NEWS RELEASE
OFFICE OF THE UNITED STATES ATTORNEY
SOUTHERN DISTRICT
OF ILLINOIS
A. COURTNEY COX
UNITED STATES ATTORNEY
Nine Executive Drive, Fairview Heights, Illinois 62208, Telephone (618) 628-3700
For Immediate Release
March 30, 2009
FRANKLIN RURAL HEALTH CLINIC AND ITS PRESIDENT DOCTOR
PLEAD GUILTY TO HEALTH CARE FRAUD CHARGES IN FEDERAL COURT
The United States Attorney’s Office for the Southern District of Illinois, announced today that
on March 30, 2009, JAMES PHILLIP DURHAM, M.D., age 71, President of FRANKLIN RURAL
HEALTH CARE CLINIC, an Illinois corporation, doing business in Christopher, Franklin County, pled
guilty to making false statements to a federal health care program. Also today, FRANKLIN RURAL
HEALTH CARE CLINIC pled guilty to health care fraud. DURHAM faces a maximum imprisonment
of one year; supervised release of one year; and a fine of $100,000. The FRANKLIN RURAL HEALTH
CARE CLINIC faces a maximum term of probation of five years and a fine of $500,000. The sentencings
are scheduled for July 20, 2009.
The charging documents indicate that DURHAM instructed clinic employees to bill Medicare
and Medicaid for non-covered medical services. Medicare was fraudulently billed for $42,503.00 from
January 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, Office of
Inspector General; the Illinois State Police; and the Federal Bureau of Investigation. The cases were
prosecuted by Assistant United States Attorney Liam Coonan.
If you suspect or know of an individual or company that is not complying with
healthcare laws or public aid programs, you may report this activity to the local
office of the U.S. Department of Health Human Services, Office of Inspector
General or call 1-800-447-8477. |
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