The Pennsylvania Attorney Generals' office announced that it has charged
a pharmacy owner with fraud. The 61-year-old man is facing multiplecriminal charges after authorities conducted their investigation. The man was issued an
unsecured bond and was scheduled to make a court appearance in mid-October.
The list of allegations against the man include frauds of insurance and
Medicaid, diversion of drugs and theft by way of deception. The insurance
fraud is based on more than $345,000 in alleged false billing for medications
that were not dispensed. The man was accused of engaging in calendar billing
which occurs when bills are submitted as soon as insurance companies allow
According to the complaint, the man is accused of billing for more than
130 customers who purportedly did not receive any of the medications.
More than three dozen of those patients were Medicaid recipients while
the others supposedly had other insurance providers. In addition, the
man was charged with illegally dispensing narcotics to several patients
without valid prescriptions.
Pennsylvania authorities did not state what lead to their investigation.
The accused business owner has not publicly commented on the criminal
charges. He is guaranteed the right to be presumed innocent of engaging
in any illegal activities. The burden to prove his guilt is on the state
prosecutors and he is entitled to challenge the admissibility of the evidence
that may be presented against him. Furthermore, he may face his accusers
in court and defend against their version of the facts while fighting
to clear his name and seek the best resolution for his individual circumstances.
Source: post-gazette.com, "Washington County pharmacy owner charged with fraud", Madasyn Czebiniak, Oct. 10, 2014