Healthcare Fraud: Health Services Management Inc. (HSM) Has Paid The United States To Resolve Claims That The Company Billed Medicaid Programs

Health Care Fraud

Huntsville Nursing Home Pays the United States and the State of Texas $5 Million to Settle Claims Alleging Poor Quality of Care HOUSTON – Health Services Management Inc. (HSM) has paid the United States $5 million to resolve claims that the company billed the Medicare and Medicaid programs for worthless services and for services that …

Read moreHealthcare Fraud: Health Services Management Inc. (HSM) Has Paid The United States To Resolve Claims That The Company Billed Medicaid Programs

Healthcare Fraud: David Williams Was Arrested On a Federal Complaint Charging Him With Engaging In a Scheme To Defraud Insurance Companies

Health Care Fraud

Fort Worth Man Arrested on $25 Million Health Care Fraud Scheme FORT WORTH, Texas — A Fort Worth, Texas, man, David Williams, 54, was arrested yesterday by special agents with the Federal Bureau of Investigation on a federal complaint charging him with engaging in a scheme to defraud insurance companies by submitting over $25 million …

Read moreHealthcare Fraud: David Williams Was Arrested On a Federal Complaint Charging Him With Engaging In a Scheme To Defraud Insurance Companies

Health Care Fraud: Jason Cerge Pleaded Guilty For Defrauding TRICARE – a Health Insurance Program For Members of The Military

Healthcare Fraud

Pharmaceutical Employee Admits Scheme To Defraud Military Health Insurance Program NEWARK, N.J. – A Media, Pennsylvania, man today admitted defrauding TRICARE – a health insurance program for members of the military and their families – by submitting fraudulent claims for medically unnecessary prescriptions, Acting U.S. Attorney William E. Fitzpatrick announced. Jason Cerge, 41, a pharmaceutical …

Read moreHealth Care Fraud: Jason Cerge Pleaded Guilty For Defrauding TRICARE – a Health Insurance Program For Members of The Military

HealthCare Fraud: Richard Zappala Pleaded Guilty To An Information Charging Him With Conspiracy To Commit Health Care Fraud

Health Care Fraud

Pharmaceutical Employee Admits Health Care Fraud Conspiracy Targeting State Health Benefits Programs CAMDEN, N.J. – A Northfield, New Jersey, man today admitted defrauding New Jersey state health benefits programs and other insurers out of millions of dollars by submitting fraudulent claims for medically unnecessary prescriptions, Acting U.S. Attorney William E. Fitzpatrick and New Jersey Attorney …

Read moreHealthCare Fraud: Richard Zappala Pleaded Guilty To An Information Charging Him With Conspiracy To Commit Health Care Fraud

Healthcare Fraud: Family Medicine Centers of South Carolina LLC Has Agreed to Pay to Resolve a False Claims Act

Health Care Fraud

South Carolina Family Practice Chain, Its Co-Owner, and Its Laboratory Director Agree to Pay the United States $2 Million to Settle Alleged False Claims Act Violations for Illegal Medicare Referrals and Billing for Unnecessary Medical Services Family Medicine Centers of South Carolina LLC (FMC), has agreed to pay the United States $1.56 million, and FMC’s …

Read moreHealthcare Fraud: Family Medicine Centers of South Carolina LLC Has Agreed to Pay to Resolve a False Claims Act

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

Healthcare Fraud

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 resolve allegations that the company failed to comply with the FDA-mandated Risk Evaluation and Mitigation …

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

Helthcare Fraud: David Kirkwood Pleaded Guilty To Health Care Fraud

Helth Care Fraud

Doctor, Wife Plead Guilty to Running Pill Mill DAYTON – David Kirkwood, 61, and Beverly Kirkwood, 50, of Dayton, pleaded guilty in U.S. District Court to health care fraud. David Kirkwood also pleaded guilty to one count of unlawful drug trafficking. Benjamin C. Glassman, United States Attorney for the Southern District of Ohio, Ohio Attorney …

Read moreHelthcare Fraud: David Kirkwood Pleaded Guilty To Health Care Fraud

Healthcare Fraud: Tshombe Anderson Pleaded Guilty to One Count of Conspiracy to Commit Health Care Fraud

Healthcare Fraud

Dallas Attorney Admits to Role in $26 Million Fraud Conspiracy DALLAS — Tshombe Anderson, 54, of Grand Prairie, Texas, appeared today before Chief U.S. District Judge Barbara M.G. Lynn and pleaded guilty to a scheme he ran along with four of his family members from July 2011 to September 2015 to fraudulently obtain more than …

Read moreHealthcare Fraud: Tshombe Anderson Pleaded Guilty to One Count of Conspiracy to Commit Health Care Fraud

False Claims Act: Atlanta Medical Clinic, And Dr. Timothy Dembowski Have aAreed to Pay For Violated Medicare Rules And The False Claims Act

False Claims Act

Atlanta Pain Clinic and its owner agree to pay $250,000 to resolve allegations that they violated the False Claims Act ATLANTA – Atlanta Medical Clinic (“AMC”), which is an Atlanta-based pain management clinic, and Dr. Timothy Dembowski (AMC’s owner), have agreed to pay the United States $250,000 to resolve allegations that they violated Medicare rules …

Read moreFalse Claims Act: Atlanta Medical Clinic, And Dr. Timothy Dembowski Have aAreed to Pay For Violated Medicare Rules And The False Claims Act

Health Care Fraud: PAMC, Ltd. and Pacific Alliance Medical Center Inc., Agrees To Pay to Settle Allegations Arising From Improper Financial Arrangements with Physicians

Los Angeles Hospital Agrees To Pay $42 Million to Settle Allegations Arising From Improper Financial Arrangements with Physicians The owners of Pacific Alliance Medical Center, an acute care hospital located in the Chinatown District of Los Angeles, have agreed to pay $42 million to settle allegations that they were involved in improper financial relationships with …

Read moreHealth Care Fraud: PAMC, Ltd. and Pacific Alliance Medical Center Inc., Agrees To Pay to Settle Allegations Arising From Improper Financial Arrangements with Physicians

Healthcare Fraud: Genesis Healthcare, Inc. Agrees To Pay To Resolve Allegations Of Medically Unnecessary Rehabilitation Therapy

Health Care Fraud

Genesis Healthcare, Inc. Agrees To Pay Federal Government $53.6 Million To Resolve Allegations Of Medically Unnecessary Rehabilitation Therapy And Hospice Services SAN FRANCISCO-  The Justice Department announced today that Genesis Healthcare, Inc. (Genesis) will pay the federal government $53,639,288.04, including interest, to settle six federal lawsuits and investigations regarding the submission of false claims for …

Read moreHealthcare Fraud: Genesis Healthcare, Inc. Agrees To Pay To Resolve Allegations Of Medically Unnecessary Rehabilitation Therapy

Healthcare Fraud: Sardar Ashrafkhan Sentenced For Conspiracy to Commit Health Care Fraud, And Money Laundering

Healthcare Fraud

Former Doctor Sentenced to 23 Years in Prison for Distributing Prescription Drugs, Health Care Fraud and Money Laundering Sardar Ashrafkhan of Ypsilanti, Michigan, was sentenced today to 23 years in prison for participating in a conspiracy to distribute prescription pills, conspiracy to commit health care fraud, and money laundering, Acting U.S. Attorney Daniel Lemisch announced. …

Read moreHealthcare Fraud: Sardar Ashrafkhan Sentenced For Conspiracy to Commit Health Care Fraud, And Money Laundering

HealthCare Fraud: Cherie R. Dillon Sentenced For Health Care Fraud

HealthCare Fraud

Fruitland Woman Sentenced to 60 Months in Prison for Health Care Fraud and Aggravated Identity Theft BOISE – Cherie R. Dillon, 62, of Fruitland, Idaho, was sentenced yesterday to 60 months in prison to be followed by three years of supervised released for health care fraud and aggravated identity theft, Acting U.S. Attorney Rafael Gonzalez …

Read moreHealthCare Fraud: Cherie R. Dillon Sentenced For Health Care Fraud

Healthcare Fraud: Elva Acevedo Santos Sentenced In a Scheme to Defraud Texas Medicaid Through Fraudulent Billings

Healthcare Fraud

Rio Grande Valley Area DME Company Owner Sentenced in Health Care Fraud Scheme McALLEN, Texas ‐ The owner of a Rio Grande Valley area durable medical equipment (DME) company has been ordered to federal prison following her conviction in a scheme to defraud Texas Medicaid through fraudulent billings, announced Acting U.S. Attorney Abe Martinez. Elva …

Read moreHealthcare Fraud: Elva Acevedo Santos Sentenced In a Scheme to Defraud Texas Medicaid Through Fraudulent Billings

Healthcare Fraud: Freedom Health Inc., Agreed to Pay Engaging in Illegal Schemes to Maximize Their Payment From The Government in Connection With Their Medicare Advantage Plans

Healthcare Fraud

Medicare Advantage Organization And Former Chief Operating Officer To Pay $32.5 Million To Settle False Claims Act Allegations Tampa, FL – Freedom Health Inc., a Tampa-based provider of managed care services, and its related corporate entities (collectively “Freedom Health”), agreed to pay $31,695,593 to resolve allegations that they violated the False Claims Act by engaging …

Read moreHealthcare Fraud: Freedom Health Inc., Agreed to Pay Engaging in Illegal Schemes to Maximize Their Payment From The Government in Connection With Their Medicare Advantage Plans

Healthcare Fraud: RONNETTE BROWN Convicted On 23 Counts of Health Care Fraud

Healthcare Fraud

Bristol Woman Convicted of Defrauding Medicaid Program Deirdre M. Daly, United States Attorney for the District of Connecticut, Phillip Coyne, Special Agent in Charge for the U.S. Department of Health and Human Services, Office of Inspector General, and Chief State’s Attorney Kevin T. Kane today announced that on May 26, a jury in Bridgeport convicted …

Read moreHealthcare Fraud: RONNETTE BROWN Convicted On 23 Counts of Health Care Fraud

Healthcare Scam: RANDY CROWELL Sentenced For Role In Black Market Medication Scheme

Health Care Fraud

Owner Of Utah-Based Pharmaceutical Wholesale Distributor Sentenced To 60 Months In Prison For Role In $100 Million Black Market Medication Scheme Joon H. Kim, the Acting United States Attorney for the Southern District of New York, announced that RANDY CROWELL, a/k/a “Roger,” was sentenced today to 60 months in prison for fraudulently distributing, through his …

Read moreHealthcare Scam: RANDY CROWELL Sentenced For Role In Black Market Medication Scheme

Healthcare Fraud: Dr. Salomon Melgen Convicted In Medicare Fraud Scheme

Healthcare Fraud

South Florida Doctor Convicted of Sixty-Seven Criminal Counts Related to Medicare Fraud Scheme Today, a federal jury in South Florida convicted Dr. Salomon Melgen of sixty-seven criminal counts related to his participation in a health care fraud scheme involving the filing of false claims and the inclusion of false entries into patients’ medical charts. Benjamin …

Read moreHealthcare Fraud: Dr. Salomon Melgen Convicted In Medicare Fraud Scheme

Healthcare Fraud: Partners HealthCare System Have Agreed to Resolve Allegations That a BWH Stem Cell Research Laboratory

Healthcare Fraud

Partners Healthcare and Brigham and Women’s Hospital Agree to Pay $10 Million to Resolve Research Fraud Allegations BOSTON – The U.S. Attorney’s Office announced today that Partners HealthCare System and one of its hospitals, Brigham and Women’s Hospital (collectively, BWH), have agreed to pay $10 million to resolve allegations that a BWH stem cell research …

Read moreHealthcare Fraud: Partners HealthCare System Have Agreed to Resolve Allegations That a BWH Stem Cell Research Laboratory

Healthcare Fraud: Braden Partners, L.P., Has Agreed to Pay To Teijin Pharma USA LLC, for Violating the False Claims Act

Healthcare Fraud

Oxygen Equipment Provider Pays $11.4 Million to Resolve False Claims Act Allegations The Department of Justice announced today that Braden Partners, L.P., doing business as Pacific Pulmonary Services, has agreed to pay $11.4 million to resolve allegations against it and its general partner, Teijin Pharma USA LLC, for violating the False Claims Act by submitting …

Read moreHealthcare Fraud: Braden Partners, L.P., Has Agreed to Pay To Teijin Pharma USA LLC, for Violating the False Claims Act

Financial Fraud: Terry Lynn and Rocky Freeland Anderson Charged to Commit Health Care Fraud, And Aggravated Identity Theft

Financial Fraud, Health Care Fraud

Father and Son Charged in $16 Million Health Insurance Fraud Scheme DALLAS – An indictment returned by a federal grand jury in Dallas this week charges Terry Lynn Anderson, 66, and Rocky Freeland Anderson, 36, of Dallas, with offenses related to their participation in an insurance fraud scheme, announced John Parker, U.S. Attorney for the …

Read moreFinancial Fraud: Terry Lynn and Rocky Freeland Anderson Charged to Commit Health Care Fraud, And Aggravated Identity Theft