Medicare/Medicaid Fraud Message Board

Smart Lab Urine Testing Kickback Scheme

5 months ago in Medicare/Medicaid Fraud

Some of the sales reps were allowed to go free, no repercussions. And by the way, the fraud, amounting to millions, was from 2015-2017. TWO YEARS, not 2005-2017. It was just a short period of time, a matter of months for the owners to get wrapped up in the fraud after opening the lab.

What's the Strategy in the U.S. for Neovasc's Reducer?

5 months ago

Neovasc (Nasdaq: NVCN) is a medical device company primarily known for Reducer, which is a minimally invasive device that helps treat patients with refractory angina. The device has been approved in Europe

Long Island Health Care Provider Sentenced To 12 Years In Prison For $10 Million Medicare Fraud And Hipaa Identity Theft

1 year ago in Medicare/Medicaid Fraud

Department of Justice

U.S. Attorney’s Office

Eastern District of New York

Wednesday, April 10, 2013

Defendant Stole Patient Records From Nursing Homes To Create And Submit False Medicare Claims

Earlier today, Helene Michel, an owner and officer of Medical Solutions Management, Inc. (“MSM”), was sentenced to 12 years in federal prison by United States District Judge Joseph F. Bianco at the federal courthouse in Central Islip, New York. Michel was convicted after a three-week jury trial in Augus…

Las Vegas Cardiology Practice Agrees To Pay $2.5 Million Settlement Claim Involving Medicare Kickback Scheme

1 year ago in Medicare/Medicaid Fraud

Department of Justice

U.S. Attorney’s Office

District of Nevada

Tuesday, June 18, 2019

Las Vegas, NV – A Las Vegas cardiology practice has agreed to pay $2.5 million to settle claims alleging that it referred patients for genetic testing in exchange for kickbacks paid by the testing companies, announced U.S. Attorney Nicholas A. Trutanich for the District of Nevada.

“The U.S. Attorney’s Office will hold accountable fraudulent medical companies that seek to line their pockets by undermining th…

Texas Patient Recruiter Gets 15 Years for $20 Million Fraud Scheme

1 year ago in Medicare/Medicaid Fraud

The Department of Justice announced that a patient recruiter in Texas for several Houston-area home health agencies was sentenced May 29 to more than 15 years in prison for her role in a $20 million fraud scheme that involved paying illegal kickbacks to physicians and submitting fraudulent claims to Medicare.

As part of her guilty plea, Ms. Koko admitted paying kickbacks and bribes to physicians and patients for paperwork home health agencies used to submit fraudulent claims to Medicare for unnec…

More Pain Cream Fraud

1 year ago in Medicare/Medicaid Fraud

How many other doctors accepted payments from compounding pharmacies in exchange for writing prescriptions? I also like how this guy was brought on as a medical director to make it seem more legit.

Four things to know:

1. Dr. Claflin was one of several healthcare providers targeted in an investigation that sought to determine whether the providers accepted payment from OK Compounding to prescribe a pain cream.

2. According to the OIG, Dr. Claflin began prescribing pain cream to patients in 2013 an…

53 medical professionals charged in opioid takedown

1 year ago in Medicare/Medicaid Fraud

31 physicians, seven pharmacists, eight nurses and seven other medical professionals,are charged with participating in the unlawful prescribing of more than 32 million pain pills. The charges allege that more than 350,000 prescriptions were written illegally in Kentucky, Louisiana, Ohio, Pennsylvania, Tennessee, West Virginia, and Alabama.

There are 60 defendants and they all face charges of unlawful distribution of controlled substances to healthcare fraud. Prosecutors claim physicians traded *…

Department of Justice charges 24 healthcare executives and doctors in $1.2B fraud scheme

1 year ago in Medicare/Medicaid Fraud

Twenty four telemedicine and medical equipment executives and physicians were recently charged by the U.S. Department of Justice (DOJ) for their alleged part in a $1.2 billion healthcare fraud scheme.