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David James Girardi, Health Care Fraud, Pennsylvania 2019

Health Care Fraud

PITTSBURGH, PA – In a shocking turn of events, David James Girardi, a resident of DuBois, Pennsylvania, has been sentenced for health care fraud, United States Attorney Scott W. Brady announced today.

According to sources, Girardi pleaded guilty to one count of health care fraud in March 2019. In connection with the guilty plea, Girardi admitted to committing health care fraud by submitting fraudulent claims to Highmark for six Oxycodone and Hydrocodone prescriptions that Girardi wrote for his wife, but which were in fact intended for his own use.

As part of the investigation, the Department of Health and Human Services, Office of Inspector General conducted an in-depth probe into Girardi’s activities. The findings led to the prosecution of Girardi by Assistant United States Attorneys Rachael L. Mamula and Cindy K. Chung.

On January 30, 2020, United States District Judge Kim R. Gibson sentenced Girardi to five years’ probation and six months’ home confinement. Judge Gibson further ordered that Girardi pay a $5,000 fine and restitution to Highmark, Inc.

Girardi’s case has sparked a wave of concern among health care professionals, highlighting the need for stricter regulations and increased oversight. The Grimy Times will continue to monitor the situation and provide updates as more information becomes available.

In related news, the Highmark insurance company has announced plans to review its policies and procedures in light of Girardi’s case, in an effort to prevent similar incidents in the future.

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