Posts Tagged ‘healthcare fraud’
Florida Nurse Practitioner Guilty in Healthcare Fraud Scheme
A South Florida advanced registered nurse practitioner convicted for her role in a healthcare fraud scheme that billed Medicare more than $200 million in false and fraudulent claims, faces the possibility of decades behind bars. Thousands of Fraudulent Orders Signed Elizabeth Hernandez of Homestead was indicted in April 2022 on ten counts relating to her…
Read MoreConviction in $9.5M Genetic Testing Healthcare Fraud Scheme
A Chicago physician licensed to practice in several states recently was convicted by a federal jury in Nashville, Tenn. in a healthcare fraud scheme of conspiracy to violate the federal Anti-Kickback Statute following a two-week trial. Doctor Acted as a Consulting Provider for Telemedicine Companies Dr. Benjamin T. Toh was indicted in December 2022 for…
Read MoreLincare To Pay $29M to Settle Medicare Overbilling Healthcare Fraud Case
Florida-based Lincare Holdings has agreed to pay $29 million to settle allegations it overbilled Medicare and Medicare Advantage plans for oxygen equipment provided to patients with respiratory-related illnesses. The settlement, which is the largest ever healthcare fraud settlement in the Eastern District of Washington settles claims that Lincare violated the False Claims Act. Lincare Agrees…
Read MoreDOJ Healthcare Fraud Crackdown on COVID-19 Testing Scam
The Department of Justice’s (DOJ) aggressive crackdown on COVID-19 testing scams finds healthcare providers under scrutiny.
Read MoreFlorida Man Pleads Guilty in Multimillion-Dollar DME Medicare Kickback Case
An Orlando, Fla. man faces up to ten years behind bars for his role in a durable medical equipment (DME) kickback scheme in which he and his co-conspirators were paid approximately $2.1 million and caused losses to Medicare and other healthcare benefit programs of at least $3.6 million. Patrick Fitchner pleaded guilty in New Jersey…
Read MorePennsylvania Lab Owner Sentenced to Prison in Illegal Kickback Scheme Involving Labs
The owner of two Pennsylvania testing labs in was sentenced to 18 months in prison, ordered to forfeit $9 million in criminal proceeds and pay more than $77 million in restitution for his involvement in an illegal kickback scheme. Ravitej Reddy pleaded guilty in 2020 to three conspiracy counts and one substantive count related to…
Read MoreBrain Health Scan Company Founder Settles False Claims Act Whistleblower Lawsuit
The co-founder of a New York-based company that purported to provide brain health scans (EEGs) for early detection of cognitive impairments has agreed to pay $220,000 to resolve allegations he violated the False Claims Act. The company, Evoke Neuroscience Inc., also will pay $225,000. According to the U.S. Department of Justice, David Hagedorn, Evoke’s co-founder…
Read MoreMaryland MD Convicted in COVID-19 Fraud Case with Nationwide Ties
A Maryland doctor who was one of 18 people indicted in April 2022 as part of a nationwide crackdown on COVID-19-related fraud has been convicted on five counts of healthcare fraud. According to court documents and evidence presented during trial, between March 2020 and December 2021, Ron Elfenbein submitted more than $15 million in false…
Read MoreFlorida Brothers Plead Guilty to $67M Genetic Testing and DME Fraud Scheme
A pair of Florida brothers pleaded guilty for their parts in a healthcare fraud scheme that bilked the federal government out of $67 million. The two were part of a larger scheme in which participants filed false claims with Medicare for genetic testing and durable medical equipment that patients did not need and that the…
Read MoreSCOTUS Ruling Gives Government Broad Authority in Dismissing FCA Whistleblower Cases
If a whistleblower files a False Claims Act lawsuit can the government dismiss the action? Yes, so long as the government first intervenes in the action. That was the recent ruling from the U.S. Supreme Court in a case styled United States el rel. Polansky v. Executive Health Resources, Inc., et al. The False Claims…
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