Medicare/Medicaid Fraud Message Board


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

3 months 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

3 months 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

4 months 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

4 months 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…

FDA Grants Fast Track Designation for FARXIGA in Heart Failure

13 hours ago

AstraZeneca today announced that the US Food and Drug Administration (FDA) has granted Fast Track designation for the development of FARXIGA (dapagliflozin) to reduce the risk of cardiovascular (CV) death or the worsening of heart failure in adults with heart failure with reduced ejection fraction (HFrEF) or preserved ejection fraction (HFpEF).

53 medical professionals charged in opioid takedown

5 months 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 *…

Intact Vascular to Announce One-Year Data from TOBA III Clinical Trial

13 hours ago

​Intact Vascular, Inc., a developer of medical devices for minimally invasive peripheral vascular procedures, today announced that the one-year data from its Tack Optimized Balloon Angioplasty (TOBA) III clinical trial will be presented during the High Impact Clinical Research session of the 31st

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

5 months 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.

National Lipid Association’s New Position Statement on Use of Icosapent Ethyl in High and Very-High-Risk Patients Recognizes Importance of Addressing Residual Cardiovascular Risk in Patients on Statins

14 hours ago

​Amarin Corporation plc (NASDAQ: AMRN), a pharmaceutical company focused on improving cardiovascular health, today announced that the National Lipid Association (NLA) has issued a position statement recognizing the cardiovascular risk-lowering effects of icosapent ethyl based on the landmark REDUCE-IT cardiovascular outcomes study.

Celgene Announces Phase 3 QUAZAR AML-001 Study of CC-486 as Maintenance Therapy in Patients With Newly Diagnosed Acute Myeloid Leukemia Met Primary and Key Secondary Endpoints

3 days ago

Celgene Corporation (NASDAQ: CELG) today announced top-line results from the international phase 3, randomized, double-blind, placebo-controlled study, QUAZAR AML-001. The study evaluated the efficacy and safety of investigational therapy CC-486 as maintenance therapy in patients with newly diagnosed acute myeloid leukemia (AML)

Urine Testing Fraud

8 months ago in Medicare/Medicaid Fraud

I don't think the poster said SCS was a scam. More like the all the urine testing that pain clinics are having done.

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