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Clinical Lab Industry Ripe for Fraud and Abuse
A former account rep for a toxicology testing company in Texas is the latest to be sentenced for his role in a Medicare fraud scheme that has become more common in recent years. Last month, Ivar Cantu was handed a 56-month sentence, to be followed by three years of supervised release, after pleading guilty to…
Read MoreClinical Lab Owner to Pay $13M to Settle False Claims Act Allegations, Faces Charges Relating to Sabotaging Competitor’s Business
A New Jersey-based clinical laboratory and its owner and CEO Eric Leykin of New York have agreed to pay $13 million to settle False Claims Act allegations involving the payment of illegal kickbacks and medically unnecessary lab testing.
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 MoreThe Federal Government Nets $2.2B in Settlements and Judgements Under the False Claims Act, Including $1.7B in Healthcare-Related Fraud
Settlements and judgements under the False Claims Act (FCA) surpassed $2.2 billion for the fiscal year ending Sept. 30, 2022. Of that, $1.7 billion related to matters involving the healthcare industry, including drug and medical device manufacturers, durable medical equipment, home health and managed care providers, hospitals, pharmacies, hospice organizations, and physicians. The government and…
Read MoreDME Company Owner Sentenced to Seven Years in Fraud Case
The owner of a durable medical equipment (DME) company in Fort Myers was sentenced to more than seven years in prison for his role in a scam that bilked Medicare and Medicaid out of $1.6 million. Earlier this year, North Miami resident Daniel Pintado Cazola, 42, pleaded guilty to one count of conspiracy to commit…
Read MoreNorth Carolina MD Indicted in $11M DME Scheme
A Charlotte, N.C. internist has been indicted on charges she defrauded federal healthcare programs out of more than $11 million in durable medical equipment scheme. Sudipta Mazumder, MD, 46, was indicted on one count of healthcare fraud and six counts of making false statements relating to healthcare matters. According to the U.S. Attorney’s Office, Western…
Read MoreNew York MD Settles COVID Fraud Case
A New York doctor has become the latest to learn that the government is serious about cracking down on those who take advantage of the COVID-19 pandemic. Dr. Josef Schenker and two of the urgent care facilities that he owns agreed to pay more than $564,000 to resolve allegations that they submitted false claims to…
Read MoreDOJ Crackdown Nets Hundreds of Healthcare Fraud Suspects
While there are many benefits to telemedicine, federal investigators also are finding it’s ripe for fraud. And we may only be seeing the tip of the iceberg as evidenced by the most recent national fraud enforcement action resulting in charges involving more than $1 billion in losses. Earlier this month, the U.S. Department of Justice…
Read MoreFeds Recover $3.1B in FY 2020 Resulting From Healthcare Fraud Investigations
The federal government recouped nearly $3.1 billion last year following investigations into healthcare fraud, according to a new report released by the U.S. Department of Health and Human Services and the Department of Justice. The annual report noted that DOJ opened 1,148 new criminal healthcare fraud investigations in 2020, filing criminal charges in 412 cases…
Read MoreDOJ Launches Task Force Targeting COVID-19 Relief Fraud
Healthcare has always been ripe for fraud, so it’s no surprise that the COVID-19 pandemic created a wellspring of opportunities for those looking to make money off a tragedy. But getting away with it likely will become a lot harder, thanks to the creation of the COVID-19 Fraud Enforcement Task Force. Launched in May by…
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