United States of America v. Joan Kicken, et al.

Omaha, Nebraska pro se Defendants were accused of violaiton the False Claims Act.

Reported by: Kent Morlan

The United States alleged that Joan Kicken owned and operated AMC P.C. d/b/a Campbell Drug in Oshkosh, Nebraska, and sought to unjustly enrich herself by submitting fraudulent billing to Medicare and Medicaid. The complaint alleged that Kicken sought reimbursement from Medicaid for prescription drugs for which valid prescriptions were never issued, billed Medicaid for prescription drugs that were never dispensed, and billed Medicare and Medicaid for name-brand medications (with higher reimbursement rates) when Kicken dispensed generic versions of the same medications. It was further alleged that Kicken knew such actions and billing methods were improper, but she continued to do so for monetary benefit.

“Medicaid and Medicare exist to ensure that every American has access to the care they need. Fraud against these programs is an attack on that promise,” said the United States Attorney Lesley A. Woods. “This case demonstrates that we will pursue healthcare fraud aggressively and without hesitation because protecting the integrity of our public health system is protecting the public itself.”

“Those who defraud Medicaid and Medicare will be held accountable,” said Special Agent in Charge Linda T. Hanley, Department of Health and Human Services, Office of Inspector General (HHS/OIG). “HHS OIG will not hesitate to investigate, expose, and pursue individuals who knowingly steal from federal healthcare programs. When providers refuse to follow the law, we will take decisive action—alongside our federal and state partners—to protect these programs and the people they serve.”

Judgment in favor of the United States in the amount of $3.4 million.