(COLUMBUS, Ohio) — Ohio Attorney General Richard Cordray and Steven M. Dettelbach, United States Attorney for the Northern District of Ohio, today announced the arrests of four individuals in connection with an ongoing investigation into suspected health care fraud at Three Rivers Infusion and Pharmacy Specialists (Three Rivers) in Coshocton.
A federal indictment charges 55-year-old Barbara Elise Miller of Coshocton, owner of Three Rivers, with two counts of witness tampering, two counts of obstruction of an official proceeding and one count of concealment of records. Miller’s husband, 50-year-old Dana C. Campbell, Vice President of Finance for Three Rivers, is charged with one count of concealment of records.
Also arrested today were 55-year-old Douglas A. Bolden and 39-year-old James O. Ireland, both of Zanesville. Bolden and Ireland worked for Three Rivers. Each is charged with one count of obstruction of an official proceeding.
“This case began with concerns about suspected overbilling of medical insurance companies for services and for drugs,” said Attorney General Cordray. “By working in partnership with federal authorities, our investigators are weeding out and attacking health care fraud wherever we find it.”
In August 2008, investigators searched Three Rivers and seized various files, including files of patients who received Synagis, a drug used to treat high-risk infants in the prevention of Respiratory Syncytial Virus (RSV).
In December 2008, the government served Three Rivers with a subpoena to produce 118 patient files, but Three Rivers provided the government with only 21 files. In December 2009, government agents found many of the subpoenaed patient files concealed in Miller’s and Campbell’s home in Coshocton.
The indictment charges that Bolden and Ireland accused Miller of using Bolden’s name as the pharmacist who was dispensing the drug Synagis when Bolden had not done so. The government alleges that Miller provided “severance” payments to both Bolden and Ireland in return for their silence about Miller’s activities.
If convicted, the defendants’ sentences will be determined by the court after review of factors unique to this case, including any prior criminal records, the defendants’ roles in the offense and the characteristics of the violation. In all cases the sentence will not exceed the statutory maximum and in most cases it will be less than the maximum.
The case was investigated by the Ohio Attorney General’s Medicaid Fraud Control Unit, the Ohio Department of Insurance, the United States Department of Health and Human Services - Office of the Inspector General and the Federal Bureau of Investigation.
An indictment is only a charge and is not evidence of guilt. A defendant is entitled to a fair trial in which it will be the government’s burden to prove guilt beyond a reasonable doubt.
The Attorney General’s Medicaid Fraud Control Unit investigates and prosecutes health care providers who defraud the state's Medicaid program. The unit also enforces Ohio laws protecting mentally or physically disabled or elderly citizens from financial exploitation, neglect and abuse in long-term care facilities. In 2009, the unit set a new record for recoveries, including $87.7 million collected on behalf of Ohio's Medicaid program. The unit also successfully prosecuted 114 individuals for Medicaid provider fraud.
Anyone who suspects Medicaid fraud can contact Attorney General Cordray’s office at (800) 282-0515 or
www.OhioAttorneyGeneral.gov.
Media Contacts:
Holly Hollingsworth: (614) 644-0508
cell: (614) 353-7576
Kim Kowalski: (614) 728-9692
cell: (614) 893-6018