$3.6M Health Care Fraud Scheme Leads to 42-Month Prison Sentence For Owners of EMS Company

by Andrew Murray | October 1st, 2019

On August 19, 2019, the Department of Justice announced the sentence of Titan EMS’s owners. The Press Release states:

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Jeralyn R. Dougherty, 67, of Dublin, was sentenced Friday to 42 months in prison, ordered to pay more than $3.6 million in restitution, including $873,716 to the IRS, and ordered to forfeit numerous financial accounts.

Clint J. Green, 47, of Orient, Ohio, was sentenced in June 2019 to 42 months in prison, ordered to pay more than $3.3 million in restitution, including $649,671 to the IRS, and ordered to forfeit numerous financial accounts.

In February 2019, Dougherty and Green pleaded guilty to health care fraud and filing false tax returns.

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According to court documents, between January 2012 and June 2017 Dougherty and her son, Green, owned and operated Tritan EMS, LLC (Tritan), a medical transportation company and Medicare and Medicaid provider.

Dougherty and Green were aware that Medicare and Medicaid only reimbursed claims for non-emergency ambulance services provided to Medicare recipients who were transported to certain locations, such as a hospitals, skilled nursing facilities or renal dialysis facilities, and only where the patients were being transported to receive Medicare or Medicaid covered services or returning from receiving care for such services.

Dougherty and Green billed Medicare and Medicaid for ambulance services knowing that patients were transported by a vehicle other than an ambulance, and knowing that the patients did not meet the Medicare and Medicaid requirements for ambulance services.

The total amount of fraudulent claims submitted to Medicare and Medicaid at the direction of Dougherty and Green for ambulance services that were medically unnecessary and by a vehicle other than an ambulance was more than $2.7 million.

Dougherty filed false personal tax returns with the IRS for the 2013 through 2016 income tax years. Dougherty misrepresented on her personal tax returns the amount of income she received from Tritan each year. The total tax loss to the IRS was $873,716.

Green also filed false personal tax returns with the IRS for the 2014 through 2016 income tax years, and the total tax loss to the IRS was $649,671.

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