Healthcare Fraud

An image representing the investigation into healthcare and pharmacy fraud.

The Weapon of Experience: Inside the $28M Memphis Pharmacy Fraud and a Prior Conviction at the Heart of a Record-Breaking National Takedown

A National Crisis Hits Home in Memphis In the sprawling landscape of American healthcare, a single pharmacy in Memphis, Tennessee, has become a focal point in a story of staggering alleged deception. SarJo Pharmacy, Inc., an otherwise unremarkable local business,

The Weapon of Experience: Inside the $28M Memphis Pharmacy Fraud and a Prior Conviction at the Heart of a Record-Breaking National Takedown Read More »

Abstract image representing the conviction of a Louisiana nurse practitioner for telehealth and DME Medicare fraud.

Analysis of the Shanone Chatman-Ashley Healthcare Fraud Conviction: Exploitation of Telehealth and Durable Medical Equipment Schemes

Executive Summary Shanone Chatman-Ashley, a 45-year-old licensed Nurse Practitioner (NP) from Opelousas, Louisiana, was recently convicted by a federal jury for orchestrating a significant healthcare fraud scheme targeting the Medicare program. Operating between 2017 and 2019, Chatman-Ashley exploited her position

Analysis of the Shanone Chatman-Ashley Healthcare Fraud Conviction: Exploitation of Telehealth and Durable Medical Equipment Schemes Read More »

Judge's gavel beside opioid pills symbolizing the Walgreens $350 million settlement with the DOJ over illegal opioid prescriptions, Controlled Substances Act violations, and False Claims Act allegations amid the opioid crisis.

Walgreens Hit with $350 Million Federal Settlement Over Opioid Dispensing Violations and False Claims Amid Ongoing Crisis

DOJ alleges decade of illegal prescription filling; settlement mandates strict compliance measures, follows pattern of prior opioid-related penalties for pharmacy giant. WASHINGTON — Walgreens Boots Alliance, one of the nation’s largest pharmacy chains, has agreed to pay up to $350

Walgreens Hit with $350 Million Federal Settlement Over Opioid Dispensing Violations and False Claims Amid Ongoing Crisis Read More »

Pill bottles and opioid pills representing the Louisiana doctor sentenced for opioid prescription fraud.

Dr. Adrian Dexter Talbot Gets Stiff 7-Year Prison Sentence for $5.4 Million Opioid Scheme: 1.8 Million Doses Illegally Distributed

Slidell – A Louisiana physician has been handed a harsh sentence of 87 months in federal prison for his central role in a massive conspiracy to illegally distribute over 1.8 million doses of highly addictive Schedule II controlled substances, including

Dr. Adrian Dexter Talbot Gets Stiff 7-Year Prison Sentence for $5.4 Million Opioid Scheme: 1.8 Million Doses Illegally Distributed Read More »

Petros Fichidzhyan Pleads Guilty

Petros Fichidzhyan Pleads Guilty in $17 Million Medicare Hospice Fraud Scheme: A Deep Dive into Identity Theft and Money Laundering

The United States healthcare system, despite its advancements, remains vulnerable to fraudulent activities, particularly within programs like Medicare. These schemes not only drain taxpayer dollars but also undermine the integrity of healthcare services, especially for vulnerable populations like the terminally

Petros Fichidzhyan Pleads Guilty in $17 Million Medicare Hospice Fraud Scheme: A Deep Dive into Identity Theft and Money Laundering Read More »

PHILADELPHIA Doctor Settles

Medicaid Fraud: Dr. Ghodrat Pirooz Sholevar Settles for $900K After Overbilling for Mental Health Services

PHILADELPHIA, PA – In a significant victory for the federal government’s ongoing battle against healthcare fraud, a Philadelphia psychiatrist and his associated mental health clinic have agreed to pay $900,000 to settle allegations of fraudulently billing Medicaid for medication management

Medicaid Fraud: Dr. Ghodrat Pirooz Sholevar Settles for $900K After Overbilling for Mental Health Services Read More »

Former Politician Reginald Fullwood Jr. Sentenced

From State House to Prison: Ex-Florida Rep. Reginald Fullwood Jr.’s Decade-Long History of Fraud Culminates in 37-Month Sentence

From Campaign Finance Violations to Medicare Fraud: The Case of Reginald Fullwood, Jr. JACKSON, Mississippi – The saga of Reginald Fullwood Jr., a former Florida State Representative, took another dramatic turn this week as the 59-year-old was sentenced to 37

From State House to Prison: Ex-Florida Rep. Reginald Fullwood Jr.’s Decade-Long History of Fraud Culminates in 37-Month Sentence Read More »

FraudsWatch.com - Fraud and Scam

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,

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

Financial Fraud: Eight Defendants Arrested For Stealing From Medicaid And The New York City Department

Eight Therapists Arrested In Scheme to Defraud Program for Developmentally Disabled Children Defendants Allegedly Defrauded the New York State Early Intervention Program Out of More Than $600,000 through Fraudulent Billing for Therapy Sessions that Never Occurred A criminal complaint was

Financial Fraud: Eight Defendants Arrested For Stealing From Medicaid And The New York City Department Read More »

Health Care Fraud: Wade Neal Barker Admitted His Role In The $200 Million Forest Park Medical Center Fraud

Surgeon Pleads Guilty In Forest Park Medical Center Bribery Scam A Mesquite-based bariatric surgeon today formally admitted his role in the $200 million Forest Park Medical Center fraud, announced U.S. Attorney for the Northern District of Texas Erin Nealy Cox.

Health Care Fraud: Wade Neal Barker Admitted His Role In The $200 Million Forest Park Medical Center Fraud Read More »

Health Care Fraud: Ronald Grusd And His Corporations Sentenced For Fraudulently Bill Insurance Companies Over $22 Million For Medical Services

Beverly Hills Doctor Sentenced to 10 Years in Custody for Massive Workers’ Comp Scheme SAN DIEGO – Beverly Hills Radiologist Ronald Grusd and two of his corporations, California Imaging Network Medical Group and Willows Consulting Company, were sentenced in federal

Health Care Fraud: Ronald Grusd And His Corporations Sentenced For Fraudulently Bill Insurance Companies Over $22 Million For Medical Services Read More »

Health Care Fraud

Health Care Fraud: Three Whistleblowers, Known As Relators, Filed Two Lawsuits Under The Qui Tam Provision of The False Claims Act

Four Area Hospitals to Pay Millions to Resolve Ambulance Swapping Allegations HOUSTON – Four Houston-area hospitals have agreed to pay $8.6 million to settle allegations they received kickbacks from various ambulance companies in exchange for rights to the hospitals’ more

Health Care Fraud: Three Whistleblowers, Known As Relators, Filed Two Lawsuits Under The Qui Tam Provision of The False Claims Act Read More »

Healthcare Fraud

Healthcare Fraud: Novo Nordisk Inc. Agrees to Pay to Resolve Allegations That The Company Failed to Comply For Its Type II Diabetes Medication

Novo Nordisk Agrees to Pay $58 Million For Failure to Comply With FDA-Mandated Risk Program Payments Resolve Allegations Highlighted in DOJ Civil Complaint And Recently Unsealed Whistleblower Actions WASHINGTON – Pharmaceutical Manufacturer Novo Nordisk Inc. will pay $58.65 million to

Healthcare Fraud: Novo Nordisk Inc. Agrees to Pay to Resolve Allegations That The Company Failed to Comply For Its Type II Diabetes Medication Read More »

Healthcare Fraud

Healthcare Fraud: Samuel Konell Charged in an Indictment For His Alleged Participation in Health Care Fraud Scheme

Miami-Area Man Charged For Role in $63 Million Health Care Fraud Scheme A Miami-area man was charged in an indictment unsealed today for his alleged participation in a $63 million health care fraud scheme involving a now-defunct community mental health

Healthcare Fraud: Samuel Konell Charged in an Indictment For His Alleged Participation in Health Care Fraud Scheme Read More »

Healthcare Fraud

Healthcare Fraud: Ricky J. Sayegh Pleaded Guilty to an Information Charging Him With Accepting Cash Bribes

New York Doctor Pleads Guilty In Connection With Test-Referral Scheme With New Jersey Clinical Lab NEWARK, N.J. – An internal medicine doctor practicing in Yonkers, New York, today admitted taking bribes in connection with a long-running and elaborate test referral

Healthcare Fraud: Ricky J. Sayegh Pleaded Guilty to an Information Charging Him With Accepting Cash Bribes Read More »