A Jamestown pharmacist, Philip Hall, has been charged with health care fraud and aggravated identity theft in a scheme involving false claims amounting to over $6 million. The charges were announced by Acting United States Attorney for the Middle District of Tennessee, Thomas J. Jaworski, following an indictment returned last week and unsealed on Friday.
Hall, aged 48, operated Hall Family Pharmacy, Inc., with locations in Jamestown and Clarkrange, Tennessee. The indictment alleges that from 2018 to at least May 2024, Hall submitted false claims to Medicare, Medicaid, TRICARE, and Blue Cross Blue Shield. These claims pertained to prescriptions for drugs that were either medically unnecessary, not dispensed, or not ordered by a healthcare provider. In several instances, the pharmacies reportedly did not have the inventory to fulfill these prescriptions. Hall is accused of using others’ identities without authorization to bolster claims submitted to healthcare programs, personally profiting from the fraudulent proceeds.
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The investigation is being conducted by the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), the Tennessee Bureau of Investigation, and the Department of Defense, Office of Inspector General. If convicted, Hall could face up to ten years in federal prison for each healthcare fraud count and two years consecutive for each aggravated identity theft count. The U.S. government is also seeking a monetary judgment of $6,524,585.44, representing the alleged proceeds from Hall’s scheme.
For those with information about the case, contact your local HHS-OIG field office or call HHS-OIG at (888) 720-4377. It is important to note that an indictment is merely an allegation, and Hall is presumed innocent until proven guilty in a court of law.
Source: Read Original Release
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