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…

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Healthcare-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…

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Home 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…

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Serial Healthcare Fraudster Sentenced to 10 Years; Wife Faces 20 Years Behind Bars in Healthcare Fraud Scheme

COVID testing fraud

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…

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­PET 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…

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