Wednesday, October 24, 2007

80,000 false claims totaling more than $2.5 million.

Detroit Doctor, Biller Sentenced in Health Care Fraud Scheme




YouNewsTV™Story Created: Oct 23, 2007 at 9:26 AM EDT

Story Updated: Oct 23, 2007 at 9:26 AM EDT
By Beth Boehne

DETROIT (AP) — A Detroit federal judge has sentenced a doctor to 16 years in prison and his biller to three years for their role in a scheme to bilk Blue Cross Blue Shield of Michigan of $775,000.

Sixty-one-year-old Dr. Zack Brown and 68-year-old Davell Culberson were convicted in May of conspiracy on accusations of submitting 19,000 phony insurance claims. The court said the men submitted more than 80,000 false claims totaling more than $2.5 million.

U.S. District Judge Marianne Battani on Monday ordered Brown and Culberson to pay $1.13 million in restitution to the insurer and Medicare.

The judge said Brown recruited 140 phony patients, including 12 who also were convicted of felonies and 30 who entered into pretrial agreements.

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