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fraud in Medical News

Federal Judge Sentences Defendants Who Perpetrated $10.9 Million Medicare Fraud HIV Infusion Scheme

WASHINGTON, Aug. 7 /PRNewswire-USNewswire/ -- Miami physician Keith Russell, 65, and physician's assistant Jorge Luis Pacheco, 50, were each sentenced to 97 months in prison, and physician's assistant Eda Marietta Milanes, 43, was sentenced to 63 months in prison, for their roles in frau...

Multi-state Medicare Fraud Crackdown Focuses Attention on Recovery Payoffs to Defray Health Reform Costs

FORT LAUDERDALE, Fla., Aug. 5 /PRNewswire/ -- In the aftermath of 32 recent arrests for Medicare fraud in Houston, Boston and Miami, discussions are now focusing on how massive recoveries by the government can significantly help defray the costs of current health reform initiatives. This late...

Tampa Bay Doctor Agrees to Pay United States $1.7 Million to Resolve Medicare Fraud Allegations

WASHINGTON, July 17 /PRNewswire-USNewswire/ -- Dr. Gabriel DeCandido, a physician practicing internal medicine in Largo, Fla., has agreed to pay the United States $1.7 million to settle allegations that he defrauded the Medicare program, the Department of Justice announced today. ...

Miami Physician Sentenced to 97 Months in Prison for Role in $10 Million Medicare Fraud Scheme

WASHINGTON, June 29 /PRNewswire-USNewswire/ -- Miami physician Roberto Rodriguez, 54, was sentenced today to 97 months in prison for his role in a Medicare fraud scheme involving HIV infusion services, announced Assistant Attorney General Lanny A. Breuer of the Criminal Division, Acting U.S. Attor...

New Analysis Examines Fraud in Both Private and Public Health Insurance Markets

WASHINGTON, June 26 /PRNewswire/ -- A new report from The George Washington University School of Public Health and Health Services, Department of Health Policy challenges the notion that fraud is a problem only in public health insurance markets and finds that fraud is a system-wide problem affe...

Eight Miami-Area Residents Charged in $22 Million Medicare Fraud Scheme Involving Home Health Care Agencies

Medicare Fraud Strike Force Charges Individuals, Freezes Assets WASHINGTON, June 26 /PRNewswire-USNewswire/ -- Eight Miami-Dade County, Fla., residents have been indicted in connection with an alleged $22 million Medicare fraud scheme operated out of Miami businesses purporting to specialize...

New Jersey University Hospital to Pay Additional $2 Million to Resolve Fraud Claims That Facility Double Billed Medicaid

WASHINGTON, June 9 /PRNewswire-USNewswire/ -- The University of Medicine and Dentistry of New Jersey (UMDNJ) has agreed to pay the United States $2 million to resolve federal civil fraud allegations that its hospital defrauded Medicaid, the Justice Department announced today. From 199...

Four Miami-Area Residents Sentenced In $10 Million Medicare Fraud Scheme

Defendants admitted to conspiring to defraud Medicare at HIV infusion clinics WASHINGTON, June 5 /PRNewswire-USNewswire/ -- Four Miami-area residents were sentenced today in connection with a $10 million Medicare fraud scheme involving HIV infusion clinics, Assistant Attorney General L...

LCA Hails US Court of Appeals Decision to Affirm Lower Court Ruling Tobacco Companies Guilty of Massive Fraud and Deception

WASHINGTON, May 26 /PRNewswire-USNewswire/ -- Lung Cancer Alliance (LCA) hailed the US Court of Appeals' decision on Friday upholding the 2006 ruling that found tobacco companies guilty of fraud and lying about the dangers and addictiveness of smoking. (Logo: http://www.newscom.com/cgi-bin...

U.S. Court of Appeals Affirms 2006 Lower Court Ruling That Tobacco Companies Committed Fraud for Five Decades and Lied About the Dangers of Smoking

WASHINGTON, May 22 /PRNewswire-USNewswire/ -- The following is a statement of Matthew L. Myers, President, Campaign for Tobacco-Free Kids: (Logo: http://www.newscom.com/cgi-bin/prnh/20080918/CFTFKLOGO ) Today's decision by the U.S. Court of Appeals for the District of Columbia unan...

Statement by American Legacy Foundation(R): Findings of Decades of Massive Fraud by Tobacco Industry Upheld in U.S. Court of Appeals

WASHINGTON, May 22 /PRNewswire-USNewswire/ -- The American Legacy Foundation(R) applauds today's unanimous decision in U.S. v. Philip Morris, et, al . The U.S. Court of Appeals for the District of Columbia Circuit upheld the U.S. District Court's findings that the tobacco industry en...

Minnesota Hospitals Pay $2.28 Million to Settle Medicare Fraud Charges Involving Kyphoplasty

ST. PAUL, Minn., May 21 /PRNewswire/ -- Three HealthEast hospitals in the St. Paul, Minnesota, area have agreed to pay the federal government a total of $2.28 million to settle a whistleblower ("qui tam") lawsuit alleging Medicare fraud involving a certain type of spinal surgery known as kyphoplas...

Holder, Sebelius to Announce New Initiative to Fight Medicare Waste, Fraud and Abuse

WASHINGTON, May 19 /PRNewswire-USNewswire/ -- Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius will announce a new initiative to fight Medicare fraud and protect taxpayer dollars on WEDNESDAY, MAY 20, 2009 at 1:00 P.M. ET . WHO: Attorney...

American Association for Homecare Applauds Senate 'STOP' Act, Which Aims to Prevent Medicare Fraud and Abuse

Bill Includes Provisions that Reflect Recommendations from American Association for Homecare Anti-Fraud Legislative Plan. ARLINGTON, Va., May 6 /PRNewswire-USNewswire/ -- The American Association for Homecare applauds Senators Mel Martinez (R-Fla.), John Cornyn (R-Tex.), and several others fo...

Emdeon Announces Agreement to Acquire The Sentinel Group, a Leader in Healthcare Fraud and Abuse Management Services

Proven experience, technology and seasoned investigators to help boost payment integrity and strengthen healthcare information network NASHVILLE, Tenn., May 5 /PRNewswire/ -- Emdeon , a leader in revenue and payment cycle solutions, announced today the signing of an agreement to acquire su...

Seniors Invited to Learn About Fraud Prevention at SCAN Connections Resource Center on April 28

Come learn about the most common fraudulent activities in our community PHOENIX, April 24 /PRNewswire/ -- SCAN Health Plan of Arizona and the state Attorney General's office are inviting seniors to attend a free presentation on fraud prevention on Tuesday, April 28, at 2 p.m. at the SCAN Conn...

American Association for Homecare Applauds Senate Subcommittee Efforts to Prevent Waste and Fraud in Medicare; Association Presents 13-Point Legislative Plan to Stop Waste and Fraud

WASHINGTON, April 22 /PRNewswire-USNewswire/ -- Today the Senate Committee on Homeland Security and Governmental Affairs Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security held a hearing on waste, fraud and abuse in Medicare. The Amer...

Connecticut Resident Pleads Guilty to Multi-Million Dollar Tax Fraud Conspiracy Involving New York City Hospital

WASHINGTON, April 2 /PRNewswire-USNewswire/ -- A Trumbull, Conn., resident who was involved in operating three businesses in Brooklyn, N.Y., pleaded guilty to conspiring to defraud the Internal Revenue Service (IRS), the Department of Justice announced today. Krzysztof Koczon pleaded guilty ...

Former National Century Financial Enterprises CEO Sentenced to 30 Years in Prison, Co-owner Sentenced to 25 Years in Prison for Conspiracy, Fraud and Money Laundering

Defendants ordered to pay restitution of $2.3 billion and forfeit $1.7 billion WASHINGTON, March 27 /PRNewswire-USNewswire/ -- Two former National Century Financial Enterprises (NCFE) executives were sentenced today for their roles in a scheme to deceive investors about the financial health o...

Miami Doctor and Chemist Plead Guilty in HIV Infusion Fraud Scheme

WASHINGTON, March 26 /PRNewswire-USNewswire/ -- Two Miami-area residents pleaded guilty today in connection with a $10 million Medicare fraud scheme involving HIV infusion clinics, Acting Assistant Attorney General Rita M. Glavin of the Criminal Division and U.S. Attorney R. Alexander Acosta of th...

Two Doctors and Two Medical Assistants Plead Guilty in $10 Million Medicare Fraud Scheme

WASHINGTON, March 23 /PRNewswire-USNewswire/ -- Four Miami-area residents pleaded guilty today in connection with a $10 million Medicare fraud scheme involving HIV infusion clinics, Acting Assistant Attorney General Rita M. Glavin of the Criminal Division and U.S. Attorney R. Alexander Acosta of t...

Jury Convicts Two Doctors and Two Medical Assistants in $5.3 Million Medicare Fraud Scam

WASHINGTON, March 17 /PRNewswire-USNewswire/ -- A federal jury in Miami today convicted two physicians and two medical assistants in connection with a $5.3 million Medicare fraud scheme, Acting Assistant Attorney General Rita M. Glavin of the Criminal Division and U.S. Attorney R. Alexander Acosta...

Clinical Trial Fraud Exposed by Coast IRB

WASHINGTON, March 11 /PRNewswire/ -- On Friday, March 6, 2009, Coast IRB notified Criminal Fraud unit of the U.S. Department of Justice, the FBI, the FDA, and the Commonwealth of Virginia Department of Health Professions of a fraudulent clinical test. Coast Independent Review Board discovered th...

MonaVie Chooses Accertify for Online Fraud Prevention

Industry-leading Interceptas Platform Continues to Gain Momentum CHICAGO, March 3 /PRNewswire/ -- Accertify www.accertify.com , a provider of leading-edge credit card fraud prevention solutions to online merchants, today announced that its Interceptas platform has been chosen by MonaVie, a d...

American Association for Homecare Supports President Obama in His Commitment to Stop Waste, Fraud and Abuse in Medicare

American Association for Homecare & Members Urge Congress to Adopt the Medicare Anti-Fraud Legislative Action Plan ARLINGTON, Va., Feb. 26 /PRNewswire-USNewswire/ -- In his first address to a joint session of Congress, President Barack Obama declared that his administration would "root ou...

Three Miami Physicians and Three Medical Workers Charged With $10 Million Medicare Fraud Scheme

WASHINGTON, Feb. 13 /PRNewswire-USNewswire/ -- Six Miami-Dade County residents have been indicted in connection with an alleged $10 million Medicare fraud scheme operated out of Midway Medical, a Miami clinic that purported to specialize in treating HIV/AIDS patients, Acting Assistant Attorney Gen...

Kroll Fraud Solutions To Host Free Webinar Series on Preparing for and Responding to a Healthcare Data Breach

Data protection and identity theft response leader Kroll Fraud Solutions will host webinars on preparing for and responding to a healthcare data breach featuring a team of Kroll data security experts. Nashville TN (PRWEB) February 4, 2009 - Data protection and identity ...

Nationally Recognized Medicaid Fraud Prosecutor Tim Terry Joins Successful Whistleblower Law Practice, Specializing in "Qui Tam" Citizen Suits Under False Claims Acts

L. Timothy Terry, formerly president of the National Association of Medicaid Fraud Control Units and Director of Nevada's Medicaid Fraud Control Unit, has joined the Whistleblower Action Network through his law firm, The Terry Law Firm, Ltd. of Carson City, Nevada. The Whistleblower Action Netwo...

Alabama-Based Hospice Company Pays U.S. $24.7 Million to Settle Health Care Fraud Claims

Company Locations in Alabama, Georgia, Indiana, Iowa, Kansas, Louisiana, Michigan, Mississippi, Missouri, Ohio, Pennsylvania, South Carolina, Texas, Virginia and Wisconsin WASHINGTON, Jan. 15 /PRNewswire-USNewswire/ -- SouthernCare Inc. and its shareholders have agreed to pay the United State...

Medical Clinic Executives and Worker Plead Guilty to $5.3 Medicare Fraud Scheme

WASHINGTON, Jan. 15 /PRNewswire-USNewswire/ -- The owners and operators of two Miami medical clinics, along with a phlebotomist at one of the clinics, have pleaded guilty to defrauding the Medicare program in connection with a $5.3 million HIV and cancer infusion fraud scheme, Acting Assistant Att...

The Largest Pharma Fraud Whistleblower Case in U.S. History Totaling $1.4 Billion

Philadelphia Attorney Stephen Sheller's Whistleblower Clients Help Government Recover $1.4 Billion Record Settlement and Criminal Fine in Eli Lilly & Company Zyprexa(R) Marketing Case Lead Attorney Filed Complaint in 2003 Representing Six Whistleblowers PHILADELPHIA, Jan. 15 /PRNews...

Eli Lilly Pays a Record $1.4 Billion to Settle Federal and State Fraud Investigations into Illegal Zyprexa Off-Label Marketing Practices

PHILADELPHIA, Jan. 15 /PRNewswire/ -- Eli Lilly and Company announced today it has agreed to plead guilty to criminal conduct and to pay more than 1.4 billion in criminal and civil fines, penalties and damages arising from allegations made in multiple whistleblower lawsuits that the pharmaceutical...

Whistleblowers' Complaints Lead Eli Lilly to Pay $800 Million to Settle Civil Medicaid Fraud Charges, According to Berg & Androphy

HOUSTON, Jan. 15 /PRNewswire/ -- The $800 million settlement that Eli Lilly and Company (NYSE: LLY ) has agreed to pay to settle civil False Claims Act charges related to allegedly false or fraudulent marketing, promotion and sale of its drug Zyprexa can be traced to the courageous stands ta...

HealthCare Insight(R) Launches Industry Fraud Magazine

Profiler Magazine, the only publication of its kind aimed at healthcare fraud prevention SALT LAKE CITY, Jan. 12 /PRNewswire/ -- HealthCare Insight(R) (HCI), a Verisk HealthCare company and a provider of clinically validated fraud, abuse, and overpayment prevention solutions for healthcare cl...

Medical Clinic Owner Pleads Guilty to Role in $5.3 Million Medicare Fraud Scheme

WASHINGTON, Jan. 8 /PRNewswire-USNewswire/ -- The owner and operator of two Miami medical clinics has pleaded guilty to defrauding the Medicare program in connection with a $5.3 million HIV infusion fraud scheme, Acting Assistant Attorney General Matthew Friedrich of the Criminal Division and U.S....

Miami Physician Sentenced to 30 Years in Prison for $11 Million Medicare Fraud Scheme

Prison Sentence One of the Longest Ever Received by a Physician in a Medicare Fraud Case WASHINGTON, Dec. 17 /PRNewswire-USNewswire/ -- A Miami physician and nurse were sentenced today to 30 years and seven years in prison, respectively, in connection with their roles in an $11 milli...

Pennsylvania Hospital Pays $1.9 Million to Settle Medicare Fraud Case Brought by Whistleblower

Inflated Medicare reimbursement claims alleged in "qui tam" lawsuit ERIE, Pa., Nov. 24 /PRNewswire/ -- St. Vincent Health System Inc., based in Erie, Pennsylvania, has agreed to pay $1.9 million to the federal government to settle a whistleblower lawsuit that alleged the hospital submitt...

Miami Physicians Sentenced to Prison for Their Roles in a $6.8 Million Medicare Fraud Scheme

WASHINGTON, Nov. 20 /PRNewswire-USNewswire/ -- Miami physicians Carlos Contreras, 61, and Ramon Pichardo, 58, were sentenced today to 37 months and 48 months in prison, respectively, for defrauding the Medicare program in connection with a $6.8 million HIV infusion fraud scheme, Acting A...

Miami HIV Clinic Administrator and Two Miami Residents Sentenced for Their Roles in a $14 Million Medicare Fraud Scheme

WASHINGTON, Nov. 18 /PRNewswire-USNewswire/ -- Miami residents Dilcia Marinez, Juan Carlos Castaneda and Luis Frias each were sentenced to prison today for their roles in defrauding the Medicare program and laundering the illegal proceeds in connection with a $14 million HIV infusion fraud scheme,...

American Association for Homecare Proposes Aggressive 13-Point Plan to Stop Medicare Fraud and Recoup Billions; Calls Steps Essential to Medicare's Health

ARLINGTON, Va., Oct. 27 /PRNewswire-USNewswire/ -- Tough new steps must be taken to prevent fraud and abuse in Medicare, says the American Association for Homecare, which today announced 13 specific recommendations that could eliminate most of the Medicare fraud attributed to the home medical ...
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