Generally Speaking
  Publication of the Office of the Attorney General • Volume 6, Issue 17 • April 25, 2008

 
 
Week in Pictures CyberCrime UpdateConsumer Protection Actions Criminal Proceedings News Releases Audio Message Text Version En Español Weekly News Items Contact Us Attorney General's Website Unsubscribe

Weekly Message from Attorney General Bill McCollum

This week, I visited Florida's panhandle to continue the rollout of a health care fraud education initiative. My Medicaid Fraud Control Unit is actively working with Florida's senior population as well as our state's medical professionals to share abuse and fraud identification strategies and prevention information. The initiative was developed to foster a spirit of cooperation and raise awareness of how to report and avoid fraud and abuse. We know that education is one of the keys to diminishing fraud, whether it is intentional or unintentional. We also know that informed senior citizens are better protected from those who may try to take advantage of them.

Medicaid fraud is a growing problem in the State of Florida. Prescription drugs are diverted away from patients and onto the black market. Unlicensed facilities bill for expensive medical treatments and devices that are never provided to anyone. This and much more occurs regularly, resulting in thousands and thousands of dollars of fraud at the taxpayers' expense. Recent reports show as much as $2 billion a year may be lost in Florida's $16 billion Medicaid program to fraud and abuse.

Last year, my Medicaid Fraud Control Unit investigated 1,013 complaints and returned approximately $70 million in defrauded funds to the state. The unit is responsible for investigating criminal allegations of Medicaid fraud, arresting the perpetrators, and prosecuting some of the cases along with the State Attorneys. It's a responsibility my analysts, investigators and attorneys take very seriously and live up to every day.

We also know, through national statistics, that nearly half of Medicaid's recipients are children and almost a third are elderly or disabled. The Medicaid Fraud Control Unit also reviews more than 13,000 complaints annually of patient abuse, neglect and exploitation (PANE), and this year has opened more than 40 PANE cases and made numerous arrests. These vulnerable citizens are often abused or exploited by their caretakers, or worse, members of their own family. It is our job to protect them and rescue them from these situations.

Anyone who wishes to report suspected health care fraud or patient abuse, neglect or exploitation can contact my Fraud Hotline toll-free at 1-866-966-7226 or can file a complaint online at: http://myfloridalegal.com. Together, we'll keep working to protect our citizens as well as our taxpayer-funded benefit programs which should be reserved for those who need assistance most.



The Week in Pictures
Hover over each image for a larger size.
CyberCrime Update

A New Jersey man has been sentenced to three years and 10 months in prison after he pleaded guilty to using the internet to seduce a child. Mohamed M. Fathy, of Avenel, New Jersey, was arrested in March 2007 when he traveled to meet someone he thought was a 13-year old girl from Polk County. He was prosecuted by the Attorney General’s Office of Statewide Prosecution.

CyberSafety Update - To date, the Attorney General's CyberSafety Presentation has reached more than 75,000 students.
Consumer Protection

Attorney General McCollum issued a consumer advisory warning of two separate incidents where Floridians' personal identification information may have been compromised. The first incident was originally reported by the Florida Office of Financial Regulation, which warned state employees that some individual has been calling state employees, claiming to be with the State of Florida's Division of Securities in an effort to obtain personal financial information. The second data breach was recently reported by LendingTree, who contacted its consumers to warn them their personal information may have been exposed on mortgage applications.

Continuing the rollout of his Health Care Fraud Education Initiative, Attorney General McCollum visited Baptist Hospital in Pensacola to share abuse and fraud identification strategies as well as prevention information with health care professionals. The presentations at hospitals, senior centers and other venues around the state were developed by the Attorney General’s Medicaid Fraud Control Unit to foster a spirit of cooperation and raise awareness of how to report and avoid fraud and abuse.

Attorney General McCollum recognized the 38th anniversary of Earth Day with representatives from statewide environmental groups by planting a tree at the Florida Capitol. At the tree-planting ceremony, held next to the House Office Building’s rose garden, the Attorney General spoke about the importance of conservation and preservation and his commitment to safeguarding those ideals for Floridians.

Attorney General McCollum joined Ocala Police Chief Samuel Williams in announcing the opening of the newest Seniors vs. Crime office in the Ocala Police Department Community Resource Center. The office is the second Seniors vs. Crime location in Marion County, providing another venue and additional resources for senior citizens who believe they have been victimized by fraud or other crimes. The first Seniors vs. Crime office is located in the residential community The Villages.
Criminal Proceedings

A Miami-Dade County jury returned a guilty verdict against a man late last night, convicting him of grand theft and organized scheme to defraud the Florida Medicaid program. Roman Arias, of Miami, could face up to 30 years in prison when he is sentenced at a later date. The case was investigated by the Attorney General’s Medicaid Fraud Control Unit and was jointly prosecuted by the Medicaid Fraud Control Unit and the State Attorney's Office for the 11th Judicial Circuit.

The owner and operator of a Madison County assisted living facility was arrested and charged with multiple criminal charges, including exploitation of an elderly person, grand theft, forgery and identity theft. Authorities with the Attorney General’s Medicaid Fraud Control Unit and the Madison County Sheriff’s Office arrested Charles Troy Hendry, 47, who owns and operates Hughey Memorial Care Center in Madison County.

A Gadsden County woman was sentenced to four months in jail followed by five years of probation after she pleaded no contest to charges that she abused her job at Big Bend Hospice of Gadsden County to fraudulently obtain controlled substances. Donna Cain Gatch pled no contest to 12 counts of fraudulently obtaining controlled substances and one count of grand theft. Gatch was also ordered to pay restitution to Big Bend Hospice, costs of investigation, court costs, and fines.

A Broward County therapist has been arrested on charges that he was involved in the theft of more than $50,000 from the Florida Medicaid program. Brian Casteel was arrested by law enforcement officers with the Attorney General’s Medicaid Fraud Control Unit.

An Ocala woman has been arrested on charges that she exploited a disabled adult under her care. Althea Goodson, owner of Heavenly Alms Group Home, will be charged with one count of exploitation of a disabled adult, a charge which carries a maximum sentence of five years in prison. She was arrested by law enforcement with the Attorney General’s Medicaid Fraud Control Unit.
News Releases

Attorney General Warns of Two Separate Incidents Threatening Floridians' Personal Information

Miami Man Convicted by Jury of Defrauding State Medicaid Program

Attorney General McCollum Brings Health Care Fraud Education Initiative to Escambia County

New Jersey Man Gets 3 Years For Attempting To Meet "13-Year Old" For Sexual Encounter

Owner of Madison County Assisted Living Facility Arrested for Exploiting Elderly Victim, Identity Theft

McCollum Recognizes 38th Anniversary of Earth Day with Statewide Environmental Groups

Registered Nurse Pleads No Contest to Using Hospice Job to Obtain Narcotics

Attorney General McCollum Announces New Seniors vs. Crime Office in Ocala

Broward Therapist Arrested for Falsifying Medicaid Claims

Owner of Ocala Group Home Arrested for Exploiting Disabled Adult
Audio Message

Attorney General Bill McCollum's bi-weekly audio message for this week is available online at the following link: http://www.clickcaster.com/billmccollum
Weekly News Items

The Attorney General's Earth Day recognition ceremony and tree planting was covered by a Tallahassee station this week, with a video available online here.