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Health Care Fraud: Joseph Prince Found Guilty Of Felony Health Care Fraud

VA Employee Found Guilty Of Corruption Charges And Defrauding VA Of Nearly $19 Million In A Year United States Attorney Jason R. Dunn announced that yesterday a jury sitting in U.S. District Court in Denver found former Veterans Affairs (VA) employee Joseph Prince, age 60, of Aurora, Colorado guilty of felony health care fraud, conspiracy, […]

Health Care Fraud: Ted and Julie Cain of Ocean Springs Finds Guilty Of Submitting False Claims to Medicare

Federal Jury finds Defendants Guilty of Submitting False Claims to Medicare under Civil False Claims Act Jury verdict results in recovery of more than $10.85 million to the Medicare program Gulfport, Miss. – Following a nine week trial, a federal jury in Gulfport returned a guilty verdict yesterday against Ted and Julie Cain of Ocean […]

Health Care Fraud: DR. CRISPIN ABARIENTOS Pay To Resolve Allegations False Claims Acts

Two Connecticut Physicians Pay over $4.9 Million to Settle False Claims Act Allegations U.S. Attorney John H. Durham, Special Agent in Charge Phillip Coyne of the U.S. Department of Health and Human Services, Office of Inspector General, Special Agent in Charge Brian C. Turner of the New Haven Division of the Federal Bureau of Investigation, […]

Health Care Fraud: Joe David May Charged In Kickbacks Generate Expensive Compounded Drug Prescriptions

Doctor and Sales Rep Charged in $12 Million Fraud Scheme Targeting Tricare and Extensive Cover Up Kickbacks Generate Expensive Compounded Drug Prescriptions LITTLE ROCK—A doctor and a medical sales representative have been charged in a scheme to pay and receive kickbacks to generate expensive prescriptions for compounded drugs. TRICARE, the military’s health insurer, paid over […]

Health Care Fraud: Thomas Edward Spell Was Sentenced For His involvement In a Million Compounding Pharmacy Fraud Scheme

Pharmacy Owner Sentenced to 10 Years in Prison for Role in Largest Health Care Fraud Case Ever in Mississippi Nationwide Compound Pharmacy Fraud Scheme Involved Almost a Quarter of a Billion Dollars Hattiesburg, Miss. – Thomas Edward Spell, Jr., 51, a pharmacy owner in Ridgeland, Mississippi, was sentenced today to 10 years in federal prison […]

Financial Fraud: Group Of 25 Individuals Charges In Healthcare Fraud Schemes

25 Southern California Defendants Face Federal Charges Alleging Fraud Schemes that Cost Health Care Programs Millions of Dollars LOS ANGELES – A local health care fraud enforcement action has resulted in federal charges against of 25 Southern California defendants for their alleged involvement in healthcare fraud schemes that fraudulently sought over $150 million from the […]

Health Care Fraud: Philip Esformes Sentenced For Role In Largest Health Care Fraud Scheme

South Florida Health Care Facility Owner Sentenced to 20 Years in Prison for Role in Largest Health Care Fraud Scheme Ever Charged by The Department of Justice A federal district judge sentenced a south Florida health care facility owner to 20 years in prison today after being found guilty in the largest health care fraud […]

Health Care Fraud: Dinesh Goyal Pleaded Guilty To One Count Of Conspiracy To Commit An Offense Against The United States

Owensboro Man Pleads Guilty to Health Care Fraud Conspiracy LEXINGTON, Ky. – Today, an Owensboro man admitted in federal court that he participated in a conspiracy to defraud health insurance programs of more than $1.3 million. Dinesh Goyal, 60, pleaded guilty to one count of conspiracy to commit an offense against the United States, before […]

Health Care Fraud: Group Of Individuals guilty For Implicated In The Forest Park Medical Center Bribery Scheme

Seven Guilty in Forest Park Healthcare Fraud Trial Following four days of deliberations, a federal jury returned guilty verdicts for seven individuals implicated in the Forest Park Medical Center bribery scheme Tuesday evening, announced U.S. Attorney Erin Nealy Cox. Wilton McPherson “Mac” Burt, Jackson Jacob, Douglas Sung Won, Michael Bassem Rimlawi, Shawn Mark Henry, Mrugeshkumar […]

Health Care Fraud: Mohamad Ali And Wansa Nabi Makki Charging With Multiple Health Care Fraud Offenses

Pharmacy Owner and Pharmacist Charged in a Scheme to Bill Insurance for Medications Not Dispensed An indictment was unsealed today charging Mohamad Ali Makki, R.Ph. and Wansa Nabi Makki with multiple health care fraud offenses, U.S. Attorney Matthew Schneider announced today. At the same time, related criminal complaints were unsealed charging Mamoud Makki and Hossam […]

Health Care Fraud: Three Pharmaceutical Companies Agree to Pay to Resolve Allegations That They Paid Kickbacks Through

Three Pharmaceutical Companies Agree to Pay a Total of Over $122 Million to Resolve Allegations That They Paid Kickbacks Through Co-Pay Assistance Foundations The Department of Justice today announced that three pharmaceutical companies – Jazz Pharmaceuticals plc (Jazz), Lundbeck LLC (Lundbeck), and Alexion Pharmaceuticals Inc. (Alexion) – have agreed to pay a total of $122.6 […]

Health Care Fraud: Ademola O. Adebayo Convicted For One Count Of Conspiracy To Commit Health Care Fraud And Wire Fraud

Florida Pharmacist Sentenced to 10 Years in Prison for $100 Million Compounding Pharmacy Fraud Scheme Eight Others Previously Sentenced A Florida pharmacist was sentenced to 120 months in prison today followed by three years supervised release. He was also orderd to pay $3.2 million in restitution and $1.4 million in forfeiture for his role in […]

Financial Fraud: Covidien LP Has Agreed To Pay To Resolve Allegations That It Violated The False Claims Act

Covidien To Pay Over $17 Million To The United States For Allegedly Providing Illegal Remuneration In The Form Of Practice And Market Development Support To Physicians SAN FRANCISCO – Covidien LP has agreed to pay $17,477,947 to resolve allegations that it violated the False Claims Act by providing free or discounted practice development and market […]

Health Care Fraud: Howard Randall Thomley pled guilty To Defraud Health Care Benefit Programs

Mississippi Man Pleads Guilty To Health Care Fraud For His Role in $200 Million Compounding Pharmacy Scheme Hattiesburg, Miss – Howard Randall Thomley, 60, of Hattiesburg, pled guilty yesterday before U.S. District Judge Keith Starrett to a Criminal Information charging him with health care fraud for his role in a $200 million scheme to defraud […]

Heath Care Fraud: Walgreen Co. Pay For Settle Allegations Under the False Claims Act

Walgreen Co. Agrees to Pay $3.5 Million to Settle Allegations Under the False Claims Act United States Attorney Matthew D. Krueger announced today that Walgreen Co. (“Walgreens”) has agreed to pay $3.5 million to the United States and the State of Wisconsin to settle allegations that Walgreens violated the False Claims Act by submitting claims […]

Health Care Fraud: WALGREENS BOOTS ALLIANCE Pay For Two Civil Healthcare Fraud Settlements

Manhattan U.S. Attorney Announces $269.2 Million Recovery From Walgreens In Two Civil Healthcare Fraud Settlements Geoffrey S. Berman, the United States Attorney for the Southern District of New York, Gregory E. Demske, Chief Counsel to the Inspector General of the U.S. Department of Health and Human Services (“HHS-OIG”), Scott J. Lampert, Special Agent in Charge […]

Health Care Fraud: Jonas Knopf Was Charged With Conspiring To Defraud Several Blue Cross Blue Shield Health Care Insurance

Lakewood Man Charged In $10 Million Health Care Fraud Against Blue Cross Blue Shield NEWARK, N.J. – A Lakewood, New Jersey, insurance producer was charged today with conspiring to defraud several Blue Cross Blue Shield health care insurance affiliates of more than $10 million, U.S. Attorney Craig Carpenito announced today. Jonas Knopf, 63, of Lakewood, […]

Financial Fraud: Emil DiIorio Agreed To Settle Allegations Under The False Claims Act That They Submitted False Claims To Medicare

Coordinated Health and CEO Pay $12.5 Million to Resolve False Claims Act Liability for Fraudulent Billing PHILADELPHIA, PA – United States Attorney William M. McSwain announced today that Coordinated Health Holding Company, LLC (“Coordinated Health”) and its founder, principal owner, and Chief Executive Officer, Emil DiIorio, M.D., agreed to settle allegations under the False Claims […]