Posts Tagged ‘Health law offices of Anthony C. Vitale’
Former Nurse Practitioner Faces Prison, Stiff Financial Penalty in Case Involving Medicare Kickbacks
A former Georgia nurse practitioner, who with her husband owned two telemedicine and two durable medical equipment companies (DME), faces up to 20 years in prison for her role in a Medicare kickback conspiracy that bilked Medicare out of $136 million. Earlier this month, Jean Wilson pleaded guilty to conspiracy to commit healthcare fraud and…
Read MoreHealthcare-Related False Claims Act Settlements Reach $1.8 Billion in FY 2023
The False Claims Act (FCA), the federal government’s primary tool for civil enforcement, is resulting in record returns. The U.S. Department of Justice reported 543 settlements and judgments, recovering $2.68 billion in the fiscal year ending Sept. 30, 2023. Of that, more than $1.8 billion related to matters involving the healthcare industry, including managed care…
Read MoreHome Healthcare Company Owner Sentenced to Nine Years in $2.8M Healthcare Fraud Case
The owner of a home healthcare company who was convicted last September for orchestrating a $2.8 million healthcare fraud and wire fraud conspiracy, and engaging in money laundering, aggravated identity theft, and witness tampering, has been sentenced to nine years in prison. Indian national Yogesh K. Pancholi of Michigan owned and operated Shring Home Care…
Read MoreMedical Billing Company Owner Sentenced to 12 Years in Healthcare Insurance Fraud Scheme
A Long Island man who impersonated an NBA player and others to further his complex healthcare insurance fraud scheme has been sentenced to 12 years in prison and ordered to pay restitution of $337 million and forfeit $63 million. Mathew James engaged in a years-long healthcare and insurance fraud scheme in which he and his…
Read MoreSerial Healthcare Fraudster Sentenced to 10 Years; Wife Faces 20 Years Behind Bars in Healthcare Fraud Scheme
A California man with a long history of healthcare fraud was sentenced to 10 years behind bars and ordered to pay millions in restitution as well as forfeit his interest in two residential properties and one business property in Los Angeles. His wife, who will be sentenced later this month. Imran Shams pleaded guilty to…
Read MoreDME Manufacturer Settles False Claims Act Allegations for Nearly $2.5 Million
DME Manufacturer Settles False Claims Act Allegations for Nearly $2.5 Million
Read MoreFeds Warn of Remote Patient Monitoring Fraud: Patients and Healthcare Providers Beware
Remote Patient Monitoring Fraud Scheme
Read MoreMiami Medical Coder Charged in Medicare Advantage Fraud Scheme
A Miami woman recently was charged for her role in a long-running Medicare Advantage fraud scheme to defraud Medicare out of tens of millions of dollars. Kenia Valle Boza, the former director of Medicare Risk Adjustment Analytics at HealthSun, was indicted in Miami federal court for allegedly orchestrating a scheme to submit false and fraudulent…
Read MorePET Scan Company and Owner to Pay $85M to Settle Anti-Kickback Statute Allegations
An Illinois healthcare imaging company and its founder, owner and CEO have agreed to pay $85.5 million to settle claims that the company allegedly paid kickbacks to physicians to refer Medicare patients for cardiac scans using “sham” medical supervision agreements in violation of the Anti-kickback statute. The Settlement Agreement Cardiac Imaging Inc. (CII) and Florida…
Read MoreLab Owner Gets 27 Years, Must Pay Back $187M in Genetic Testing Healthcare Fraud Scheme
An Atlanta lab owner has been ordered to turn over $187 million in ill-gotten gains he obtained in a healthcare fraud scheme that involved kickbacks and bribes in violation of the Anti-kickback statute and False Claims Act. The order was recently issued by a Miami federal judge against Minal Patel and follows his sentencing in…
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