Healthcare Fraud: Michael A. Tucker Sentenced For Health Care Fraud Scheme

FraudsWatch.com
Fraud Scheme to Overcharge Medicaid, Medicare at Four Clinics

<h2>Springfield Man Sentenced for Fraud Scheme to Overcharge Medicaid&comma; Medicare at Four Clinics<&sol;h2>&NewLine;<p>KANSAS CITY&comma; Mo&period; – Tammy Dickinson&comma; United States Attorney for the Western District of Missouri&comma; and Missouri Attorney General Chris Koster announced that a Springfield&comma; Mo&period;&comma; man who operated four Family Medical Center clinics in southern Missouri was sentenced in federal court today for health care fraud&period;<&sol;p>&NewLine;<p>Michael A&period; Tucker&comma; 47&comma; of Springfield&comma; was sentenced by U&period;S&period; District Judge Gary A&period; Fenner to one year and one day in federal prison&period; The court also ordered Tucker to pay &dollar;54&comma;273 in restitution&period;<&sol;p>&NewLine;<p>On March 30&comma; 2016&comma; Tucker pleaded guilty to health care fraud&period; Tucker was the owner of four Family Medical Center clinics in Carthage&comma; Mo&period;&comma; Branson&comma; Mo&period;&comma; Nevada&comma; Mo&period;&comma; and Lamar&comma; Mo&period; In June 2015&comma; Tucker closed his clinics and Family Medical Centers ceased doing business&period;<&sol;p>&NewLine;<p>Tucker admitted that he defrauded Medicaid and Medicare by submitting claims to the government for more expensive treatment than was provided at his clinics&period; Although the physicians and nurse practitioners at Tucker’s clinics accurately recorded the services they provided&comma; Tucker billed Medicaid and Medicare for more expensive services&period; The Medicaid scheme lasted from Jan&period; 1 to June 30&comma; 2014&period; The Medicare scheme lasted from April 15&comma; 2013&comma; to Sept&period; 24&comma; 2014&period;<&sol;p>&NewLine;<p>Specifically&comma; Tucker routinely billed Medicaid for more complex office visits than were actually provided&period; In addition&comma; Tucker routinely billed both Medicaid and Medicare for the services of physicians when the patient had actually been seen by a nurse practitioner&period; Lastly&comma; Tucker billed Medicaid for physician office visits when only laboratory services had been provided&period; In each of these instances Tucker’s conduct resulted in his clinics receiving greater reimbursement than they were entitled to from Medicaid and Medicare&period;<&sol;p>&NewLine;<p>The Missouri Attorney General’s Medicaid Fraud Control Division led the initial investigation into Tucker’s conduct and then assisted the United States Attorney’s Office&comma; Western District of Missouri and the Office of the Inspector General for the United States Department of Health and Human Services in Tucker’s prosecution&period;<&sol;p>&NewLine;<p>This case was prosecuted by Assistant U&period;S&period; Attorney Cindi Woolery&period; It was investigated by the Medicaid Fraud Control Unit of the Missouri Attorney General’s Office and the Department of Health and Human Services&comma; Office of Inspector General&period;<&sol;p>&NewLine;<p><a href&equals;"https&colon;&sol;&sol;www&period;justice&period;gov&sol;usao-wdmo&sol;pr&sol;springfield-man-sentenced-fraud-scheme-overcharge-medicaid-medicare-four-clinics">Original PressReleases&&num;8230&semi;<&sol;a><&sol;p>&NewLine;

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