December 19, 2013
Tennessee Cardiologist to Pay $1.15 Million to Settle Allegations That He Performed Medically Unnecessary Heart Procedures
Cardiologist Dr. Elie H. Korban will pay $1.15 million to resolve False Claims Act allegations that he billed Medicare and Medicaid for medically unnecessary cardiac stent placements, the Justice Department announced today. Korban owns Delta Clinic, with offices in Jackson, Tenn., and Lexington, Tenn., and has privileges at Jackson-Madison County General Hospital and Regional Hospital of Jackson, both in Jackson, Tenn.
July 16, 2013
Behavioral Analyst Pleads Guilty To Health Care Fraud
Jenny Lynn Hall, formerly known as Jenny Lynn Unterstein, 37, of Smithville, Tenn., pleaded guilty yesterday in U.S. District Court, to health care fraud, announced David Rivera, Acting U.S. Attorney for the Middle District of Tennessee.
July 15, 2013
Morristown Dentist Indicted For TennCare Fraud
On Jul. 9, 2013, a federal grand jury in Greeneville returned an indictment against Gary Dean Stump, D.M.D., 57, of Bean Station, Tenn., charging him with health care fraud for submitting false claims to TennCare's program for dental services to children, TennDent.
July 2, 2013
Johnson City Physicians to Pay $4.25 Million to Resolve Civil False Claims Allegations Re Unapproved Foreign Drugs
William R. Kincaid, M.D., Millard R. Lamb, M.D., and Charles O. Famoyin, M.D., former partners in East Tennessee Hematology-Oncology Associates, P.C., d/b/a McLeod Cancer and Blood Center (McLeod Cancer) in Johnson City, Tenn., have agreed to pay via separate settlement agreements $4.25 million, plus interest, to resolve allegations that they violated the False Claims Act by knowingly submitting or causing the submission to the Medicare and TennCare/Medicaid programs of false claims for misbranded, unapproved chemotherapy drugs that were administered through the McLeod Cancer clinic.
June 19, 2013
Sumner County Woman Charged With TennCare Fraud
A Sumner County woman is charged with TennCare fraud and theft of services after receiving TennCare benefits she was not eligible for. The arrest brings the total number of people arrested for TennCare fraud to 1,924 since the Office of Inspector General (OIG) began investigating and pursuing this criminal activity.
June 17, 2013
Former Kentucky Couple Charged With Fraud In Obtaining TennCare Benefits
A former Kentucky couple is charged with misrepresenting their residency in order to obtain TennCare healthcare insurance and food stamp benefits. The Office of Inspector General today announced the arrest of James N. Houchin, 45, and his wife Ruby A. Houchin, 42, of Bethpage.
June 17, 2013
Sumner Co. Woman Charged With TennCare "Doctor Shopping"
Tennessee - A Sumner County woman is charged in an indictment for TennCare fraud involving "doctor shopping," or using TennCare to go to multiple doctors to obtain prescriptions for a controlled substance. The Office of Inspector General with the assistance of the Sumner County Sheriff's Office, today announced the arrest Katherine L. Fry, 32, of Whitehouse.
June 10, 2013
Warren Co. Woman Charged With TennCare Drug Fraud
A Warren County woman is charged with TennCare fraud for apparently selling prescription drugs paid for by TennCare. The Office of Inspector General today announced the arrest of Deborah Ann Evans, 45, of Manchester, after a joint investigation with the Warren County Sheriff's Office. She is charged with TennCare fraud and two counts of delivery of Schedule III controlled substance.
March 8, 2013
Tennessee-Based Therapy Providers to Pay $2.7 Million to Resolve False Claims Act Allegations
Grace Healthcare LLC and its affiliate Grace Ancillary Services LLC (collectively, Grace) violated the False Claims Act by knowingly submitting or causing the submission of false claims for medically unreasonable and unnecessary rehabilitation therapy.
February 19, 2013
Miami Man Sentenced in Federal Court for Medical Identity Theft Scheme
Yennier Capote Gonzalez was sentenced to 67 months in federal prison and ordered to pay $19,296 restitution for his role in a medical identity theft scheme.