Podiatrist arrested for insurance fraud (MS)

Larry Cruel, D.P.M., a Mississippi podiatrist,  has been arrested following an insurance fraud investigation, announced Attorney General.


Larry Cruel, D.P.M. (age 44), is a podiatrist at Advanced Foot Care in Jackson, MS.  He was recently arrested  by investigators with the Attorney General's Office and charged with one count of insurance fraud and one count of wire fraud for allegedly submitting false claims to Blue Cross Blue Shield. Dr. Cruel faces up to three years for the insurance fraud charge and up to five years for the wire fraud charge .


As with all cases, the defendant is presumed innocent until proven guilty in a court of law.

Source: Compnewsnetwork, March 27, 2009 (workerscompensation.com)

Podiatrist Pleads Guilty to Medicare Health Care Fraud (Illinois)

A podiatrist from Illinois pleaded guilty Friday to bilking Medicare out of thousands of dollars over the past decade by writing bills for medical procedures not performed. The podiatrist's  attorney Ron Hamm contends the amount is less than $20,000, however the government is claiming the amount is closer to $270,000.


From 2002 through 2006, Ernest Nwani, D.P.M. submitted claims, which Medicare paid, for 539 surgical procedures of various types regarding 442 patients and claims for the permanent removal of 1,082 toenails from 394 patients, according to court records. Medicare paid $171,760 for the surgeries and $100,180 for the toenail removals. Thirty-three patients were interviewed and of those, "none of the surgeries billed for these 33 patients and for which Medicare paid, could be verified as having been performed," court records state.

The charge of healthcare fraud, which he pleaded to, has a maximum prison term of 10 years.

Source: Andy Kravetz, Peoria Journal Star [4/26/08]

Podiatrist Charged with Drug Procurement and Insurance Fraud (Connecticut)

A podiatrist from Burlington faces multiple counts of illegal drug procurement and possession and insurance fraud for allegedly illegally filling prescriptions at a Simsbury pharmacy and then trying to pay for them using insurance, police said Wednesday. Dr. Robert Januska, 65, who police said is not licensed to prescribe drugs in Connecticut, turned himself in March 3 after police issued a warrant for his arrest, according to Sgt. Fred Sifodaskalakis, head of the detective division of the Simsbury police.


Januska is accused of making repeated visits to the CVS Pharmacy in Simsbury to have the prescriptions filled, the sergeant said. A pharmacist who suspected the transactions were fraudulent alerted drug control agents at the state Dept. of Consumer Protection in late January, Sifodaskalakis said. Those agents then notified Simsbury police, he said. Charges against Januska include 25 counts of obtaining or attempting to obtain controlled drugs by fraud or forgery, 17 counts of illegally possessing prescription narcotics, eight counts of illegally possessing a level four controlled drug, and 23 counts of insurance fraud.

Source: Loretta Waldman, The Hartford Courant [3/5/08]