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1. Fraud Allegations Against Urgent Care Chain Owned by Former HCA CEO Rick Scott Sent to HHS
(Matching tags: Rick Scott,Medicare fraud,Randy Prokes. Solantic) Allegations of fraud by Solantic, a chain of Florida urgent care clinics owned in part by Florida Republican Gubernatorial Candidate and former HCA CEO Rick Scott, have been forwarded to the U.S. Department ...
2. Federal Investigators Continue Probe in Alleged Fraudulent Billing Charges at UT Southwestern Hospitals
(Matching tags: Medicare fraud,Texas,billing,UT Southwestern,Parkland Memorial Hospital,residents) Federal investigators are looking into billing practices at Dallas' University of Texas Southwestern Medical Center and Parkland Memorial Hospital, after previous investigations discovered the hospitals ...
3. Federal Government Increasing Fraud Enforcement for Medicare, Medicaid
(Matching tags: Medicare fraud,HHS,DOJ) New provisions to crack down on fraud could help the federal government surpass the $2.9 billion in Medicare and Medicaid overpayments recovered last year, a 29 percent increase from the year before, according ...
4. Temporary Billing Provision for Medical Equipment and Supply Claims Creates Fraud Risk
(Matching tags: Medicare fraud,OIG,risk,supplier,NPI) ... Medicare fraud, according to a report by American Medical News. ...
5. Florida Lawmakers Introduce Bipartisan Medicare Fraud Bill
(Matching tags: Medicare fraud,Florida,legislation,screening,penalties) Democrats and Republicans in the Florida state legislature have announced a bill aimed at fighting the $1 billion Medicare fraud problem, according to a report in the South Florida Business Journal. ...
6. Houston Women Plead Guilty to DME Medicare Fraud Scheme
(Matching tags: Medicare fraud,Texas,guilty plea,DME,arthritis kits) Rolondae Mitchell-Straughter and Ana Quinteros both pleaded guilty in connection with their roles in an "arthritis kit" Medicare fraud scheme, according to a news release from the Federal Bureau of Investigation. ...
7. Jury Convicts Detroit Physician of Medicare Fraud
(Matching tags: Medicare fraud,Michigan,conviction,Jose Castro-Ramirez) After a three-week trial, a Detroit federal jury convicted Jose Castro-Ramirez, MD on 13 counts in connection with an $18.3 million Medicare fraud scheme, according to a news release from the OIG's office. ...
8. Proposed Florida Bill Would Increase Efforts to Combat Medicare Fraud
(Matching tags: Medicare fraud,Florida,legislation,Attorney General) A new bill proposed in the Florida legislature would give the state's attorney general power to investigate private managed care companies that administer Medicaid, according to a report in the South Florida ...
9. Pain Management Clinics, Physician, Billing Company Agree to $820,000 Medicare Fraud Settlement
(Matching tags: Medicare fraud,settlement,Missouri,whistleblower suit,Advanced Pain Centers,Abdul Naushad) Abdul Naushad, MD, his wife, their six pain management clinics and their billing company have agreed to pay $820,000 to resolve civil Medicare fraud allegations, according to an announcement by the U.S. ...
10. Florida Resident Sentenced to 63 Months Imprisonment for Healthcare Fraud
(Matching tags: Medicare fraud,Florida,sentencing,Dulce Briceno) Dulce Briceño, a resident of Miami-Dade County, Fla., was sentenced today to 63 months in prison for her role in a $2.3 million Medicare fraud scheme, according to a U.S. Department of Justice news release. ...
11. Device Maker AtriCure to Pay $3.76M to Resolve Medicare Fraud Allegations
(Matching tags: Medicare fraud,settlement,DOJ,AtriCure) Medical device manufacturer AtriCure has agreed to pay $3.76 million to resolve civil Medicare fraud allegations that it marketed its medical devices to treat atrial fibrillation, a use not approved by ...
12. Thirteen Charged in $14.5 Million Detroit-Area Medicare Fraud Scheme
(Matching tags: Detroit,Medicare fraud) Thirteen Detroit-area residents have been arrested and charged in connection with an alleged home healthcare scheme to defraud the Medicare program of more than $14.5 million, according to a news release ...
13. Visiting Physicians Association to Pay $9.5 M to Resolve False Claims Allegations
(Matching tags: Medicare fraud,False Claims Act,Michigan) ... the False Claims Act by submitting false claims to Medicare, TRICARE and the Michigan Medicaid program, according to a U.S. Department of Justice news release. ...
14. Three Plead Guilty in Detroit Area-Based Medicare Fraud Scheme
(Matching tags: Medicare fraud,Detroit,Terrence Hicks,Muhammed Al Mahdi,John Saunders) Terrence Hicks of Jackson, Mich., and Muhammed Al Mahdi and John Saunders, both of Detroit, pleaded guilty for their roles in a $4.2 million Medicare fraud scheme, according to a U.S. Department of Justice ...
15. Three New York Home Health Agencies to Pay $24M to Settle False Claims Act Claims
(Matching tags: Medicare fraud,New York,false claims,home health agency) Three New York City home health agencies have agreed to pay a total of $24 million to settle allegations that they submitted false claims to the New York Medicaid and Medicare programs, according to a ...
16. New Jersey Health System to Pay $7.9M to Settle Medicare Fraud Charges
(Matching tags: Medicare fraud,settlement,New Jersey,Our Lady of Lourdes) Our Lady of Lourdes Health Care Services in Camden N.J. has agreed to pay $7.95 million to resolve allegations that the hospitals defrauded Medicare by using outlier payments to inflate charges, according ...
17. Medicare Fraud Strike Force Expands Operations into Brooklyn, Tampa and Baton Rouge
(Matching tags: Medicare fraud,Strke Force,Tampa,Baton Rouge,Brooklyn) ... of a targeted criminal, civil and administrative effort against individuals and healthcare companies that fraudulently bill the Medicare program, according to an HHS news release. ...
18. North Carolina Physician Pleads Guilty to Medicare Fraud
(Matching tags: Medicare fraud,North Carolina,guilty plea,Janet Johnson-Hunter) Janet Johnson-Hunter, MD, of Jacksonville, N.C., pleaded guilty to conspiring to conceal material facts in connection with the delivery and payment for healthcare benefits, items and services, according ...
19. Three Pleaded Guilty in Connection With Multiple Detroit-based Healthcare Fraud Schemes
(Matching tags: Medicare fraud,Michigan,Detroit,Wayne Smith,Sandeep Aggarwal,Baskaran Thangarasan) Detroit-area residents Baskaran Thangarasan, Sandeep Aggarwal and Wayne Smith have pleaded guilty for their roles in connection with several Detroit-area healthcare fraud schemes, according to a U.S. Department ...
20. Justice Department Recovers $2.4B in False Claims Recoveries, $1.6B in Healthcare Fraud Recoveries During FY2009
(Matching tags: Medicare fraud,Medicaid fraud,False Claims cases,recoveries) The U.S. Department of Justice secured $2.4 billion in settlements and judgments in cases involving fraud against the government in the fiscal year ending Sept. 30, 2009, according to a DOJ news release. ...
21. Occupational Therapist and Patient Recruiter Plead Guilty in Detroit-Based Medicare Fraud Schemes
(Matching tags: Medicare fraud,Jaquita Lovelace,Timothy Pierce) Detroit resident Jaquita Lovelace and Miami resident Timothy Pierce have pleaded guilty in U.S. District Court in Detroit to participating in conspiracies to defraud the Medicare program, according to ...
22. HHS Revises Calculations for Improper Medicare Rates
(Matching tags: Medicare fraud,Medicare,HHS,fee-for-service,errors) As part of the Obama Administration's goal of reducing waste, fraud and abuse in Medicare, the Department of Health and Human Services and the Centers for Medicare & Medicaid Services have revised and ...
23. New Jersey Hospital Settles Medicare Fraud Allegations for $3M
(Matching tags: Medicare fraud,settlement,New Jersey) Trinitas Regional Medical Center in Elizabeth, N.J., has agreed to pay the United States $3.02 million to settle allegations that it defrauded Medicare, according to a U.S. Department of Justice news release. ...
24. Acting CMS Administrator Highlights Top Three Sectors for Medicare Fraud, Discusses Commitment to Investigating Healthcare Fraud
(Matching tags: Medicare fraud,healthcare fraud,Joe Barton,Charlene Frizzera) Charlene Frizzera, acting administrator for the Centers for Medicare & Medicaid Services, recently discussed the top three sectors for Medicare fraud and the agency's plans and goals for combating fraud ...
25. Owner of Houston-Area DME Company Pleads Guilty to Healthcare Fraud Scheme
(Matching tags: Medicare fraud,Texas,houston,healthcare fraud,DME,Trucare Medical Equipment,Noel Wayne Jhagroo) Noel Wayne Jhagroo, the owner and operator of a Houston-area durable medical equipment company has pleaded guilty to defrauding the Medicare program in a scheme to submit approximately $962,000 in fraudulent ...
26. Legislators Targeting Healthcare Fraud in Health Reform Efforts
(Matching tags: Medicare fraud,healthcare fraud,Patrick Leahy) Current healthcare reform legislation includes provisions that would increase efforts to investigate Medicare and Medicaid fraud, according to a report by the Wall Street Journal. ...
27. Michigan Physical Therapist Pleads Guilty to Medicare Fraud
(Matching tags: Medicare fraud,Michigan,Suresh Chand,Syed Aziz) Licensed physical therapist Syed Aziz of Troy, Mich., pleaded guilty in U.S. District Court in Detroit to participating in a conspiracy to defraud the Medicare program for approximate $817,000, according ...
28. 20 Charged in Los Angeles-Area DME Healthcare Fraud Schemes
(Matching tags: Medicare fraud,California,Los Angeles) Twenty defendants, most of them Los Angeles residents, have been charged in seven cases for allegedly participating in Medicare fraud schemes involving durable medical equipment that resulted in more than ...
29. Six Houston Area Residents Charged With Healthcare Fraud
(Matching tags: Medicare fraud,houston,Strike Force,DME) Six Houston area residents have been charged for their involvement in healthcare fraud schemes, which resulted in false claims being submitted to Medicare, according to a U.S. Department of Justice news ...
30. Sec. Sebelius, DOJ Announce New Web Site to Stop Medicare Fraud
(Matching tags: Medicare fraud,Web site,Kathleen Sebelius,identity theft) Department of Health and Human Services Secretary Kathleen Sebelius and Assistant Attorney General Tony West announced new tips and information available online to help seniors and Medicare beneficiaries ...
31. Three Florida Residents Indicted for $2.3M Medicare Fraud Scheme
(Matching tags: Medicare fraud,X-Press Center) Three Miami-Dade County, Fla., residents have been indicted for their roles in an alleged $2.3 million Medicare fraud scheme operated out of X-Press Center, a Detroit-area clinic that purported to specialize ...
32. Six Hospitals in Indiana and Alabama Pay $8.3M to Settle Medicare Fraud Allegations
(Matching tags: Medicare fraud,Alabama,Indiana,kyphoplasty,whistleblower suit) Six hospitals in Indiana and Alabama have agreed to pay the United States approximately $8.3 million to settle allegations that the healthcare facilities submitted false claims to Medicare, according to ...
33. Owner of Detroit Rehabilitation Facility Pleads Guilty to $18.3M Medicare Fraud Scheme
(Matching tags: Medicare fraud,Michigan,Detroit,Suresh Chand) Suresh Chand has pleaded guilty in U.S. District Court to one count of conspiracy to commit healthcare fraud and one count of conspiracy to launder money as part of an $18.3 million Medicare fraud scheme, ...
34. Texas Doctor Pursues Suit Alleging Unethical Practices by Insurer
(Matching tags: Medicare fraud,Texas,Blue Cross Blue Shield,Dralves Edwards) Dralves Edwards, MD, a Dallas family physician, has asked the U.S. Supreme Court to hear his case against Blue Cross Blue Shield of Texas, according to a release from Dr. Edwards.
35. Texas Podiatrist Arrested on Healthcare Fraud Charges
(Matching tags: Medicare fraud,Medicaid,Texas,podiatrist) Franklin Beltre, DPM, of Houston was arrested on charges he defrauded Medicare and Medicaid at his clinic in San Juan, Texas, according to a report in The Monitor. ...
36. Detroit-Area Physical Therapist Pleads Guilty in $1.6M Fraudulent Billing Scheme
(Matching tags: Medicare fraud,Michigan,Jay Jha,billing,physical therapy) A physical therapist in Troy, Mich., has pleaded guilty to conspiracy to commit healthcare fraud in a scheme to bilk $1.6 million from Medicare, according to a release from the U.S. Department of Justice. ...
37. Miami Medical Equipment Supply Company Owner Convicted of Medicare Fraud
(Matching tags: Medicare fraud,Florida,Adonis Ortiz,Daky Medical Supply,Reny Medical Equipment,conviction) Adonis Ortiz of Miami was convicted of healthcare fraud and conspiracy to commit healthcare fraud and faces up to 40 years in prison, according to a news release from the Federal Bureau of Investigation. ...
38. Two Texas Physicians Charged With 35 Additional Charges of Medicare Fraud
(Matching tags: Medicare fraud,Texas,indictment,Arun Sharma,Kiran Sharma,mail fraud) A federal grand jury in Houston returned a superseding indictment charging Arun Sharma, MD, and Kiran Sharma, MD, with 35 additional counts of illegally distributing controlled substances, healthcare fraud, ...
39. Florida Man Pleads Guilty to $123M Medicare Fraud Scheme
(Matching tags: Medicare fraud,Florida,Reinaldo Guerra,guilty plea,DME) Reinaldo Guerra of Miami, Fla., pleaded guilty to one count of conspiracy to commit Medicare fraud and one count of Medicare fraud, according to a news release from the United States Attorney General's ...
40. 32 Physicians and Healthcare Executives Indicted for Medicare Fraud
(Matching tags: Medicare fraud,HHS,DOJ,Strike Force) Thirty-two people have been indicted for their roles in schemes to submit more than $16 million in false Medicare claims, according to a news release by the Department of Justice and the Department of ...
41. California Medical Device Company Pays $1.4M to Settle False Claims Suit
(Matching tags: Medicare fraud,California,False Claims Act,Endoscopic Technologies,antikickback) ... false Medicare claims and paid kickbacks to healthcare providers, according to a report in the Oakland Tribune. ...
42. Two Florida Men Indicted in $179M Medicare Fraud Scheme
(Matching tags: Medicare fraud,Florida,Miami,Jose Luis Perez,Reinaldo Guerra) Jose Luis Perez of Golden Beach, Fla., and Reinaldo Guerra of Miami have been indicted in a $179 million Medicare fraud scheme, according to a report in the South Florida Business Journal. ...
43. Top 10 Hospital News Stories for June
(Matching tags: Medicare fraud,CEO,New Jersey,slander,kickbacks) 1. 53 People Indicted for Detroit-Based Medicare Fraud Schemes — Fifty-three physicians, healthcare executives and beneficiaries were indicted in Detroit-based Medicare fraud schemes, which are estimated ...
44. Yale-New Haven Hospital Pays $3.2M to Settle Medicare Fraud Allegations
(Matching tags: Medicare fraud,settlement,Connecticut,Yale-New Haven Hospital) The Yale-New Haven (Conn.) Hospital has paid $3.2 million to Medicare to settle allegations that the hospital improperly billed the program for unnecessary inpatient hospital admissions from April 1998 ...
45. LSU Health Sciences Center Settles Federal Fraud Allegations
(Matching tags: Medicare fraud,Louisiana,LSU,Shreveport) The LSU Health Sciences Center – Shreveport (La.) has settled federal allegations that it defrauded Medicare by billing $706,678 for services not provided, according to a report in the Shreveport Times. ...
46. Louisiana Medical Supply Company Owner and Physician Plead Guilty to Medicare Fraud
(Matching tags: Medicare fraud,Louisiana,durable medical equipment,Positive Home Oxygen) Jeffrey McElveen of Franklinton, La., and Robert Cleveland, MD, of Greenburg, La., pleaded guilty to charges of healthcare fraud, according to a news release from the Department of Justice.
47. Missouri Physician Charged With Healthcare Fraud
(Matching tags: Medicare fraud,Medicaid,Missouri,Haven Hills Medical Clinic) Devendra K. Varma, MD, of Poplar Bluff, Mo., was charged with a criminal charge that is "basically" healthcare fraud, according to a report in the Southeast Missourian.
48. Miami Woman Pleads Guilty to Medicare Fraud in Georgia District Court
(Matching tags: Medicare fraud,Georgia,indictment,infusion therapy) Riccy Mederos, a resident of Miami, pleaded guilty to conspiracy to commit healthcare fraud at a U.S. District Court in Savannah, Ga., according to a report from WSAV-TV.
49. 53 People Indicted for Detroit-Based Medicare Fraud Schemes
(Matching tags: Medicare fraud,Michigan,HHS,DOJ,Detroit,HEAT,Strike Force) Fifty-three physicians, healthcare executives and beneficiaries have been indicted in Detroit-based Medicare fraud schemes, which are estimated to have cost Medicare $50 million, according to a Department ...
50. Missouri Podiatrist Sentenced for Medicare Fraud
(Matching tags: Medicare fraud,Missouri,Bic Chau Stafford,sentence) Bic Chau Stafford, DPM, a podiatrist practicing in St. Louis, Mo., was sentenced to five months in prison for fraudulently billing Medicare and then attempting to cover up the fraud, according to a report ...

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