I work in a large community hospital Emergency Center and I review medical records for disability claims at a nation-wide disability insurer. I also serve as a Deputy Sheriff on the SWAT team for a local county, as the medical asset.
A 34-year-old Houston physician has pleaded guilty to one count of conspiracy to defraud Medicare. Callie Hall Herpin admitted to "selling" no fewer than 920 fraudulent Certificates of Medical Necessity for motorized wheelchairs at $200 a pop, without examining all the patients. Suppliers who purchased the fraudulent CMNs used them to bill Medicare in excess of $30 million.
Herpin and a co-defendant were also charged with conspiring to sell prescriptions for some 1.5 million hydrocodone tablets and 2,100 gallons of codeine cough syrup. A typical script ordered 100 tabs of hydrocodone and one pint of cough syrup. Most allowed multiple refills, and Herpin would sell as many as 50 scripts to a single individual at one time.
At her sentencing, currently scheduled for July 6, Herpin faces a maximum five years in prison, three years' supervised release, and a fine of $250,000 on each of the two conspiracy counts.