Posts Tagged ‘healthcare fraud’
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 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 MoreFeds Hot on the Trail of PPP Fraud
On August 19, a Kansas chiropractor was convicted on multiple charges for Paycheck Protection Program (PPP) loan fraud. According to the U.S. Department of Justice, Timothy Dale Warren was charged with four counts of bank fraud, two counts of money laundering, and four counts of false statements. According to court documents, as owner of Titan…
Read MoreAmerican Senior Communities Settles for $5.5 Million in FCA Case
Thanks to the work of a whistleblower, the U.S. Department of Justice recently settled with an Indiana-based skilled nursing and long-term care services company for $5.5 million to resolve allegations that it violated the False Claims Act. A former American Senior Communities (ASC) employee filed a whistleblower lawsuit in 2017 alleging that that ASC was…
Read MoreHealthcare Fraud Roundup
Medical Clinic Fraud The owner of a Miami-based medical clinic was recently sentenced to 60 months in prison for directing a $38 million healthcare fraud scheme. Armando Valdes also was ordered to forfeit four real estate properties, including a beachfront condo in Pompano Beach, as well as numerous luxury vehicles, including a Cadillac Escalade and…
Read MorePractitioner Beware: OIG Issues Telemedicine Fraud Alert
The increasing number of fraudulent schemes involving telemedicine companies prompted the Office of Inspector General for the Department of Health and Human Services to recently issue a special fraud alert. The alert came on the heels of a nationwide crackdown on a $1.2 billion telemedicine fraud scheme leading to charges against three dozen defendants in…
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 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 MoreHealthcare Fraud Efforts Net $5B in FY 2021
The federal government’s crackdown on healthcare fraud resulted in more than $5 billion in judgments and settlements in Fiscal Year (FY) 2021, according to a new report from the U.S. Department of Health and Human Services and Department of Justice. It’s significantly more than the $3.1 billion recovered in FY 2020. As a result of…
Read MoreNorth Carolina MD Indicted in $11M DME Scheme
A Charlotte, N.C. internist has been indicted on charges she defrauded federal healthcare programs out of more than $11 million in durable medical equipment scheme. Sudipta Mazumder, MD, 46, was indicted on one count of healthcare fraud and six counts of making false statements relating to healthcare matters. According to the U.S. Attorney’s Office, Western…
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