DOJ Charges 193 in Health Care Fraud Schemes

DOJ charges 193 individuals for health care fraud, totaling $2.75 billion in false claims.

KNOXVILLE, Tenn. – U.S. Attorney Francis M. Hamilton III announced today criminal charges against six individuals for alleged schemes to defraud the U.S. Department of Labor, Office of Worker’s Compensation Program, Division of Energy Employees Occupational Illness Compensation (DOL-DEEOIC). The charges, filed in federal court, are part of the Justice Department’s 2024 National Health Care Fraud Enforcement Action. The allegations involve the submission of fraudulent claims for home health services that were not provided.

The announcement from U.S. Attorney Hamilton is part of a coordinated, two-week nationwide law enforcement action that resulted in charges against 193 defendants. These health care fraud and opioid abuse schemes allegedly resulted in over $2.75 billion in false billings.

The DOJ’s Health Care Fraud Unit’s National Rapid Response, along with several Strike Forces and U.S. Attorneys’ Offices across multiple states, are prosecuting these cases. The Health Care Fraud Unit’s Data Analytics Team provided assistance. Detailed descriptions of each case can be found on the Department of Justice’s website at Case Descriptions.

In Tennessee, the U.S. Attorney’s Office for the Eastern District collaborated with the FBI, the Department of Labor – Office of Inspector General, and the Tennessee Medicaid Fraud Control Unit.

In the Eastern District of Tennessee, Caleb Mullins, 40, Megan Mullins, 37, both of Oak Ridge, Tennessee, and CAMM Care, LLC (doing business as Patriot Homecare) were indicted for allegedly defrauding the DOL-DEEOIC. The DOL-DEEOIC provides health care benefits for current or former Department of Energy employees diagnosed with occupational illnesses from toxic exposures. The indictment alleges that Caleb Mullins, the owner and President of CAMM Care, and Megan Mullins, the Executive Vice President, conspired to submit fraudulent payment claims for unrendered homecare services.

Additionally, Samantha Seiber, 35, of Wartburg, Tennessee, Apryl Hard, 46, of Louisville, Tennessee, and Lois Hamby, 62, of Oliver Springs, Tennessee, were charged in separate indictments for defrauding the DOL-DEEOIC. Each allegedly billed for skilled nursing services that were never provided.

These cases are being prosecuted by Assistant United States Attorneys William A. Roach, Jr., and Jeremy S. Dykes.

It is important to note that a complaint, information, or indictment is merely an allegation, and all defendants are presumed innocent until proven guilty in a court of law.


Source: Read Original Release

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