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Healthcare fraud jeopardizing lives
Federal attorney says companies put profits over well-being
Healthcare-fraudWEB
U.S. Attorney David Rivera recalls his offices prosecution of the Sommet Group health insurance and payroll services case with one of the fraud victims Carol Lee Hamblen.The top federal prosecutor and law enforcement officer in the 22-county Middle Tennessee Division, Rivera spoke Thursday to The Rotary Club of McMinnville on his offices aggressive pursuit of healthcare fraud in the Nashville area, home of many of the nations largest healthcare providers.
Bridgestone Arena, home of the Nashville Predators hockey team and host to college basketball tournaments, had earlier been branded the Sommet Center.That was before the Franklin, Tenn.-based Sommet Group and its high-flying CEO, Brian Whitfield, were caught in a massive fraud scheme that victimized at least one McMinnville client, Hickory Creek Dental Arts. Whitfield, who marketed payroll services and health insurance benefits to hundreds of companies, was sentenced in federal court last June to 20 years in prison for bilking those firms and thousands of their employees. Whitfield collected health insurance premiums and payroll taxes from unsuspecting clients, but diverted the funds that should have gone to health carriers and the IRS. At his sentencing, victims tearfully related their individual hardships with insurance claim denials that forced them into personal bankruptcies.The chief prosecutor in that case, United States Attorney David Rivera, told The Rotary Club of McMinnville on Thursday that fighting and deterring healthcare fraud is a top priority of his office, which serves 22 Middle Tennessee counties including Nashville, where medical and hospital services generate billions of dollars and support more than 200,000 jobs.“Citizens have no choice but to entrust their lives to medical practitioners and facilities,” Rivera said, emphasizing greed-driven fraud is rare but very often devastating to the lives of patients while draining limited financial resources to care for all sick people.A grim picture of deadly harm to patients and avaricious fraud emerges from the 2007 federal case against Crossville oncologist Dr. Young Moon.“She had not been giving the proper doses to her patients,” Rivera stated.