Posts Tagged ‘healthcare fraud’
Three Sentenced for Roles in Compounding Pharmacy Kickback and Fraud Scheme
Three men, including two from Florida, were sentenced for their roles in a $54 million pharmacy kickback, bribery, and fraud scheme involving TRICARE. The federal program provides health insurance benefits to active duty and retired service members and their families. Prison Time David Byron Copeland of Tallahassee was sentenced to four years and three months…
Read MoreMiami Medical Coder Charged in Medicare Advantage Fraud Scheme
A Miami woman recently was charged for her role in a long-running Medicare Advantage fraud scheme to defraud Medicare out of tens of millions of dollars. Kenia Valle Boza, the former director of Medicare Risk Adjustment Analytics at HealthSun, was indicted in Miami federal court for allegedly orchestrating a scheme to submit false and fraudulent…
Read MorePET Scan Company and Owner to Pay $85M to Settle Anti-Kickback Statute Allegations
An Illinois healthcare imaging company and its founder, owner and CEO have agreed to pay $85.5 million to settle claims that the company allegedly paid kickbacks to physicians to refer Medicare patients for cardiac scans using “sham” medical supervision agreements in violation of the Anti-kickback statute. The Settlement Agreement Cardiac Imaging Inc. (CII) and Florida…
Read MoreThe Health Law Offices of Anthony C. Vitale Announces the Addition of Ricardo Gomez as Associate Counsel
The Health Law Office of Anthony C. Vitale is pleased to announce Ricardo Gomez has joined the firm as an associate. Ricardo earned his law degree from Florida International University College of Law, where he also earned his Bachelor of Arts in International Relations. His practice will focus on civil, administrative contractual, corporate, third-party payor,…
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 MoreDiagnostic Testing Company Settles False Claims Act Case Filed by Whistleblower
Exagen, a California-based life sciences company that makes diagnostic tests for the treatment of autoimmune conditions, recently settled allegations, filed by a whistleblower, that it violated the False Claims Act by paying physicians to use its laboratory tests. The Settlement Agreement The agreement called for Exagen to pay $653,143. The case was brought under the…
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 MoreCigna to Pay $173M to Settle False Claims Act Litigation Filed by Whistleblower
Health insurance giant Cigna agreed to pay nearly $173 million to resolve allegations it violated the False Claims Act by knowingly submitting false diagnosis codes under the federal Medicare Advantage program to increase its payments. In a lawsuit filed last year, the feds alleged that between 2014 and 2019, Cigna submitted to the Centers for…
Read MoreDermatology Company Settles Violations of Stark Law and Anti-Kickback Statute
A Texas-based dermatology management company recently agreed to pay the U.S. government approximately $8.9 million, including $5.9 million in restitution, to settle self-reported allegations of potential violations of the Stark Law and the Anti-Kickback Statute resulting in liability under the False Claims Act. The Settlement Agreement According to the settlement agreement, from January 2013 to…
Read MoreFlorida Nurse Practitioner Guilty in Healthcare Fraud Scheme
A South Florida advanced registered nurse practitioner convicted for her role in a healthcare fraud scheme that billed Medicare more than $200 million in false and fraudulent claims, faces the possibility of decades behind bars. Thousands of Fraudulent Orders Signed Elizabeth Hernandez of Homestead was indicted in April 2022 on ten counts relating to her…
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