Posts Tagged ‘healthcare fraud’
Physical Therapist Assistant Convicted in $2.6 Million Healthcare Fraud Scam
$2.6 Million Healthcare Fraud Scam
Read MoreLying to Federal Investigators Gets Compounding Pharmacy CEO Prison Time in Healthcare Kickback Scheme
A 71-year-old Palm Beach Gardens man who escaped prison in 2019 after resolving a lawsuit alleging that he and others violated the False Claims Act (FCA) through their involvement in a healthcare kickback scheme will spend six months behind bars for lying to federal agents. In March 2020 Patrick Smith, former CEO and president of…
Read MoreHospice Owner and Biller Sentenced for Roles in Hospice Fraud and Medicare Fraud Scheme
The owner of two California-based hospice companies and his biller/consultant have been sentenced to one year and a day in prison each for their roles in a $9 million hospice fraud scheme. In addition, Gayk Akhsharumov, the owner of San Gabriel Hospice and Palliative Care Inc. and Broadway Hospice Inc., was ordered to pay nearly…
Read MoreNew Whistleblower Rewards Policy Offers Incentives to Report Misconduct
U.S. Department of Justice is cracking down on corporate crime with an expanded whistleblower rewards program.
Read MoreLab Owners to Pay $13.6M in False Claims Act Whistleblower Case
A Missouri laboratory and its three owners have been ordered to pay more than $13.6 million to settle charges they violated the False Claims Act – the federal government’s primary tool for civil enforcement. Jerry, Jerrod and Joel W. Murphy, owners of Gamma Healthcare Inc., were accused of submitting false claims to Medicare for lab…
Read MoreFormer Nurse Practitioner Faces Prison, Stiff Financial Penalty in Case Involving Medicare Kickbacks
A former Georgia nurse practitioner, who with her husband owned two telemedicine and two durable medical equipment companies (DME), faces up to 20 years in prison for her role in a Medicare kickback conspiracy that bilked Medicare out of $136 million. Earlier this month, Jean Wilson pleaded guilty to conspiracy to commit healthcare fraud and…
Read MoreSleep Clinic Owner’s Nightmare: Sentenced to Prison for Medicare Fraud
Sleep Clinic Owner’s Nightmare: Sentenced to Prison for Medicare Fraud
Read MoreDoctor 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 MoreHealthcare-Related False Claims Act Settlements Reach $1.8 Billion in FY 2023
The False Claims Act (FCA), the federal government’s primary tool for civil enforcement, is resulting in record returns. The U.S. Department of Justice reported 543 settlements and judgments, recovering $2.68 billion in the fiscal year ending Sept. 30, 2023. Of that, more than $1.8 billion related to matters involving the healthcare industry, including managed care…
Read MoreInvestigators Looking into $2B Catheter Fraud Involving Medicare Patients
Seven companies allegedly operating out of Connecticut, Florida, Kentucky, New York and Texas are the target of a $2 billion Medicare fraud investigation – one of the largest in the program’s history. According to published reports, in this catheter fraud scheme, the companies were billing for urinary catheters. The National Association of ACOs (NAACOS), a…
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