Posts Tagged ‘healthcare fraud’
North 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…
Read MoreFlorida Man Gets 14 Years in Genetic Testing Fraud Scheme
The owner and operator of telemarketing and telemedicine companies faces 14 years behind bars after pleading guilty to healthcare and wire fraud and evading taxes. Through information filed Feb. 3, Marc Sporn of Delray Beach was accused of creating an elaborate scheme that cost Medicare more than $20 million dollars. According to court documents, Sporn…
Read MoreWatchdog Agency Details Enforcement Activities During Six-Month Period
The Department of Health and Human Services Office of the Inspector General (HHS-OIG) expects to make nearly $3 billion in recoveries resulting from the agency’s audits and investigations, according to its Semiannual Report to Congress released earlier this month. The semiannual reporting period runs from Oct. 1, 2021, through March 31, 2022. The watchdog agency…
Read MoreBilling Under Another’s Credentials Results in FCA Violation for Therapy Company
A Macon, Ga. rehab facility has been ordered to pay more than $9.6 million in damages after a district court judge ruled in favor of the government in a civil case alleging the fraudulent billing of hundreds of TRICARE and Medicaid claims. The order was the result of a judge’s recent ruling in which he…
Read MorePharmacy Owner, Others Sentenced in $174M Telemedicine Pharmacy Fraud Scheme
A Florida pharmacy owner, his co-conspirators and seven related corporate entities recently were sentenced by a federal judge in Greenville Tenn. for their roles in a multimillion-dollar healthcare fraud scheme. It was alleged that they deceived pharmacy benefit managers (PBMs) such as Express Scripts and CVS Caremark. The PBMs processed and approved thousands of claims…
Read MoreOpioid Crackdown Nets 14, Including 12 Medical Professionals
The owner of a Boynton Beach pharmacy was among 14 people charged in connection with the unlawful distribution of opioids. Of them, twelve were medical professionals at the time of the alleged crime. According to the charges filed against Casey Kelleher, from February 2019 to August 2021, the owner of Neighborhood Pharmacy purchased large amounts…
Read MoreDrug Treatment Clinic Owner to Pay Settlement in FCA Whistleblower Lawsuit
At first glance, a recent settlement agreement by the owner and CEO of two Colorado-based behavioral health and substance abuse treatment clinics may not seem like a lot. However, it can serve as a reminder that the government is continuing its crackdown on those who take advantage of the ongoing opioid crisis. The case involves…
Read MoreGovernment Nabs More Covid Fraud Suspects
The Covid-19 pandemic has resulted in yet another avenue to perpetuate fraud within the healthcare arena. Most recently, the U.S. Department of Justice announced criminal charges had been filed against 21 people in nine federal districts for their alleged participation in various schemes that exploited the pandemic to the tune of $149 million. Cities involved…
Read MoreGroup Home Owners Convicted in $1M Fraud Scheme
A Texas couple who owned and operated group homes recently was found guilty of perpetrating a $1 million dollar scheme to defraud Medicare. Lindell King, 52, and his wife Ynedra Diggs, 44 were charged with sending their group home residents to Behavioral Medicine of Houston (BMH), in exchange for kickbacks. BMH was a community mental…
Read MoreGenetic Testing and DME Fraud Crackdown Nets a Dozen South Floridians
Healthcare fraud involving genetic testing and durable medical equipment (DME) have become a focus for federal investigators in recent years and another twelve South Floridians find themselves in the midst of the crackdown. Earlier this month, Zachary S. Seid, 35, of Boynton Beach and Anthony Cracchiolo, 42 of Parkland were arrested and charged with four…
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