Corporate Compliance

Texas couple faces a combined 40 years in prison for healthcare fraud

Compliance Monitor, September 16, 2009

An Eastern Texas couple has been found guilty by a federal court jury of one count of conspiracy to commit health care fraud and 20 counts of mail fraud according to a Department of Justice (DOJ) press release. Claudette and Robert Earl Read owned and operated an ambulance transport business, C.R.R. Enterprise, d.b.a, under the name Priority One EMS from 2004 to 2007.

The DOJ reports that during their three years of service, the Reads obtained $1,414.877.33 from Medicare, $265,454.52 from Medicaid, and $68,088.83 from Blue Cross and Blue Shield by submitting false claims about the patients they transported.
The Department of Health and Human Services – OIG and the Texas Medicaid Fraud Control Unit conducted the initial investigation.
The Reads are awaiting a sentencing date, but each face up to 20 years in federal prison.

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