 |
 |
 |
 |
 |
 |
Anti-Fraud Case FilesAdditional Cases: Other cases in which IBC’s efforts led to fraud and abuse convictionsA Philadelphia pharmacist placed prescriptions for himself, his wife, his child, and other family members. The investigation was referred to the United States Attorney’s Office and the Pennsylvania Board of Professional and Occupational Affairs. The pharmacist was subsequently charged with, and pled guilty to, Medicaid fraud and forgery. He was sentenced to five years probation and the court ordered restitution to Independence Blue Cross (IBC) in the amount of $40,041.47. He also surrendered his pharmacist license to the Commonwealth of Pennsylvania. Through the pharmacies that he owned, a pharmacist submitted claims for prescriptions that were never filled or dispensed to IBC members. The investigation was referred to the United States Attorney’s Office. The pharmacist was charged with, and pled guilty to, wire fraud. He was sentenced to serve four months in federal prison and four months of house arrest followed by three years of supervised release. In addition, he was ordered to pay IBC a total of $316,434.78 in restitution. A Philadelphia pharmacist submitted false claims to be paid for prescriptions that were never filled or dispensed to IBC members. The investigation was referred to the United States Attorney’s Office. He was charged with, and pled guilty to, wire fraud. He was sentenced to one year in prison followed by three years of supervised release. He was further ordered to pay IBC $603,000 in restitution. He voluntarily surrendered his license to the Commonwealth of Pennsylvania. |