Medicare
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January 28, 2019
Norma Zayas, of Miami, was sentenced to 51 months in prison for her role in a $4.66 million health care fraud scheme involving several Miami-area home health agencies, including Sunshine Home Health Services Inc., Empire Home Health Agency Inc., Mildred & Marce Home Health Care Services Inc., and Nursing Care PRN Inc., which purported to provide home health services to Medicare patients. Zayas must also pay $4,658,241.00 in restitution and forfeit $186,650.50. Zayas admitted that from approximately January 2010 through approximately January 2014, she operated Sunshine, Empire, and Mildred & Marce Home Health and paid kickbacks to patient recruiters in return for the referral of Medicare beneficiaries, many of whom did not need or qualify for home health services. She also paid kickbacks to patient recruiters who referred Medicare beneficiaries to Nursing Care PRN. As a result of false and fraudulent claims submitted as part of this conspiracy, Medicare made payments of nearly $4.66 million. DOJTop Ten Healthcare Recoveries of 2018
Posted 01/15/19
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- Amerisource Bergen Corporation - In...
Sharp HealthCare - Healthcare Fraud/Kickbacks (Undisclosed)
Constantine Cannon represented a whistleblower in a False Claims Act case alleging Sharp HealthCare Center for Research, Sharp’s clinical-trial research arm, paid kickbacks to entice prospective trial sponsors to host clinical trials at Sharp. In November 2019, the company agreed to pay an undisclosed amount to settle the matter. Our client received a whistleblower award of an undisclosed portion of the government's recovery. Read more -- CC.December 17, 2018
Margarita Palomino, of Homestead, Florida, has been sentenced to over six years in prison for her part in a health care scheme which defrauded Medicare out of $4.65 million. The scheme involved three home health agencies that claimed to provide services to Medicare patients. Palomino, licensed as a physician in Cuba, but not in the United States, admitted that she provided home health care nursing visits and prepared the accompanying medical records as would a licensed medical professional in the U.S. Furthermore, between the approximate time of January 2010 and January 2014, Palomino admitted to accepting kickbacks in return for the referral of Medicare beneficiaries, the majority of whom did not need or even qualify for the services. In addition to spending 78 months in prison, Palomino has been ordered to pay $4,658,241.00 in restitution and to forfeit $186,650.50. DOJDecember 14, 2018
Tamar Tatarian, owner of Akhtmar Pharmacy, was found guilty for her part in a scheme to defraud Medicare out of more than $1.3 million in false claims for prescription drugs. According to evidence presented during the two-day trial, Tatarian submitted false claims to Medicare Part D plan sponsors between October 2015 and October 2017 for prescription drugs that Akhtmar pharmacy had not actually ordered from wholesalers, and therefore were not dispensed to Medicare beneficiaries. Tartarian tried to cover up the fraud by generating fake invoices that included wholesale drug purchases by the pharmacy which had not, in reality, ever happened. Tatarian was convicted of one count of health care fraud and two counts of wire fraud. DOJCatch of the Week — PA Hospital and Health System Pays $12.5 Million to Settle FCA Allegations
Posted 12/14/18
