Posts Tagged ‘healthcare fraud’
Skilled Nursing Facility and Management Company Settle Kickback Case for Nearly $4M
A California skilled nursing facility and management company has agreed to pay nearly $4 million to settle allegations it paid kickbacks to physicians for referrals of patients on Medi-Cal and Medicare. From 2009 through 2019, Alta Vista Healthcare & Wellness Centre, under the direction and control of Rockport Healthcare Services, gave physicians extravagant gifts, including…
Read MorePharmacy Company’s Chief Compliance Officer Convicted in Medicare Fraud Scheme
A Florida man whose job it was to make sure that no healthcare fraud is committed recently was convicted by a federal jury of doing just that – committing Medicare fraud. According to court documents and evidence presented at trial, Steven King of Miramar served as the chief compliance officer for a pharmacy holding company…
Read MoreHHS-OIG Details Successes of Efforts to Curb Healthcare Fraud and Abuse in Semiannual Report to Congress
The U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) recently released its Semiannual Report to Congress touting its many successes but also adding that a lack of funding has resulted in an inability to go after even more healthcare fraud and abuse. “We are turning down 300 to 400 viable…
Read MoreWPB Man Sentenced for Role in $7M DME Fraud, Kickback and False Claim Scheme
A West Palm Beach man was sentenced to a little more than five years in prison and ordered to pay $7 million in restitution for his part in a durable medical equipment (DME) fraud scheme. Christopher Margait pleaded guilty to conspiracy to commit healthcare fraud by fraudulently trafficking in orders for durable medical equipment such…
Read MoreIllinois Healthcare System Settles Whistleblower Lawsuit Alleging Overpayment for Services for $12.5M
A whistleblower lawsuit filed against St. Elizabeth’s Hospital of the Hospital Sisters Health System in Illinois has been settled for $12.5 million. The multi-institutional healthcare system that sponsors 15 hospitals in 14 communities across Illinois and Wisconsin, as well as an integrated physician network, is alleged to have committed billing errors that may have resulted…
Read MoreTwo Miami Doctors Sentenced for $31 Million in False Medicare Claims as Part of a DME Fraud Scheme
A pair of Miami doctors recently were sentenced for their parts in a scheme to steal from Medicare by making more than $31 million in false DME claims. Dr. Dean Zusmer, a chiropractor, was sentenced to eight years and one month in prison and ordered to pay $1.4 million in restitution. Dr. Lawrence Alexander, an…
Read MoreEighteen Charged in COVID-related Healthcare Fraud Resulting in $490M in False Billings and Theft
Eighteen Charged in COVID-related Healthcare Fraud Resulting in $490M in False Billings and Theft
Read MorePharmacists, Pharmacy Owners, and Doctors Sentenced in Texas Compounding Pharmacy Healthcare Fraud Scheme
Nine Texans have been sentenced to anywhere from 18 months to 20 years for their parts in a $126 million compounding fraud scheme. The group sentenced in this healthcare fraud scheme includes three compounding pharmacy owners, a physician, two pharmacists, and three patient recruiters sentenced in this compounding pharmacy scheme. According to the U.S. Department…
Read MoreSouth Florida Man Who Received Kickbacks in $73M Genetic Testing Scheme Pleads Guilty to Medicare Fraud
Just before his Medicare fraud trial was to start, a Florida man who helped recruit telemedicine doctors as part of a $73 million genetic testing scheme to defraud Medicare pleaded guilty to receiving kickbacks. Michael Stein admitted that he, through his company 1523 Holdings LLC, agreed to receive $50,000 per month in exchange for recruiting…
Read MoreTexas Drug Testing Lab to Pay Nearly $6M to Settle Kickbacks to Marketers, False Claims Act Violations
An Austin, Texas drug testing lab agreed to pay nearly $6 million to settle allegations it violated the Federal False Claims Act by paying volume-based commissions to marketers for six years.
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