Thursday, February 25, 2021

medicare fraud

Spokane health clinic owner charged with $5 million Medicaid fraud

The owner of a health clinic based in Spokane, Washington, is facing charges of theft and money laundering after investigators alleged fraudulent Medicaid billing totaling more than $5 million since 2017. The Spokesman-Review reports Paul Means, and his firm Abilia Healthcare, were...

Kaiser Foundation to pay $6.3 million to settle alleged Medicare fraud

Kaiser Foundation Health Plan of Washington, formerly known as Group Health Cooperative (GHC), agreed to pay $6,375,000 to resolve allegations that it submitted invalid diagnoses to Medicare for Medicare Advantage beneficiaries and received inflated payments from Medicare as a...

Sun Pharmaceutical subsidiary to pay $20.75 million to settle false claims

Massachusetts-based DUSA Pharmaceuticals, Inc. (DUSA), a subsidiary of Sun Pharmaceutical Industries, Inc. (Sun Pharma), has agreed to pay the United States $20.75 million to resolve allegations that DUSA caused physicians to submit false claims to Medicare and the Federal...

Two Pennsylvania doctors charged in Medicare fraud and kickback scheme

Seven people, including two Pennsylvania-based doctors, have been charged for their roles in a conspiracy to receive kickback in exchange for ordering genetic tests, the U.S. Attorney’s Office of the District of New Jersey announced last Thursday. Lee Besen, 64,...

Compounding pharmacy mogul pleads guilty in $510M medical billing fraud

Hattiesburg businessman Wade Walters appeared in federal court Thursday afternoon to plead guilty for his role in a $510 million health care fraud scheme. Walters, 53, pleaded guilty to one count each of conspiracy to commit health care fraud and...

Universal Health Services to pay $122M over unnecessary Medicare billing

Universal Health Services, Inc., (UHS) and related entities agreed to pay a combined total of $122 million to resolve alleged violations of the False Claims Act for billing for medically unnecessary inpatient behavioral health services. UHS said the settlement has...

Florida pharmacy owner convicted in $4.8 million Tricare fraud scheme

A federal jury in Pensacola has convicted Andrew E. Fisher, 34, of Gulf Breeze, of conspiring to use his pharmacy to defraud more than $4.8 million from TRICARE, a federal health care program for uniformed service members, retirees, and...

Telemedicine companies owners indicted for roles in $56 million medicare fraud and illegal kickbacks

The owners of two telemedicine companies were charged in an indictment unsealed yesterday for allegedly orchestrating a nationwide scheme to receive kickbacks and bribes in exchange for the ordering of medically unnecessary orthotic braces (braces) for beneficiaries of Medicare. Reinaldo...

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Turkey jails pilots, airline official for their role in the escape of ex-Nissan CEO Ghosn

A Turkish court convicted an official from a private airline and two pilots Wednesday for involvement in former Nissan...
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