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

July 2, 2025 FraudsWatch 0

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., […] 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

May 2, 2025 FraudsWatch 0

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 […] 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

April 22, 2025 FraudsWatch 0

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 […] Read More

Conceptual image representing Trivikram Reddy's forfeiture of $40 million in overseas accounts after a healthcare fraud conviction. Shows stacks of US currency with an overlay of the Indian flag, symbolizing the funds' location.

Trivikram Reddy Forfeits $40M in Overseas Accounts After Massive Healthcare Fraud

March 4, 2025 FraudsWatch 0

WAXAHACHIE, TX (March 5, 2025) – Trivikram Reddy, a 43-year-old nurse practitioner from Waxahachie, Texas, has been ordered to forfeit over $40 million held in foreign bank accounts, the culmination of a years-long investigation into […] 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

February 6, 2025 FraudsWatch 0

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 […] Read More

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

February 4, 2025 FraudsWatch 0

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 […] Read More

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

January 27, 2025 FraudsWatch 0

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 […] 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

January 24, 2025 FraudsWatch 0

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 […] Read More

Health Insurance Scams in 2024: Staying Vigilant in the Digital Era

December 31, 2023 FraudsWatch 0

Health insurance scams are fraudulent schemes that target individuals and businesses seeking health insurance coverage or assistance. These scams can involve various tactics, such as impersonating legitimate insurance providers, offering fake plans or discounts, or […] Read More

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

November 1, 2019 FraudsWatch 0

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. – […] Read More

Fraud News From World

Health Care Fraud: Seven Defendants Convicted For They Role In Yhe $200 Million Kickback Scheme

August 14, 2019 FraudsWatch 0

USAO Seeking $17M in Money Judgments Against Defendants Convicted in Forest Park Trial The U.S. Attorney’s Office is seeking more than $17 million in money judgments against the seven defendants convicted in the Forest Park […] Read More

Fraud News From World

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

October 4, 2018 FraudsWatch 0

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 […] Read More

Fraud News From World

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

October 4, 2018 FraudsWatch 0

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 […] Read More

Fraud News From World

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

June 19, 2018 FraudsWatch 0

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 […] Read More

Health Care Fraud: Thaddeus M.S. Bereday Sentenced For His Role In Health Care Fraud Scheme

November 26, 2017 FraudsWatch 0

Former General Counsel of Company That Operates Health Maintenance Organizations in Several States Sentenced to Prison for Role in $35 Million Health Care Fraud Scheme The former general counsel of a company that operates health […] Read More

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

October 4, 2017 FraudsWatch 0

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 […] Read More

Health Care Fraud: Emeka H. Chijioke Pled Guilty of Health Care Fraud Stemming From a Scheme

September 19, 2017 FraudsWatch 0

Owner of Durable Medical Equipment Company Pleads Guilty to Health Care Fraud Defendant Admits Billing D.C. Medicaid for Supplies That Were Not Provided WASHINGTON – Emeka H. Chijioke, 40, formerly of Atlanta, Ga., and Nigeria, […] Read More

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

September 6, 2017 FraudsWatch 0

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. […] Read More

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

June 10, 2017 FraudsWatch 0

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 […] Read More

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

May 18, 2017 FraudsWatch 0

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 […] Read More