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Saturday, September 11, 2010

“Clinic manager accused of medical scam”

“Clinic manager accused of medical scam”


Clinic manager accused of medical scam

Posted: 11 Sep 2010 12:46 PM PDT

A manager at a Stanton-area pain management clinic faces an insurance fraud charge for allegedly submitting medical bills for treatment of patients from auto accidents that never occurred, police said Friday.

Willie J. Moses, 51, also was charged with possession of a deadly weapon and ammunition by a person prohibited and receiving a stolen firearm after two pistols, one of them stolen, were found during a raid Thursday at Delaware Integrated Health in the 2100 block of W. Newport Pike. Moses is barred from having firearms because of a previous felony marijuana distribution conviction in Georgia, state police wrote in court documents.

The search culminated a multi-agency investigation that stemmed from complaints by pharmacists of possible insurance fraud, police spokesman Cpl. Jeffrey Hale said. The investigation, which Hale said is continuing, involves the state Office of Narcotics and Dangerous Drugs, the Department of Insurance and the Attorney General's Office.

A reporter called the clinic on Friday but no one answered the phone.

Hale said investigators in the case also raided a Hockessin home in the 1200 block of Old Wilmington Road. He did not disclose what, if anything, was seized there.

According to Moses' arrest affidavit, the team of agents who raided the clinic found "numerous fraudulent insurance claim forms" that Moses used to defraud Nationwide Insurance Co. and other companies "for personal gain."

Moses submitted bills on behalf of the clinic for medical claims from bogus accidents, personally contacted the insurers to inquire about the status of the claims, and received the payments, the affidavit said. "These accidents were confirmed to have never occurred and were in fact orchestrated by Moses for financial gain," the affidavit said.

Also during the raid, officers seized a Taurus .40-caliber pistol in a shoe box belonging to Moses, and a Jennings .22-caliber pistol in a travel bag that contained "check-in" luggage tickets bearing Moses' name.

Both the shoe box and travel bag were found in a storage room that contained Moses' personal belongings, the affidavit said. Hale said Moses was living at the clinic and told police he was its office manager.

Moses was arraigned and committed to the Young Correctional Institution in Wilmington in lieu of $73,000 cash bail.

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