Health Care Fraud Health Insurance Fraud Our Daily News US Department of Justice (DOJ)

Medicare Advantage Provider and Physician to Pay $5 Million to Settle False Claims Act Allegations

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Thursday, August 8, 2019 Beaver Medical Group L.P. (Beaver) and one of its physicians, Dr. Sherif Khalil, have agreed to pay a total of $5,039,180 to resolve allegations that they reported invalid diagnoses to Medicare Advantage plans and thereby caused those plans to receive inflated […]

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Connecticut Health Insurance Fraud Medicaid Fraud (CMS) Our Daily News US Department of Justice (DOJ)

Bridgeport Woman Sentenced to Prison for Identity Theft, Health Care Fraud Offenses

Department of Justice U.S. Attorney’s Office District of Connecticut FOR IMMEDIATE RELEASE Friday, July 12, 2019 John H. Durham, United States Attorney for the District of Connecticut, announced that NIKKITA CHESNEY, 46, of Bridgeport, was sentenced today by U.S. District Judge Victor A. Bolden in Bridgeport to seven months of imprisonment, followed by three years […]

Health Care Fraud Health Insurance Fraud US Department of Justice (DOJ)

Doctor And Three Others In Bergen County Charged In $10 Million Health Care Fraud Scheme

Department of Justice U.S. Attorney’s Office District of New Jersey FOR IMMEDIATE RELEASE Tuesday, July 16, 2019 Allegedly Paid and Received Kickbacks in Connection with Medically Unnecessary Prescriptions for Pain Creams NEWARK, N.J. – A doctor and three people associated with a pharmacy were charged today with their respective roles in defrauding the federal workers’ […]

Health Care Fraud Health Insurance Fraud Ohio Our Daily News US Department of Justice (DOJ)

Medical Billing Company Owner Sentenced to Prison for Health Care Fraud

Department of Justice U.S. Attorney’s Office Southern District of Ohio FOR IMMEDIATE RELEASE Tuesday, July 16, 2019 COLUMBUS, Ohio – The owner of a medical and dental billing company was sentenced in U.S. District Court today for her role in committing more than $2 million in health care fraud. Cindy Dahdah, 61, of Beavercreek, was […]

Business Fraud Florida Health Care Fraud Health Insurance Fraud Our Daily News US Department of Justice (DOJ)

Substance Abuse Treatment Center Owner Pleads Guilty to $57 Million Money Laundering Conspiracy in Connection with Hospital Pass-Through Billing Scheme

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Tuesday, July 9, 2019 The owner of a Jacksonville, Florida-area substance abuse treatment center pleaded guilty today for his role in a $57 million money laundering conspiracy associated with a pass-through billing scheme involving laboratory testing services. Assistant Attorney General Brian A. Benczkowski of the […]

Corporate Fraud Health Care Fraud Health Insurance Fraud Medicaid Fraud (CMS) Medicare (CMS) Our Daily News US Department of Justice (DOJ)

Encompass Health Agrees to Pay $48 Million to Resolve False Claims Act Allegations Relating to its Inpatient Rehabilitation Facilities

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Friday, June 28, 2019 Encompass Health Corporation (formerly known as HealthSouth Corporation), the nation’s largest operator of inpatient rehabilitation facilities (IRFs), has agreed to pay $48 million to resolve allegations that some of its IRFs provided inaccurate information to Medicare to maintain their status as […]

Federal Bureau of Investigation (FBI) Health Insurance Fraud Medicare (CMS) Our Daily News US Department of Health and Human Services (HHS) US Department of Justice (DOJ)

Owner of Tampa-Area Medical Marketing Company Found Guilty in $2 Million Medicare Fraud Scheme

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Thursday, June 27, 2019 A federal jury found the owner of a Tampa, Florida-area medical marketing company guilty today for his role in an over $2.2 million Medicare fraud scheme involving the payment of kickbacks and bribes to medical clinics in Miami in exchange for the […]

Health Care Fraud Health Insurance Fraud Medicare (CMS) Our Daily News US Department of Health and Human Services (HHS) US Department of Justice (DOJ)

Michigan Patient Recruiter Sentenced to Prison for $1.5 Million Kickback Scheme

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Wednesday, June 26, 2019 A Michigan patient recruiter was sentenced to 60 months in prison today for her role in a scheme involving approximately $1.5 million in fraudulent Medicare claims for home health care that were procured through the payment of kickbacks. Assistant Attorney General […]

Federal Bureau of Investigation (FBI) Health Care Fraud Health Insurance Fraud Medicaid Fraud (CMS) Medicare (CMS) Our Daily News Political Fraud Texas US Department of Health and Human Services (HHS) US Department of Justice (DOJ)

Former Medical Director and Two Former Operators of a Houston Medical Clinic Charged in Multimillion-Dollar Health Care Fraud Scheme

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Thursday, June 20, 2019 A medical director and two operators of a Houston, Texas, medical clinic were charged in an indictment unsealed today for their alleged participation in a multimillion-dollar health care fraud scheme. Assistant Attorney General Brian A. Benczkowski of the Justice Department’s Criminal […]

Banking & Securities Fraud Health Insurance Fraud Securities Fraud

Statement of the Department of Justice Antitrust Division on the Closing of Its Investigation of the Louisiana Health Service & Indemnity Co.–Vantage Holdings Inc. Merger

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Tuesday, June 18, 2019 Assistant Attorney General Makan Delrahim of the Antitrust Division of the U.S. Department of Justice issued the following statement today in connection with the closing of the Division’s investigation into the proposed acquisition of Vantage Holdings, Inc. (Vantage) by Louisiana Health […]

California Health Care Fraud Health Insurance Fraud Medicare (CMS) Our Daily News US Department of Justice (DOJ)

Owners of Los Angeles Home Health Agency Sentenced to Prison for Role in Health Care Fraud that Defrauded Medicare

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Tuesday, June 11, 2019 Two owners and operators of a Los Angeles, California, home health agency were sentenced to 120 and 78 months in prison yesterday for their roles in a scheme to bill Medicare for various items and services, including home health services, diagnostic […]

Federal Bureau of Investigation (FBI) Health Care Fraud Health Insurance Fraud Medicare (CMS) US Department of Health and Human Services (HHS) US Department of Justice (DOJ)

Los Angeles Doctor and Patient Recruiter Found Guilty in $33 Million Medicare Fraud Scheme

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Friday, June 7, 2019 A federal jury found a Los Angeles doctor and patient recruiter guilty today for their roles in a $33 million Medicare fraud scheme in which Medicare was billed for clinic, home health, hospice services and durable medical equipment that patients did […]

California Consumer Fraud Federal Bureau of Investigation (FBI) Health Care Fraud Health Insurance Fraud Insurance Fraud Medicare (CMS) Our Daily News US Department of Justice (DOJ)

Los Angeles Dentist Sentenced to 40 Months in Prison for Role in $3.8 Million Health Care Fraud Scheme

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Thursday, June 6, 2019 A Los Angeles, California-based dentist was sentenced to 40 months in prison today for his role in a $3.8 million health care fraud scheme in which he billed numerous dental insurance carriers for crowns and fillings that were never provided to […]

Consumer Fraud Corporate Fraud Health Care Fraud Health Insurance Fraud Massachusetts Medication Fraud Our Daily News US Department of Justice (DOJ)

Opioid Manufacturer Insys Therapeutics Agrees to Enter $225 Million Global Resolution of Criminal and Civil Investigations

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Wednesday, June 5, 2019 Company Admits Illegal Conduct Regarding Promotion of Subsys, a Powerful Opioid Painkiller Opioid manufacturer Insys Therapeutics agreed to a global resolution to settle the government’s separate criminal and civil investigations, the Department of Justice announced today. As part of the criminal […]

Health Care Fraud Health Insurance Fraud Medication Fraud Our Daily News Pennsylvania US Department of Justice (DOJ)

United States Intervenes In False Claims Act Lawsuit Against Drug Maker Mallinckrodt Alleging Illegal Kickbacks

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Wednesday, June 5, 2019 The United States filed a complaint under the False Claims Act against Mallinckrodt ARD LLC, formerly known as Mallinckrodt ARD Inc. and previously Questcor Pharmaceuticals Inc., in the U.S. District Court for the Eastern District of Pennsylvania, the Department of Justice […]

Consumer Fraud Health Care Fraud Health Insurance Fraud Our Daily News

Rialto Capital Management and Current Owner of Indiana Hospital to Pay $3.6 Million to Resolve False Claims Act Allegations Arising From Kickbacks to Referring Physicians

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Monday, June 3, 2019 The Department of Justice announced today that Rialto Capital Management LLC (Rialto) and its former affiliate RL BB-IN KRE LLC (RL BB) have agreed to pay $3.6 million to resolve allegations that Rialto and the Kentuckiana Medical Center (KMC), a Clarksville, […]

Consumer Fraud Health Care Fraud Health Insurance Fraud Medication Fraud Our Daily News South Carolina US Department of Justice (DOJ)

United States Files False Claims Act Complaint Against South Carolina Chiropractor, Pain Management Clinics, Urine Drug Testing Laboratories, and Substance Abuse Counseling Center

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Monday, June 3, 2019 United States Files False Claims Act Complaint Against South Carolina Chiropractor, Pain Management Clinics, Urine Drug Testing Laboratories, and Substance Abuse Counseling Center The United States has filed a complaint under the False Claims Act against Daniel McCollum, a chiropractor based […]

Corporate Fraud Health Care Fraud Health Insurance Fraud Illinois Our Daily News US Department of Justice (DOJ) US Department of Labor (DOL)

Two Chicago Women Held Accountable for Falsely Billing 24-7 for Seven Years in $1.7 Million Workers’ Compensation Fraud

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Friday, May 31, 2019 Two Chicago, Illinois, women pleaded guilty for their roles in a scheme to defraud the U.S. Department of Labor Office of Workers’ Compensation Programs (OWCP) of $1.7 million by falsely billing for services on a 24-hour, seven-day-a-week basis for over seven […]

Consumer Fraud Health Care Fraud Health Insurance Fraud Kansas Our Daily News US Department of Justice (DOJ)

Kansas Cardiologist and His Practice Pay $5.8 Million to Resolve Alleged False Billings for Unnecessary Cardiac Procedures

Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Thursday, May 30, 2019 Joseph P. Galichia M.D., a Wichita, Kansas, cardiologist, has agreed to pay $5.8 million to resolve allegations that he and his medical group, Galichia Medical Group, P.A. (GMED), violated the False Claims Act by improperly billing federal health care programs for […]

Health Care Fraud Health Insurance Fraud Medicaid Fraud (CMS) Oregon Our Daily News Political Fraud US Department of Justice (DOJ)

Oregon Sues to Defend Medicaid Home Care Workers

May 16, 2019 • Posted in Media Release Oregon Attorney General Ellen Rosenblum and Oregon Governor Kate Brown joined a multi-state lawsuit opposing a new rule issued by the Trump Administration that undermines the rights of home care workers who are paid for by Medicaid funds. The new rules announced by the U.S. Department of Health and […]