Pain doctor convicted in $100M fraud scheme involving unnecessary spinal injections
Fierce Healthcare
SEPTEMBER 27, 2021
Pain doctor convicted in $100M fraud scheme involving unnecessary spinal injections. Mon, 09/27/2021 - 12:54.
Healthcare Fraud Crackdown: Telehealth Fraud & Improper Billing Scams | Verisys
Verisys
DECEMBER 13, 2023
Healthcare Fraud Crackdown! The post Healthcare Fraud Crackdown: Telehealth Fraud & Improper Billing Scams | Verisys appeared first on Verisys. Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Secure your success by choosing Verisys.
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Dental Fraud Schemes Uncovered
Compliancy Group
FEBRUARY 16, 2024
This month, fraud in the medical industry has been making headlines fairly frequently. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. Each charge also comes with five years probation, while the fraud charge includes 18 months of house arrest.
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Federal Jury Convicts New York Doctor of Healthcare Fraud Scheme
Med-Net Compliance
JULY 20, 2022
A federal jury convicted a New York ENT doctor for defrauding Medicare and Medicaid by causing the submission of false and fraudulent claims for surgical procedures that were not performed. Specifically, between January 2014 and February 2018, the doctor billed Medicare and Medicaid approximately $585,000 and was paid approximately $191,000.
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COVID fraud takedowns: Feds charge 18 people, including doctors, with raking in nearly $500B from scams
Fierce Healthcare
APRIL 22, 2023
COVID fraud takedowns: Feds charge 18 people, including doctors, with raking in nearly $500B from scams hlandi Sat, 04/22/2023 - 20:51
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Doctor Indicted in $1.3 Million Medicare Fraud Kickback Case Seeks Reinstatement of Medicare Billing Privileges
The Health Law Firm Blog
JUNE 10, 2023
Board Certified by The Florida Bar in Health Law On November 2, 2021, a doctor and his wife who had been indicted for their roles in a $1.3 million Medicare fraud scheme asked a New Jersey court to eliminate a bail condition. The doctor argued that the [.] Indest III, J.D.,
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HHS watchdog reiterates importance of preventing telemedicine fraud
Healthcare IT News - Telehealth
MARCH 1, 2021
Department of Health and Human Services' Office of Inspector General recognized telehealth's potential while cautioning that steps must be taken to ensure virtual care will not be compromised by fraud. Grimm in her statement also differentiated between telehealth fraud and "telefraud" schemes. THE LARGER TREND.
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Florida woman to pay $20.3M after using telemedicine to shield alleged fraud
Healthcare IT News - Telehealth
FEBRUARY 22, 2021
Department of Justice announced earlier this month that an Indian Rocks Beach, Florida-based woman has pleaded guilty to conspiracy to commit healthcare fraud and filing a false tax return. In reality, the DOJ alleges, the conspirators had bribed doctors to approve the claims. Kelly Wolfe and her company, Regency, Inc., WHY IT MATTERS.
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California Doctor to Pay over $9.48M, Sentenced to Prison, to Settle Fraud Allegations
Med-Net Compliance
JUNE 15, 2022
California Attorney General Rob Bonta announced a settlement against a Southern California doctor for submitting false claims to Medicare and Medi-Cal between the years of 2011 and 2018 for drugs, procedures, services, and tests that were never administered to patients. As part of the settlement, the doctor will pay a total of more than $9.48
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DOJ charges dozens in $1.1B telehealth fraud crackdown
Healthcare IT News - Telehealth
SEPTEMBER 20, 2021
Department of Justice announced this past week that it was bringing criminal charges against 138 total defendants for their alleged participation in various healthcare fraud schemes, resulting in about $1.4 billion in alleged losses. More than $1.1 billion of that loss involved allegedly fraudulent claims related to telemedicine.
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Orthopedic surgeon arrested in $10 million telehealth fraud case
Healthcare IT News - Telehealth
APRIL 21, 2022
Attorney's Office for the Eastern District of New York announced Thursday that an orthopedic surgeon had been arrested and charged with healthcare fraud. Federal law enforcement has brought the hammer down on alleged telehealth fraud in several highly publicized cases. " ON THE RECORD.
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Healthcare Fraud Crackdown: Multi-Million Dollar Settlements & Compliance Solutions | Verisys
Verisys
NOVEMBER 3, 2023
Healthcare Fraud Crackdown! Here is a round up of bad actors: Entity Fraud Cardiac imaging company and founder to pay historic $85M settlement Full Story Genomic Health Inc. Here is a round up of bad actors: Entity Fraud Cardiac imaging company and founder to pay historic $85M settlement Full Story Genomic Health Inc.
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DOJ cracks down on 'largest and most wide-ranging' COVID-19 fraud
Healthcare Dive
APRIL 21, 2022
Defendants — including doctors, medical business executives and fake vaccination card manufacturers — caused nearly $150 million in false billings to federal programs, the DOJ alleged.
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Doctor Acquitted in $85 Million Medicare Fraud Scheme Requests Reimbursement of Legal Expenses
The Health Law Firm
AUGUST 18, 2022
Board Certified by The Florida Bar in Health Law On August 12, 2022, a doctor acquitted in a $85 million Medicare fraud scheme filed a motion in the US District Court for the Eastern District of New York requesting prosecutors cover the legal fees and expenses she incurred. Indest III, J.D.,
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Doctor Indicted in $1.3 Million Medicare Fraud Kickback Case Seeks Reinstatement of Medicare Billing Privileges
The Health Law Firm Blog
MARCH 16, 2022
Board Certified by The Florida Bar in Health Law On November 2, 2021, a doctor and his wife who had been indicted for their roles in a $1.3 million Medicare fraud scheme asked a New Jersey court to eliminate a bail condition. The doctor argued that the. Indest III, J.D.,
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Two Healthcare Organizations Caught Up in Medicare Fraud Schemes
Compliancy Group
FEBRUARY 12, 2024
Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.
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Dozens charged in sprawling $1.2B telehealth and genetics fraud crackdown
Healthcare IT News - Telehealth
JULY 22, 2022
billion in alleged fraud involving telehealth, phony genetic testing and durable medical equipment. "The Department of Justice is committed to prosecuting people who abuse our healthcare system and exploit telemedicine technologies in fraud and bribery schemes," said Assistant Attorney General Kenneth A. WHY IT MATTERS.
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DOJ goes after $1.2B in health fraud, including telehealth, genetic testing
Healthcare Dive
JULY 20, 2022
Regulators are primarily targeting laboratory owners and operators who paid illegal kickbacks and bribes in exchange for patient referrals from doctors working with fraudulent companies.
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Doctor Indicted in $1.3 Million Medicare Fraud Kickback Case Seeks Reinstatement of Medicare Billing Privileges
The Health Law Firm
FEBRUARY 14, 2022
Board Certified by The Florida Bar in Health Law On November 2, 2021, a doctor and his wife who had been indicted for their roles in a $1.3 million Medicare fraud scheme asked a New Jersey court to eliminate a bail condition. The doctor argued that the bail condition impeded his ability to practice medicine. Indest III, J.D.,
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Telehealth fraud: Tampa pharmacy owner faces 10 years for $931M conspiracy
Healthcare IT News - Telehealth
JANUARY 27, 2021
Department of Justice announced Monday that four people and one company have recently pleaded guilty in a telemedicine pharmacy healthcare-fraud conspiracy that allegedly lasted for years. "Telemarketing fraud is a major threat to the integrity of government and commercial insurance programs," said Derrick L. ON THE RECORD.
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Jury Finds Miami Clinical Drug Trial Company Not Guilty in Research Fraud Case
The Health Law Firm
JUNE 1, 2023
is Board Certified by The Florida Bar in Health Law On May 19, 2023, jurors rendered a verdict to federal prosecutors in a trial against executives from a Miami clinical drug trial company and a local doctor. Indest III, J.D.,
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DePuy Synthes, Inc. Agrees to Pay $9.75 Million to Settle Fraud Violations
American Medical Compliance
MAY 22, 2023
million to settle allegations that it paid kickbacks to healthcare providers committing fraud violations. US Efforts to Crack Down on Fraud Violations Kickbacks are illegal under the False Claims Act because they can lead to overuse or misuse of medical products, harming patients and increasing healthcare costs. Agrees to Pay $9.75
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Florida Doctor Charged Criminally in $2.1 Billion Medicare Fraud Scheme Involving Genetic Tests; Largest Medicare Fraud Scheme Ever
The Health Law Firm
OCTOBER 31, 2019
Board Certified by The Florida Bar in Health Law On October 1, 2019, a Florida doctor was implicated in what federal investigators say is one of the largest health care fraud schemes ever charged. The vast fraud scheme totaled $2.1 Indest III, J.D.,
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Florida Doctor Charged in $2.1 Billion Medicare Fraud Scheme Involving Genetic Tests
The Health Law Firm
OCTOBER 3, 2019
Board Certified by The Florida Bar in Health Law On October 1, 2019, a Florida doctor was implicated in what federal investigators say is one of the largest health care fraud schemes ever charged. The vast fraud scheme totaled $2.1 The vast fraud scheme totaled $2.1 Indest III, J.D.,
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Missouri Woman Sentenced for Medicare and Medicaid Fraud
Healthcare Compliance Blog
JANUARY 25, 2022
A Missouri woman who had previously pled guilty to Medicare and Medicaid fraud was sentenced in Federal Court to three years imprisonment and ordered to pay $7,620,779 in restitution. Discussion Points: Review your policy and procedure for preventing and reporting false claims, kickbacks, or other fraud, waste, and abuse violations.
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WNS’s AI-Driven Application Takes Doctors Off the Phone with Payers
Healthcare IT Today
FEBRUARY 24, 2021
Doctors don’t seem flustered by bodily fluids or welts–what they dread is the hour-long calls with insurers, trying to persuade them to cover a test or procedure. There has to be some quality monitoring to prevent fraud and upcoding, but a lot of the time, the doctor just hasn’t coded properly or filled out the […].
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Florida Surgeon Gets 7 Years for Committing $28 Million in Health Care Fraud
The Health Law Firm Blog
JUNE 1, 2023
Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. Indest III, J.D., The scheme involved performing hundreds of medically unnecessary, [.]
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Justice Department Charges Dozens for $1.2 Billion in Healthcare Fraud
Med-Net Compliance
JULY 26, 2022
In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds. Often, these test results or durable medical equipment were not provided to the patients or were worthless to their primary care doctors.?. Billion in Healthcare Fraud appeared first on Med-Net.
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Ex-Navy Officer Sentenced to 2.5 Years in Prison For $2 Million Insurance Fraud
The Health Law Firm Blog
JANUARY 2, 2024
Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On October 18, 2023, an ex-Navy officer was sentenced to 30 months in prison after he pleaded guilty to conspiracy to commit wire fraud for his role in an [.] Indest III, J.D.,
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March 2024 Bad Actors Roundup
Verisys
APRIL 2, 2024
Here is a round up of bad actors: Physician Fraud Physician pays $1.8M Million Medicare Fraud Scheme ( Full Story ) New York-Presbyterian/Brooklyn Methodist Hospital Settles Health Care Fraud Claims for $17.3 Here is a round up of bad actors: Physician Fraud Physician pays $1.8M
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New York Eye Doctor Arrested for $8 Million Medicare Fraud Scheme
The Health Law Firm
NOVEMBER 25, 2019
Board Certified by The Florida Bar in Health Law On November 22, 2019, the United States Attorney for the Southern District of New York Announced the indictment and arrest of an ophthalmologist for healthcare fraud. Indest III, J.D.,
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U.S. Court of Appeals Rejects Florida Eye Doctor's Request for New Medicare Fraud Trial
The Health Law Firm
AUGUST 31, 2020
Board Certified by The Florida Bar in Health Law On July 31, 2020, a panel of judges of the US Eleventh Circuit Court of Appeals in Atlanta upheld a 17-year long prison sentence for a Florida ophthalmologist found guilty of Medicare fraud. Indest III, J.D.,
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NYC Doctor Gets Prison Term for Posing as Clinic Owner in $30 Million Fraud Scheme
The Health Law Firm
SEPTEMBER 25, 2018
Board Certified by The Florida Bar in Health Law On August 22, 2018, a doctor received a sentence of one year and a day in prison from a New York federal court for his part in a $30 million scheme to defraud Medicare and the state Medicaid program. Indest III, J.D., Lies and Cover-ups.
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Defendants named in $1B telemedicine fraud that allegedly mislead patient, doctors
Mobi Health News
OCTOBER 16, 2018
An indictment filed at the District Court of Eastern District Tennessee alleges the parties involved filed false claims for payment, and mislead doctors and patients in order to defraud private health benefit programs.
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uBiome cofounders face criminal charges regarding allegations of fraud
Mobi Health News
MARCH 19, 2021
The SEC has charged uBiome cofounders with defrauding investors and pushing doctors to order unnecessary medical tests. .
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February 2024 Bad Actors Roundup
Verisys
MARCH 8, 2024
Million Medicare and Medicaid Fraud Full Story Pharmacist Fraud Pharmacy Owner and Operations Manager Convicted of $2.3M February 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Peters Physician Pleads Guilty to False Statements, Resulting in $1.4
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Telemedicine Pharmacy Fraud Trial Ends in Convictions
Florida Health Care Law Firm
DECEMBER 7, 2021
Telemedicine pharmacy arrangements continue to be of significant interest to fraud enforcement. The federal jury trial in the billion-dollar telehealth pharmacy fraud scheme resulted in conviction on 22 counts of mail fraud, conspiracy to commit health care fraud and introduction of misbranded drugs into interstate commerce.
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Arizona telehealth company owners plead guilty in $64M scheme
Healthcare IT News - Telehealth
MAY 13, 2022
The owners of a national telehealth company pleaded guilty this week to charges of conspiracy to violate the federal Anti-Kickback Statute and to commit healthcare fraud. According to a statement released by the U.S. " WHY IT MATTERS. Generally, that amount ranged from $20 to $30 per consultation.
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Florida Surgeon Gets 7 Years for Committing $28 Million in Health Care Fraud
The Health Law Firm Blog
MARCH 7, 2022
Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. Indest III, J.D., The scheme involved performing hundreds of medically unnecessary,
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Fifteen Texas Doctors Agree to Pay over $2.8 Million to Settle Kickback Allegations
Med-Net Compliance
JULY 1, 2022
Fifteen Texas doctors have agreed to pay a total of $2,831,280 to resolve False Claims Act allegations involving illegal kickbacks in violation of the Anti-Kickback Statute and Stark Law, and to cooperate with the Department of Justice’s investigations of and litigation against other parties.
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Florida Surgeon Handed Seven Years in Prison for $28 Million Health Care Fraud Scheme
The Health Law Firm Blog
APRIL 20, 2023
Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. Indest III, J.D., The scheme involved performing hundreds of medically unnecessary, [.]
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Florida Surgeon Handed Seven Years in Prison for $28 Million Health Care Fraud Scheme
The Health Law Firm Blog
JANUARY 24, 2022
Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. Indest III, J.D., The scheme involved performing hundreds of medically unnecessary,
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Jury Convicts Doctor and Medical Billing Company Owner for $28 Million Medicare Fraud Scheme
The Health Law Firm
JUNE 13, 2017
Board Certified by The Florida Bar in Health Law On May 1, 2017, a federal jury in Michigan found a Detroit-area doctor and owner of a medical billing company guilty of perpetrating a $28 million health care fraud scheme. Health Care Fraud Scheme. Indest III, J.D.,
January 2024 Bad Actors Roundup
Verisys
FEBRUARY 9, 2024
Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Million Civil Judgment and Drug Treatment Center Enters Settlement to Pay $2.2
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