Posts Tagged ‘false claims’
Biotech Executive Convicted in Multimillion-Dollar Testing Scheme
A California biotech executive recently was convicted in connection with a $77 million scheme involving false and fraudulent claims for COVID-19 and allergy testing as well as securities fraud. Mark Schena, 59, president of Arrayit Corporation, was found guilty of one count of conspiracy to commit healthcare fraud and conspiracy to commit wire fraud, two…
Read MoreFlorida Doctor Sentenced for Role in Sober Home Fraud
A Florida psychiatrist and medical director of two South Florida addiction treatment facilities was recently sentenced to four-and-a-half years in prison for his role in a fraud scheme in which he billed $112 million for services that were never provided or were medically unnecessary. After a 15-day trial in March, Jose Santiero of Miami Lakes…
Read MorePharmacist Settles Whistleblower Case for $1M
A Michigan pharmacist and two specialty pharmacies that he formally owned have agreed to pay $1 million to resolve allegations that they submitted false claims to Medicare for the drug Evzio, an injectable form of naloxone commonly used to reverse opioid overdose. The government alleged that between August 2017 and June 2019, People’s Drug Store…
Read MoreHigh Court Refuses to Take up Whistleblower Case That Relied on Statistical Analysis
Last month, the United States Supreme Court declined a request by a whistleblower to take up a case in which an appellate court affirmed a lower court’s dismissal of a $61.8 million False Claims Act case. The case, United States ex rel. Integra Med Analytics LLC v. Baylor Scott & White Health, alleged that Baylor…
Read MoreCrackdown on Sober Homes Nets Three
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 MoreMedical Device Maker Settles False Claims Allegations, Agrees to Pay $12.5M
A New York-based medical device manufacturer has agreed to pay $12.5 million to settle allegations it caused healthcare providers to submit false claims to federal healthcare programs relating to the use of two of its medical devices. AngioDynamics Inc. was accused of causing false claims to be submitted to Medicare, Medicaid, TRICARE, and other federal…
Read MoreGenetic testing latest scam targeting Tricare
The Tricare program is once again the target of fraudulent claims. The health insurance program for members of the U.S. military, their family and retired military, has been bilked millions of dollars for unnecessary genetic tests and drug screening, according to media reports. The latest alleged Tricare scam goes something like this: Labs set up…
Read MoreHome health agency owner 20-year sentence for Medicare fraud upheld
The Eleventh Circuit Court of Appeal recently affirmed a 20-year prison sentence for the owner of a Miami home healthcare business who was found guilty of Medicare fraud. Dora Moreira, the owner and operator of Anna Nursing Services Corp., was accused of bilking Medicare out of $7 million. The appellate court found that Moreira, who…
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