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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
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Type
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Amtrak (National Railroad Passenger Corporation)
Podiatrist Sentenced to Two Years' Probation in Health Care Fraud Scheme
Robert Joseph, a podiatrist based in Los Angeles, California, was sentenced in U.S. District Court, Central District of California, on July 25, 2022, to two years’ probation for conspiracy to commit health care fraud. Joseph was also ordered to pay a fine of $10,000 and a money judgment forfeiture in the amount of $332,500. Our investigation found that Joseph prescribed unnecessary compounded medications to patients without their knowledge. As a result of the scheme, Amtrak’s insurance providers were fraudulently charged approximately $22,000.
As part of our annual audit plan, we audited costs billed to the Tennessee Valley Authority (TVA) by Delta Dental of Tennessee (Delta Dental) for dental plan administrative services. Our audit objective was to determine if the costs billed to TVA were in compliance with the terms of Contract No. 12179. Our audit included approximately $15.6 million in claim costs and associated administrative fees billed to TVA during calendar years 2020 and 2021. In summary, we determined the costs billed by Delta Dental generally complied with the contract, except for $14,618 in overbilled costs due to a duplicate billing. Delta Dental agreed with the overbilling and issued TVA a credit for the full amount on April 18, 2022.(Summary Only)
