State Plays Role in Big Medical Fraud 'Takedown'

19 arrested on healthcare fraud charges

19 arrested on healthcare fraud charges

Some Kentucky and southern IN physicians have been charged IN what U.S. Attorney General Jeff Sessions calls the largest health care fraud takedown IN the nation's history. The criminal investigations in IN involved cooperation among the state, the Kentucky Medicaid Fraud Control Unit, the FBI, DEA and IRS.

According to Attorney General Jeff Sessions, who announced the national takedown Thursday, more than 412 people in at least 30 states-including 115 medical professionals-have been indicted in the takedown for alleged participation in health care fraud schemes.

The U.S. Department of Justice reported taking down $1.3 billion dollars in opioid scams nationwide. The accusations range from fraudulent billing, to money laundering, to unlawful distribution of drugs. The result of a almost five-year investigation by the DEA and the MCFU, Stukey and Poeling face five counts of health care fraud; conspiracy to violate the Controlled Substance Act; and conspiracy to commit money laundering.

Near Kokomo, Sunshine Transportation officials Shawn and Amanda McNew are accused of billing Indiana Medicaid almost $449,000 for ambulance and health care trips that were never taken.

Among local facilities named in the indictments that led to hundreds of arrests are J.M. Autism, also known as Total Spectrum in New Albany, and Physicians Primary Care in Jeffersonville.

Dr. Jeffrey Campbell and his nurse practitioners, Mark Dyer and Dawn Antle, were charged with unlawful distribution and dispensing of a controlled substances and health care fraud.

The alleged illegal activity involved crimes including false and fraudulent billing, distributing and prescribing controlled substances without legitimate medical objective and money laundering. Authorities said Karen Poeling and Mitchel Stukey participated in fraud, like providing back braces that were not medically necessary, as well as leaving pre-signed prescription pads for staff members who were not doctors.

In Indianapolis, Castleton Integrative Health operator Ronald Sheppard was indicted on charges of conspiracy to violate the anti-kickback statute and money laundering.

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