Posts Tagged ‘false claims’
Former Nurse Practitioner Faces Prison, Stiff Financial Penalty in Case Involving Medicare Kickbacks
A former Georgia nurse practitioner, who with her husband owned two telemedicine and two durable medical equipment companies (DME), faces up to 20 years in prison for her role in a Medicare kickback conspiracy that bilked Medicare out of $136 million. Earlier this month, Jean Wilson pleaded guilty to conspiracy to commit healthcare fraud and…
Read MoreDoctor Charged in COVID-19 Healthcare Fraud Action Indicted in Kickback Scheme
A New York doctor has been charged in a superseding indictment in connection with an alleged genetic cancer screening and COVID-19 testing scam. Such an indictment adds information or evidence, as well as charges or defendants to an existing case. Alexander Baldonado of Queens was indicted on charges he engaged in a genetic testing and…
Read MoreHome Healthcare Company Owner Sentenced to Nine Years in $2.8M Healthcare Fraud Case
The owner of a home healthcare company who was convicted last September for orchestrating a $2.8 million healthcare fraud and wire fraud conspiracy, and engaging in money laundering, aggravated identity theft, and witness tampering, has been sentenced to nine years in prison. Indian national Yogesh K. Pancholi of Michigan owned and operated Shring Home Care…
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 MoreTwo Miami Doctors Sentenced for $31 Million in False Medicare Claims as Part of a DME Fraud Scheme
A pair of Miami doctors recently were sentenced for their parts in a scheme to steal from Medicare by making more than $31 million in false DME claims. Dr. Dean Zusmer, a chiropractor, was sentenced to eight years and one month in prison and ordered to pay $1.4 million in restitution. Dr. Lawrence Alexander, an…
Read MoreEighteen Charged in COVID-related Healthcare Fraud Resulting in $490M in False Billings and Theft
Eighteen Charged in COVID-related Healthcare Fraud Resulting in $490M in False Billings and Theft
Read MorePharmacists, Pharmacy Owners, and Doctors Sentenced in Texas Compounding Pharmacy Healthcare Fraud Scheme
Nine Texans have been sentenced to anywhere from 18 months to 20 years for their parts in a $126 million compounding fraud scheme. The group sentenced in this healthcare fraud scheme includes three compounding pharmacy owners, a physician, two pharmacists, and three patient recruiters sentenced in this compounding pharmacy scheme. According to the U.S. Department…
Read MoreOIG Expects to Recover $4B in Misspent Healthcare Funds
Efforts by the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) could result in the recovery of some $4 billion in misspent Medicare, Medicaid, and other health and human services funds. The work is outlined in the Fall 2022 Semiannual Report to Congress, which provides an overview of the watchdog…
Read MoreFeds Use Data Analytics to Detect Fraud
A Jacksonville-based healthcare provider accused of making false or fraudulent claims with the Florida Medicaid program agreed to pay $700,000 to resolve allegations it violated the False Claims Act. The case against Physicians Group Services resolves allegations that PGS submitted claims to Florida’s Medicaid program for quantitative urine drug testing that were medically unnecessary because…
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