Posts Tagged ‘healthcare fraud’
Marketer Charged in $64M Kickback Scheme
A north Florida man recently was charged for his part in a $64 million scheme to pay illegal kickbacks involving pharmacies, telemedicine companies and doctors. According to the complaint, James D. Feeley of Navarre, Fla. and his partner Mark Belter of Ohio operated a purported marketing company for pharmacies that generated signed prescriptions that its…
Read MoreSurgeon Sentenced in Compound Medication Kickback Scheme
A Baltimore, Maryland doctor licensed in several states, will be spending the next three years behind bars for writing and referring compounded drug prescriptions in return for illegal kickbacks. Dr. Thomas Raley, Jr., 53, specialized in orthopedic and spine surgery and provided patients with pain management services in Virginia, Maryland and other states since 1998.…
Read MoreElectronic Health Records Company Settles Civil False Claims Lawsuit for $45 Million
Modernizing Medicine Inc. (ModMed) has agreed to pay $45 million to resolve allegations it violated the False Claims Act (FCA). The Boca Raton-based electronic health record (EHR) technology vendor is alleged to have caused millions of dollars in claims to be submitted to the federal government by accepting and providing remuneration in exchange for referrals…
Read MoreHome Health Owner Sentenced for Role in Healthcare Fraud Conspiracy
A 72-year-old Houston man has been sentenced to 30 months behind bars after pleading guilty to a $21 million, multiyear home health fraud scheme. He also was ordered to pay $21.2 million in restitution. Felix Amos pleaded guilty in Dec. 2018 to conspiracy to commit healthcare fraud. Amos and his wife, Oluyemisi Amos, were indicted…
Read MoreBoca Man Admits to Selling MD Orders
A Boca Raton man has pleaded guilty to conspiracy and kickback charges for his role in selling fraudulent doctors’ orders to others, who used them to obtain at least $25 million in fraudulent payments from Medicare. According to information filed in the case, Nagaindra Srivastav was the owner of B2B Apps Solutions, a Tampa-based company.…
Read MoreLawsuit Alleges Cigna Upcoded Tens of Thousands of Medicare Advantage Claims
The U.S. Department of Justice has joined a whistleblower lawsuit accusing Cigna Corp. of overbilling Medicare Advantage by submitting false patient diagnosis information to inflate payments The lawsuit seeks damages and penalties under the False Claims Act. The whistleblower lawsuit originally was filed in 2017 in the United States District Court for the Southern District…
Read MoreCompounding Pharmacies to Pay $6.8M in Prescriptions-for-Money Scam
Three pharmacies and a billing company have agreed to pay more than $6.8 million to resolve allegations that they violated the False Claims Act by waiving co-pays, charging the government higher prices than allowed, and trading federal healthcare business with other pharmacies. Those implicated are: DermaTran Health Solutions, LLC; Pharmacy Insurance Administrators, LLC; Legends Pharmacy;…
Read MorePharmacy Owner Pleads Guilty to $8.3M Fraud Scheme
A Fort Lauderdale man who invested in three pharmacies that participated in the Medicare program pleaded guilty to taking part in an $8.3 million fraud scheme. According to court documents, Michael Murphy, 37, invested in Cure Pharmacy in Jacksonville and two other pharmacies. From around November 2019 until March 2021, he and his co-conspirators engaged…
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 MoreBiotech 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…
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