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Health Insurance Scams in 2024: Staying Vigilant in the Digital Era
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 demanding payments for unauthorized services. As the ever-evolving healthcare landscape presents new opportunities for innovation, it also serves as a…
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Healthcare Fraud: Forest Laboratories LLC And Forest Pharmaceuticals Inc. Agreed to Pay For Violated the False Claims Act by Paying Kickbacks
Forest Laboratories and Forest Pharmaceuticals to Pay $38 million to Resolve Kickback Allegations Under the False Claims Act Forest Laboratories LLC, located in New York, New York, and its subsidiary, Forest Pharmaceuticals Inc., have agreed to pay $38 million to resolve allegations that they violated the False Claims Act by paying kickbacks to induce physicians…
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Healthcare Fraud: CEO and President Of The Pharmaceutical Company Charges With Defraud Health Care Insurers
Pharmaceutical Executives Charged in Racketeering Scheme BOSTON – Several pharmaceutical executives and managers, formerly employed by Insys Therapeutics, Inc., were arrested today on charges that they led a nationwide conspiracy to bribe medical practitioners to unnecessarily prescribe a fentanyl-based pain medication and defraud healthcare insurers. The indictment alleges that Michael L. Babich, 40, of Scottsdale,…
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Healthcare Fraud: Pedro Van Rhyn Soler and Edgardo Van Rhyn Soler Charged With One Count of Health Care Fraud
Two Defendants Indicted For Healthcare Fraud And Money Laundering SAN JUAN, P.R. – On November 29, 2016, a federal grand jury returned an indictment charging defendants Pedro Van Rhyn Soler and Edgardo Van Rhyn Soler with one count of health care fraud and two counts of money laundering for their participation in a scheme to…
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Healthcare Fraud: Andres Alfonso Convicted of Three Substantive Counts of Health Care Fraud
Former Owner of Miami Based Pharmacy Convicted at Trial of $700,000 Medicare Fraud Scheme The former owner of a Miami based retail pharmacy was convicted, following a three-day trial, for his participation in a scheme that involved the fraudulent submission of approximately $700,000 dollars in false billing to Medicare. Wifredo A. Ferrer, United States Attorney…
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Alaska Medicaid Program Fraud: Julio De La Cruz Sentenced For Medicaid and Social Security Fraud Schemes
Anchorage Man Sentenced to 10 Months in Federal Prison for Medicaid and Social Security Fraud Schemes Anchorage, Alaska – U.S. Attorney Karen L. Loeffler announced that Julio De La Cruz, 53, of Anchorage was sentenced yesterday by Chief U.S. District Judge Timothy M. Burgess to serve 10 months in federal prison for his part in…
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Healthcare Fraud: Eduardo Arango Chong Charged With One Count of Conspiracy To Commit Health Care Fraud
Miami-Dade County, Florida, Man Charged With Conspiracy To Commit Health Care Fraud Established Fictitious Health Services Centers in Elizabeth, New Jersey, and Billed Insurance Companies for Services That Were Not Performed NEWARK, N.J. – A Florida man has been charged in connection with his role in establishing fake medical facilities in New Jersey and billing…
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Healthcare Fraud: MedNet Inc. And BioTelemetry Inc. Pay To Resolve Claims It Paid Illegal Kickbacks
New Jersey Cardiac Monitoring Company Agrees To Pay Over $1.35 Million To Resolve Claims It Paid Illegal Kickbacks To Physicians, NEWARK, N.J. – MedNet Inc., a Ewing, New Jersey-based remote cardiac monitoring company and a subsidiary of BioTelemetry Inc., has agreed to pay more than $1.35 million to resolve allegations that it paid kickbacks to…
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Healthcare Fraud: Marie Neba – Co-Owner of Fiango Home Healthcare – Convicted For Medicare Fraud Scheme And Money Laundering
Jury Convicts Home Health Agency Owner in $13 Million Medicare Fraud Conspiracy A federal jury in the Southern District of Texas convicted a Houston-based home-health agency owner for her role in a $13 million Medicare fraud scheme and money laundering. Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, U.S. Attorney Kenneth…
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Healthcare Fraud: Niurka Fernandez & Roberto Alvarez Sentenced For Health Care Fraud Conspiracy
Mother Sentenced to 120 Months in Prison, Son Sentenced to 30 Months in Prison for Involvement in $9.5 Million Pharmacy Fraud A mother and son based in Miami were sentenced today to 120 months and 30 months in prison, respectively, for their roles in spearheading a $9.5 million health care fraud conspiracy that targeted Medicare…
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Healthcare Fraud: Tariq Mahmood Convicted To Commit Seven Counts Of Health Care Fraud, And Seven Counts Of Aggravated Identity Theft
United States Prevails in Civil Action against Convicted Doctor Monday, October 31, 2016 TYLER, Texas – The United States has obtained a civil judgment for $1,223,414.50 against Tariq Mahmood, who owned and operated multiple rural hospitals across Texas, announced Acting U.S. Attorney Brit Featherston. In July 2014, a jury found Tariq Mahmood, of Cedar Hill,…
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Healthcare Fraud: Richard E. Paulus Guilty Of Health Care Fraud And Making False Statements Relating To Health Care Matters
Ashland Cardiologist Convicted Of Health Care Fraud COVINGTON, Ky. — A federal jury has found a cardiologist from Ashland, Ky., guilty of charges that he fraudulently billed Medicare, Medicaid, and private insurers for invasive heart procedures that were medically unnecessary. On Thursday afternoon, Richard E. Paulus was found guilty of health care fraud and making…
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Healthcare Fraud: Landon Eckles Sentenced Wrongful Disclosure of Protected Health Information, In Violation Of The Criminal Provisions
Three Warner Chilcott District Managers Sentenced for Healthcare Fraud BOSTON –Three former district managers of pharmaceutical giant Warner Chilcott have been sentenced in connection with committing health care fraud and violating HIPAA in order to increase sales of Warner Chilcott osteoporosis drugs. Landon Eckles, 30, of Huntersville, N.C., was sentenced yesterday by U.S. District Court…
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Healthcare Fraud: Ronald S. Calderon Sentenced For Health Care Fraud Scheme
Former State Senator Ronald Calderon Sentenced to 42 Months in Federal Prison for Receiving Over 150,000 Dollars in Bribes LOS ANGELES – Former California State Senator Ronald S. Calderon was sentenced today to 3½ years in federal prison after pleading guilty to a federal corruption charge and admitting that he accepted tens of thousands of…
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Healthcare Fraud: Simon Hong Convicted of Eight Counts of Healthcare Fraud, Nine Counts of Illegal Kickbacks Related to Healthcare Referrals
Brea Man Who Operated Physical Therapy Clinics Convicted in Scheme that Stole Millions from Medicare Program SANTA ANA, California – A Brea man who operated rehabilitation clinics in Walnut, Torrance and Los Angeles has been convicted by a federal jury of defrauding Medicare out of millions of dollars. Simon Hong (who is also known as…
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Healthcare Fraud: Elaine Davis and Pramela Ganji sentenced of One Count of Conspiracy to Commit Health Care Fraud
New Orleans Business Owner and Doctor Sentenced to Prison for Roles in $34 Million Medicare Fraud Scheme The owner of a New Orleans medical service company and a doctor who served as the company’s medical director were sentenced to prison today for their involvement in a $34 million Medicare fraud scheme. Assistant Attorney General Leslie…
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Healthcare Fraud: CEO Jeffrey Eugene Rose And Pamela Annette Rose Convicted Of Conspiracy, Health Care Fraud, Wire Fraud and Money Laundering
CEO, CFO and VP Convicted in Nationwide Worker’s Compensation Fraud Scheme HOUSTON – Several officials with Team Work Ready (TWR) have been convicted of conspiracy, health care fraud, wire fraud and money laundering, announced U.S. Attorney Kenneth Magidson. TWR had clinics in five states including Federal Work Ready in Houston, Alamo Work Ready in San…
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Healthcare Fraud: Phillip M. Henderson Sentenced For Defrauding the Veterans Health Administration
Kentucky veteran sentenced to two years in prison after federal jury found him guilty of defrauding the Veterans Health Administration HUNTINGTON, W.Va. – A Kentucky man was sentenced today to two years in federal prison and ordered to pay $789,472 in restitution for defrauding the Veterans Health Administration, announced United States Attorney Carol Casto. Phillip…
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Healthcare Fraud: Pilar Garcia Lorenzo Convicted Late to Commit Health Care Fraud and Wire Fraud, Money Laundering
Owner of Florida Home Health Agency Convicted in Multimillion-Dollar Health Care Fraud Scheme The owner of a Tampa, Florida, home health agency was convicted by a federal jury for her participation in a multimillion-dollar health care fraud and money laundering scheme. Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, U.S. Attorney…
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Healthcare Fraud: Michael A. Tucker Sentenced For Health Care Fraud Scheme
Springfield Man Sentenced for Fraud Scheme to Overcharge Medicaid, Medicare at Four Clinics KANSAS CITY, Mo. – Tammy Dickinson, United States Attorney for the Western District of Missouri, and Missouri Attorney General Chris Koster announced that a Springfield, Mo., man who operated four Family Medical Center clinics in southern Missouri was sentenced in federal court…