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Healthcare Fraud

This archive displays posts tagged as relevant to healthcare fraud.

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U.S. Charges 412, Including Doctors, in $1.3 Billion Health Fraud

Posted  07/14/17
By the C|C Whistleblower Lawyer Team Hundreds of people nationwide, including dozens of doctors, have been charged in health care fraud prosecutions, accused of collectively defrauding the government of $1.3 billion.  Nearly one-third of the 412 charged were accused of opioid-related crimes. The health care providers, about 50 of them doctors, billed Medicare and Medicaid for drugs that were never purchased;...

Fraudster of the Week -- Alabama Pain Doctor Rassan M. Tarabein

Posted  07/7/17
By the C|C Whistleblower Lawyer Team Last week, federal authorities announced that Dr. Rassan M. Tarabein, a neurologist who operates the Eastern Shore Neurology and Pain Center in Daphne, Alabama, had been arrested on myriad federal and state charges relating to health care fraud.  A federal grand jury recently returned a 22-count superseding indictment against Tarabein, charging him with health care fraud,...

June 29, 2017

Constantine Cannon associate Rosie Griffin quoted in the Bloomberg BNA article, Government Behavior Overtakes Conditions of Payment in FCA actions. Click here to read more.

June 22, 2017

Dr. James M. Crumb, a physical medicine and rehabilitative specialist currently practicing in Alabama as Mobility Metabolism and Wellness, P.C.,and Coastal Neurological Institute, P.C., a local neurosurgeon physician group, agreed collectively to pay $1.4 million to resolve allegations they violated the False Claims Act by billing federal health care programs for medically unreasonable and unnecessary ultrasound guidance used with routine lab blood draws, and with Botox and trigger point injections. As a result of this billing scheme, the defendants sometimes billed 15 to 30 identical ultrasound guidance claims for a single patient office visit. DOJ (SDAL)

June 20, 2017

New Jersey family doctor Bernard Greenspan was sentenced to 41 months in prison and to pay a $125,000 fine and a roughly $200,000 forfeiture for violating the Anti-Kickback Statute by accepting bribes in exchange for test referrals as part of a long-running scheme operated by Biodiagnostic Laboratory Services LLC, its president and numerous associates. Greenspan’s referrals generated approximately $3 million in lab business for BLS. DOJ (DNJ)

June 15, 2017

Kentucky allergists Bruce Wolf and Kiro John Yun agreed to pay $740,578 to resolve allegations their medical practice group of otolaryngologists Wolf and Yun, P.S.C., specializing in allergy, asthma and immunology, violated the False Claims Act by billing the government for Sublingual Immunotherapy serum preparation and overstated units of serum preparation for injection vials. Sublingual immunotherapy is an alternative way to treat allergies without injections whereby an allergist prescribes a patient with an allergen that is sprayed under the tongue to boost tolerance to substances and reduce symptoms but it is not covered by Medicare because it is considered investigational. DOJ (WDKY)

June 14, 2017

Mildrey Gonzalez and her daughter Milka Alfaro were sentenced to 135 and 151 months in prison, respectively, and to pay roughly $22.9 million in restitution for their roles in a $20 million Medicare fraud conspiracy that involved paying illegal health care kickbacks to patient recruiters and medical professionals. They previously admitted they secretly co-owned and operated seven home health agencies in the Miami area, yet failed to disclose their ownership interests in any of these agencies to Medicare, as required by relevant rules and regulations. They further admitted to paying illegal health care kickbacks to a network of patient recruiters in order to bring Medicare beneficiaries into the scheme, to paying bribes and kickbacks to medical professionals in return for providing home health referrals, and to directing co-conspirators to open shell corporations, into which millions of dollars’ worth of fraud proceeds were funneled. DOJ

June 13, 2017

New Jersey doctor Robert Claude McGrath and his chiropractor son Robert Christopher McGrath admitted to conspiring to defraud Medicare by using unqualified people to give physical therapy to Medicare recipients. Together with their practice, the Atlantic Spine & Joint Institute, they also agreed to pay $1.78 million to resolve allegations they violated the False Claims Act through the illegal billings. The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act by Linda Stevens, a former billing manager at Atlantic Spine. She will receive a whistleblower award of roughly $338,200 from the proceeds of the government's recovery. DOJ (DNJ)

June 26, 2017

New York announced the arrest and indictment of registered nurse Collins Anyanwu-Mueller, 47, for allegedly submitting over $390,000 of false claims over the course of nearly five years for private-duty nursing services that he did not provide. Anyanwu-Mueller was arraigned today in Westchester County Court in White Plains before the Honorable Larry J. Schwartz on an indictment charging him with Grand Larceny in the Second Degree, a class C felony carrying a maximum sentence of up to 15 years in state prison, and Offering a False Instrument for Filing in the First Degree, a class E felony that carries a maximum sentence of up to four years in state prison. If convicted, Anyanwu-Mueller faces up to 15 years in state prison. NY
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