Former
Pharmacist Ordered to Pay More than $2 Million
(COSHOCTON,
Ohio) -- Ohio Attorney General Mike DeWine and U.S. Attorney for the
Northern District of Ohio Steven Dettelbach announced today that a
former Coshocton pharmacist has been ordered to pay more than $2
million in funds she obtained through fraudulent billing practices.
United
States District Court for the Northern District of Ohio Judge David
Dowd sentenced Barbara Elise Miller to four and a half years in
prison this afternoon. She was also ordered to pay $2,163,000 in
restitution.
In
September, Miller pleaded guilty to five counts of Health Care Fraud
and one count of Adulteration of Drugs after an investigation found
that she fraudulently received more than $2 million from state,
federal, and private medical insurance companies by way of fraudulent
billing practices.
"This
defendant likely thought she could get away with these crimes, but
there are checks and balances in place to make sure that those
engaging in heath care fraud don't get away with it," said
Attorney General DeWine.
“This
defendant not only defrauded victims out of millions of dollars, but
her adulteration of drugs also caused health complications for a
child,” Dettelbach said.
The
crimes happened during Miller's time as the owner and operator of
Coshocton's Three Rivers Infusion and Pharmacy Specialists, a medial
infusion supply company which also provided home health services and
medical supplies.
Between
2003 and 2009, investigators found that Miller knowingly and
willfully executed a scheme to defraud health care benefit programs
such as Ohio Medicaid, Medical Mutual of Ohio, Anthem Blue Cross/Blue
Shield of Ohio, TriCare, and Medicare.
The
investigation found that Miller filed more than a million dollars
worth of claims for services using a false provider name, overstated
the amount of nursing time needed to provide certain injections, and
made fraudulent claims regarding the dosage and frequency of which
certain drugs were dispensed.
Miller
also pleaded guilty to altering the purity, quality, and strength of
the drug Kineret, which is used to reduce the pain and swelling
associated with moderate to severe rheumatoid arthritis.
Today's
sentence will run concurrently with a previous sentence of 27 months
handed down in a separate case.
The
case was prosecuted by attorneys with Ohio Attorney General DeWine's
Health Care Fraud Section and the office of United States Attorney
for the Northern District of Ohio Steven Dettelbach. The case was
investigated by Attorney General DeWine's Medicaid Fraud Control
Unit, the Ohio Department of Insurance, the United States Department
of Health and Human Services, Office of the Inspector General, and
the Federal Bureau of Investigation.
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