Workers' Comp Fraud Blotter (12/13/2012) – Doctors Joined Brotherhood of Fraud, Now Banned From Treating Injured Workers

Workers' Comp Fraud Blotter (12/13/2012) – Doctors Joined Brotherhood of Fraud, Now Banned From Treating Injured Workers

Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and investigations.

 

Workers' Comp Fraud Blotter - December 13, 2012

Doctors Who Joined the Brotherhood of Fraud Now Banned From Treating Workers' Compensation Claimants (OH) - Dr. David Esarco has joined his brother, Dr. John Esarco, in pleading guilty to workers' compensation fraud and they have both been decertified from treating injured workers in Ohio. An undercover operative posed as an injured worker patient and Dr. David Esarco later billed for services he never provided and billed on dates when the operative never had a scheduled office visit. In 2011, Dr. John Esarco, who practiced medicine in the same office with his brother, was found guilty of improperly billing for exercise therapy for injured workers, a service that he did not perform. As a result of their guilty pleas, the brothers have paid restitution of almost $120,000.   Read more

Home Health Aide Headed To Prison For Failing To Pay Restitution For Workers' Compensation and Medicaid Fraud (OH) - Clinton McKinney has been sentenced to 22 months in prison for violating his parole after failing to pay restitution related to his 2010 conviction for workers' compensation and Medicaid fraud. McKinney pled guilty in 2010 to falsifying the length of time he was spending at the residence of an injured worker he was assigned to by leaving the workers' compensation claimant's residence in the middle of his shift to care for a Medicaid recipient that he was also being paid for. Employment records obtained from the two home health agencies that employed McKinney revealed numerous overlaps in the times he reported to have been caring for both patients, with 180.08 hours in which McKinney reportedly provided care at both residences simultaneously.   Read more

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