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Florida Attorney General arrests four in $4.7 million Medicaid scheme

Compliance Monitor, October 6, 2004

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Four parties were arrested in late September for participating in a $4.7 million scheme to defraud Medicaid.

A physician, a nurse, and co-owners of a South Florida treatment center for infectious diseases were accused of billing the government for prescriptions never dispensed. The charges also allege that the quartet created false medical records to conceal the doctor's absence from patient treatment and office supervision.

Medicaid Fraud Control Units in Ft. Lauderdale and Miami made the arrests.

According to the FL Attorney General's office, Lawrence and Debbie Boudreaux employed Robert David, MD, as a physician at the center from 1999 to 2001.

The clinic's Medicaid billing records erroneously indicated that David was present to administer professional treatment to HIV and Hepatitis-C patients and to oversee staff procedures, the Attorney General's office reported.

David allegedly ordered a physician's assistant to initial and mark hundreds of patient records with a rubber "Robert David, MD" stamp in his absence, the Attorney General's office alleges.

The records contained medication orders for injections and infusions of Neupogen and WinRho that were never administered. The pharmacy would then submit bills to Medicaid for drugs that were never actually dispensed, resulting in a total of $4.7 million in improper billings.

Medicaid investigators seized over $1.6 million in illegally purchased assets, including a boat, an ocean-view condo, a Cadillac Escalade, and funds in a money market account.

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