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AG files Medicaid fraud charges against Anderson dental office owner and employees

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Nine individuals from an Anderson dental office, including three dentists and the owner, are facing criminal charges for allegedly obtaining hundreds of thousands of dollars from Medicaid illegally, the Indiana attorney general announced Wednesday.

Criminal charges filed in Madison County Circuit Court 6 claim that Anderson Dental Center owner Sally Metzner and her co-defendants engaged in a scheme to submit false and inflated bills for dental services to the Indiana Medicaid program.

The probable cause affidavit highlights repeated instances of using the Medicaid provider number of one dentist when billing the work from another dentist; using the Medicaid number and Drug Enforcement Agency registration number of one dentist for prescriptions written by other dentists; filing Medicaid claims under the name of a dentist who no longer worked at the office; and submitting claims for the expensive procedure of deep sedation when only a local anesthetic was administered.

Metzner, 57, of Anderson has been charged with two counts of corrupt business influence, as a Class C felony. She has also been charged with money laundering, Medicaid fraud, theft, forgery and practicing dentistry without a license.

The three dentists charged with corrupt business influence, money laundering, Medicaid fraud and theft are:
Paul Pangallo, 73, Indianapolis; Jeffrey Rich, 69, Cicero; Thomas Dubois, 46, Indianapolis.

Office employees charged with corrupt business influence are: Jessica (Metzner) Worrell, 27, Anderson, also charged with forgery;
Beth Flynn-Lohrey, 45, Middletown, also charged with prescription drug fraud; Chris Martin, 31, Anderson, also charged with prescription drug fraud; Barbara Brooks, 62, Anderson, also charged with forgery.  

A fifth administrative staff member, Deborah R. Davis, 55, Middletown, was charged with prescription drug fraud only.

The affidavit also alleged that the fraudulent billing continued even after authorities had executed search warrants at the office.

The Attorney General’s Medicaid Fraud Control Unit joined with the Health and Human Services Office of the Inspector General, the Federal Bureau of Investigation, the Internal Revenue Service and local authorities to investigate Anderson Dental Center. The investigation included executing three searches of the dental office, reviewing Medicaid claims, interviewing employees and co-defendants, and obtaining information from local pharmacies.  

 

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  1. Paul Ogden doing a fine job of remembering his peer Gary Welsh with the post below and a call for an Indy gettogether to celebrate Gary .... http://www.ogdenonpolitics.com/2016/05/indiana-loses-citizen-journalist-giant.html Castaways of Indiana, unite!

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  3. As a licensed court reporter in California, I have to say that I'm sure that at some point we will be replaced by speech recognition. However, from what I've seen of it so far, it's a lot farther away than three years. It doesn't sound like Mr. Hubbard has ever sat in a courtroom or a deposition room where testimony is being given. Not all procedures are the same, and often they become quite heated with the ends of question and beginning of answers overlapping. The human mind can discern the words to a certain extent in those cases, but I doubt very much that a computer can yet. There is also the issue of very heavy accents and mumbling. People speak very fast nowadays, and in order to do that, they generally slur everything together, they drop or swallow words like "the" and "and." Voice recognition might be able to produce some form of a transcript, but I'd be very surprised if it produces an accurate or verbatim transcript, as is required in the legal world.

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