Durham pleads guilty in health care fraud case

By Diana Winson
Posted Mar 31, 2009 @ 02:17 PM
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Benton physician James Phillip Durham, 71, pleaded guilty Monday to making false statements in a federal health care program.

According to U.S. Attorney A. Courtney Cox of the Southern District of Illinois, Durham served as president of the Franklin Rural Health Care Clinic, which pleaded guilty to health care fraud.

Durham faces a maximum imprisonment of one year, supervised release of one year and a $100,000 fine.

The Franklin Rural Health Care Clinic, an Illinois corporation, faces a maximum probation term of five years and a fine of $500,000.

Sentencings are scheduled for July 20.

According to documents released by the federal court, Durham instructed clinic employees to bill Medicare and Medicaid for non-covered medical services.

Medicare was fraudulently billed for $42,503.00 from Jan. 1, 2003, through May 31, 2006. During that same time frame, Medicaid was improperly billed $145,388.46. The total loss amounts to $187,841.86.

The cases were investigated by the U.S. Department of Health and Human Services, the Office of the Inspector General, the Illinois State Police and the FBI.

The cases were prosecuted by Assistant U.S. Attorney Liam Coonan.
 

Benton physician James Phillip Durham, 71, pleaded guilty Monday to making false statements in a federal health care program.

According to U.S. Attorney A. Courtney Cox of the Southern District of Illinois, Durham served as president of the Franklin Rural Health Care Clinic, which pleaded guilty to health care fraud.

Durham faces a maximum imprisonment of one year, supervised release of one year and a $100,000 fine.

The Franklin Rural Health Care Clinic, an Illinois corporation, faces a maximum probation term of five years and a fine of $500,000.

Sentencings are scheduled for July 20.

According to documents released by the federal court, Durham instructed clinic employees to bill Medicare and Medicaid for non-covered medical services.

Medicare was fraudulently billed for $42,503.00 from Jan. 1, 2003, through May 31, 2006. During that same time frame, Medicaid was improperly billed $145,388.46. The total loss amounts to $187,841.86.

The cases were investigated by the U.S. Department of Health and Human Services, the Office of the Inspector General, the Illinois State Police and the FBI.

The cases were prosecuted by Assistant U.S. Attorney Liam Coonan.
 

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