Criminal Investigative Updates

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Category: CHAMPVA and Other Healthcare Fraud (VHA)
District: Florida, Middle
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Mark Loftis, of Cushing, Oklahoma, was convicted for his role in a yearslong scheme that bilked millions of dollars from federal healthcare programs, including CHAMPVA. He paid over a million dollars to marketers who worked with call centers to persuade elderly and disabled people to provide personal information, including their health insurance. Loftis and his co-conspirators used the information to obtain signed orders for orthotic braces and continuous glucose monitors that were generated by telemedicine doctors and nurse practitioners who never examined, and often never spoke to, the patients and then billed federal healthcare programs. He obtained more than $8 million but attempted to defraud the government of $30 million. The VA OIG, the Health and Human Services OIG, the Defense Criminal Investigative Services, and the FBI investigated this case.

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Category: Miscellaneous
District: Massachusetts
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Schleider Aristhyl, of Warwick, Rhode Island, a veteran and Department of Homeland Security employee, was charged with wire fraud and making false statements on a mortgage application. He allegedly submitted fake VA documents to falsely claim a 100% disability rating and exemption from the VA funding fee when applying for a $478,000 VA-backed loan, despite not having the disability or exemption. The investigation was conducted by VA OIG and multiple Department of Homeland Security agencies.

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Category: Miscellaneous
District: New York, Northern
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Marcasey Ventour, of Albany, New York, was sentenced to five years in prison for starting a fire in a restricted storage area at the Samuel S. Stratton VA Medical Center, causing $77,490 in damage. Ventour must also pay restitution and serve a two-year term of post-release supervision. The VA OIG investigated this case.

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Category: Fraud Related to COVID-19
District: Massachusetts
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Denise Baez, a former VA medical technician from Brockton, Massachusetts, pleaded guilty to two counts of wire fraud. She submitted Paycheck Protection Program loan applications with false claims about gross income from a sole proprietorship and attached fraudulent tax documents. Baez received $41,666 that she used for personal expenses and later applied for loan forgiveness. The VA OIG and the Department of Labor, Employee Benefits Security Administration, investigated the case.

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Publish Date
Category: CHAMPVA and Other Healthcare Fraud (VHA)
District: Missouri, Eastern
Teaser Content

Natavia Boyd-Wells, owner of Touch of the Heart Home Health Care, LLC in Missouri, was sentenced to 18 months in prison for defrauding the VA’s Community Care Network and Missouri Medicaid. She submitted hundreds of fraudulent claims, resulting in a $210,000 loss, and was ordered to repay the amount. The VA OIG and Missouri Attorney General’s Medicaid Fraud Control Unit investigated the case.

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