Posts Tagged ‘genetic testing kickback scheme’
Doctor Charged in COVID-19 Healthcare Fraud Action Indicted in Kickback Scheme
A New York doctor has been charged in a superseding indictment in connection with an alleged genetic cancer screening and COVID-19 testing scam. Such an indictment adds information or evidence, as well as charges or defendants to an existing case. Alexander Baldonado of Queens was indicted on charges he engaged in a genetic testing and…
Read MoreFlorida Man Convicted in $67M ‘Doctor Chase’ Genetic Testing Healthcare Fraud Scheme
Another defendant who was part of a multimillion-dollar healthcare fraud scheme tied to unnecessary genetic testing has been convicted by a federal jury. Jose Goyos of West Palm Beach was indicted in February 2022 along with nine others in the Southern District of Florida for their alleged roles in a $67 million healthcare fraud, wire…
Read MoreLab Owner Gets 27 Years, Must Pay Back $187M in Genetic Testing Healthcare Fraud Scheme
An Atlanta lab owner has been ordered to turn over $187 million in ill-gotten gains he obtained in a healthcare fraud scheme that involved kickbacks and bribes in violation of the Anti-kickback statute and False Claims Act. The order was recently issued by a Miami federal judge against Minal Patel and follows his sentencing in…
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 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 MoreMedicare Audit Finds Up To $888M in Improper Payments for Genetic Tests
Inadequate oversight by the Centers for Medicare & Medicaid Services (CMS) of payments for the highest paid genetic test risked up to $888 million in improper payments, according to a recent audit by the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG). OIG reviewed Medicare Part B claims for more…
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 MoreGenetic Testing Kickback Scheme Settled
Jacksonville, Fla.-based Ocenture LLC and its subsidiary, Carelumina LLC, agreed to pay $3 million to settle allegations that they paid and received kickbacks in connection with genetic testing samples. It was alleged that Ocenture solicited genetic testing samples from Medicare beneficiaries directly and through other marketers. The company then paid physicians to falsely attest that…
Read MoreTexas MD Faces Significant Prison Time for TRICARE Fraud
A Texas physician faces significant time behind bars after being convicted of engaging in a scheme to fraudulently bill TRICARE, for toxicology and genetic tests that were not provided as represented and/or were medically unnecessary. TRICARE is the healthcare program for uniformed service members, retirees, and their families, Dr. Sekhar Rao, a vascular and interventional…
Read MoreThree Dozen Charged in $1.2 Billion Healthcare Fraud Scheme
The U.S. Department of Justice, through coordinated investigations across 13 districts, has filed criminal charges against three dozen defendants who allegedly were involved in $1.2 billion in fraudulent telemedicine, cardiovascular and cancer genetic testing, and durable medical equipment schemes. Those charged include a telemedicine company executive, owners and executives of clinical laboratories, durable medical equipment…
Read More