Cheryl Ortiz of the Drug Enforcement Administration's New Jersey Division. An inves…
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…