Posts Tagged ‘Medicare fraud’
Laboratory Owner, Serial Entrepreneur Target of DOJ Complaint Alleging He Violated the False Claims Act
A man who dubbed himself a “serial entrepreneur†is the target of a complaint alleging he violated the False Claims Act by submitting more than 24,000 false claims to Medicare for more than 300,000 respiratory pathogen panel tests that were not ordered by healthcare providers, not medically necessary, or never performed. The defendants billed and received…
Read MoreFlorida Brothers Plead Guilty to $67M Genetic Testing and DME Fraud Scheme
A pair of Florida brothers pleaded guilty for their parts in a healthcare fraud scheme that bilked the federal government out of $67 million. The two were part of a larger scheme in which participants filed false claims with Medicare for genetic testing and durable medical equipment that patients did not need and that the…
Read MoreSkilled Nursing Facility and Management Company Settle Kickback Case for Nearly $4M
A California skilled nursing facility and management company has agreed to pay nearly $4 million to settle allegations it paid kickbacks to physicians for referrals of patients on Medi-Cal and Medicare. From 2009 through 2019, Alta Vista Healthcare & Wellness Centre, under the direction and control of Rockport Healthcare Services, gave physicians extravagant gifts, including…
Read MorePharmacy Company’s Chief Compliance Officer Convicted in Medicare Fraud Scheme
A Florida man whose job it was to make sure that no healthcare fraud is committed recently was convicted by a federal jury of doing just that – committing Medicare fraud. According to court documents and evidence presented at trial, Steven King of Miramar served as the chief compliance officer for a pharmacy holding company…
Read MoreSouth Florida Man Who Received Kickbacks in $73M Genetic Testing Scheme Pleads Guilty to Medicare Fraud
Just before his Medicare fraud trial was to start, a Florida man who helped recruit telemedicine doctors as part of a $73 million genetic testing scheme to defraud Medicare pleaded guilty to receiving kickbacks. Michael Stein admitted that he, through his company 1523 Holdings LLC, agreed to receive $50,000 per month in exchange for recruiting…
Read MoreFormer Florida Marketer Charged with DME Fraud, in violation of the Anti-Kickback Statute, Bilking Medicare out of $100M
A former Florida resident living in Puerto Rico has been charged for his role in a $101 million durable medical equipment (DME) kickback scheme. Raheel Naviwala, 34, was charged with conspiracy to violate the federal Anti-Kickback Statute. According to court documents, Naviwala and his conspirators owned and operated several call centers (NAVIWALA Supply Companies) through…
Read MoreFormer Senior Living CEO Indicted on ALF and Skilled Nursing Facility Fraud
The former CEO of a New Jersey-based company that owned and operated 24 skilled nursing facilities and nine assisted living facilities in Wisconsin and Michigan recently was indicted on charges of healthcare fraud, six counts of wire fraud, three counts of mail fraud, conspiracy to commit tax fraud, and conspiracy to commit money laundering. The…
Read MoreMiami Doctors Convicted in DME Kickback Scheme
Two Miami doctors, indicted in August 2021 were recently found guilty, after a two-week trial, for their roles in a scheme to defraud Medicare by submitting claims for durable medical equipment (DME) that Medicare beneficiaries did not need. According to court documents and evidence presented at trial, chiropractor Dean Zusmer owned one of four DME…
Read MoreDME Company Owner Found Guilty in Massive Kickback Scheme
A Chicago man faces up to 20 years behind bars for his part in a conspiracy to pay illegal kickbacks to generate business for his durable medical equipment (DME) pharmacy. Mark Sorensen, 53, was president and owner of Symed, a Medicare-enrolled durable medical equipment pharmacy. Prosecutors alleged that between 2015 and 2018, he illegally bought…
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…
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