December 2011
December 29, 2011; U.S. Department of Justice
GE Healthcare Inc. Pays Us $30 Million to Resolve False Claims Act Allegations GE Healthcare Inc. has paid the United States $30 million, plus interest, to settle allegations that a company it acquired in 2004, Amersham Health Inc., had violated the False Claims Act by causing Medicare to overpay for Myoview, a radiopharmaceutical used in certain cardiac diagnostic imaging procedures, the Justice Department announced.
December 21, 2011; U.S. Attorney; Southern District of Texas
Former DME Company Owner Lands in Federal Prison for 12 Years HOUSTON - Benjamin Essien, the former owner of Durable medical Equipment (DME) companies Logic World Medical and Roben Medical in Houston, has been sentenced to 145 months in federal prison for defrauding the Texas Medicaid program, United States Attorney Kenneth Magidson announced today along with Texas Attorney General Greg Abbott. During sentencing this morning, U.S. District Judge Grey Miller explained that the Medicaid beneficiaries whose identities had been unlawfully used to defraud the government, were also to be considered victims of the scheme to defraud.
December 21, 2011; U.S. Attorney; District of Columbia
Medicare Recipient Pleads Guilty to Health Care Fraud WASHINGTON - Walt R. Wilson, 42, of Washington, D.C., has pled guilty to the lead count in an indictment, health care fraud, stemming from a scheme involving more than $71,000 in fraudulent Medicare payments.
December 20, 2011; U.S. Attorney; Northern District of Texas
Federal Grand Jury Indicts Medical Supply Company Owner Who Allegedly Entered Into A Fraudulent Marriage And Provided False Statements To Obtain Citizenship - Defendant Also Under Indictment in NDTX for Role in Health Care Fraud Scheme DALLAS - A federal grand jury in Dallas has indicted Plano, Texas, resident, Okey F. Nwagbara, 45, for making misrepresentations in immigration and naturalization documents that misled the government and prevented the government from examining material facts that may have prevented his naturalization. Nwagbara, who has been a naturalized citizen since 2008, was the owner/operator of Advanced MedEquip & Supplies Ltd., a durable medical equipment (DME) business in Richardson, Texas. Today's announcement was made by U.S. Attorney Sarah R. Saldaña of the Northern District of Texas.
December 20, 2011; U.S. Department of Justice
Fort Lauderdale, Florida-Area Halfway House Operator Pleads Guilty to Fraud and Kickback Scheme WASHINGTON - The manager and operator of a Fort Lauderdale, Fla.-area halfway house pleaded guilty yesterday for his role in a Medicare fraud kickback scheme that funneled patients to a fraudulent mental health provider, American Therapeutic Corporation (ATC), announced the Department of Justice, FBI and the Department of Health and Human Services.
December 20, 2011; U.S. Department of Justice
Three Operators of Miami Home Health Company Plead Guilty in $60 Million Health Care Fraud Scheme WASHINGTON - Three operators of a Miami health care agency pleaded guilty yesterday for their participation in a $60 million home health Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
December 19, 2011; U.S. Department of Justice
Justice Department Recovers $3 Billion in False Claims Act Cases in Fiscal Year 2011 WASHINGTON - The Justice Department secured more than $3 billion in settlements and judgments in civil cases involving fraud against the government in the fiscal year ending Sept. 30, 2011, Tony West, Assistant Attorney General for the Civil Division, announced today. This is the second year in a row that the department has surpassed $3 billion in recoveries under the False Claims Act, bringing the total since January 2009 to $8.7 billion - the largest three-year total in the Justice Department's history.
December 19, 2011; U.S. Department of Justice
Nurse, Administrator and Two Recruiters for Miami Home Health Companies Sentenced to Prison in $25 Million Health Care Fraud Scheme WASHINGTON - Two patient recruiters, a nurse and an administrator for two Miami home health care companies were sentenced today for their participation in a $25 million home health Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
December 16, 2011; U.S. Attorney; Southern District of Texas
Pharmacy Technician Pleads Guilty to Conspiring to Commit Health Care Fraud McALLEN, Texas - Valerie Jean Flores 38, of Mission, Texas, has been convicted of conspiracy to commit health care fraud, United States Attorney Kenneth Magidson announced today along with Texas Attorney General Greg Abbott. Flores was formerly employed a senior pharmacist technician by Sara Elicia Garza, 55, also of Mission - a pharmacist and owner and operator of Sara's Pharmacy and Gift Corner located in Mission.
December 14, 2011; U.S. Department of Justice
Three Patient Recruiters for Miami Home Health Companies Sentenced to Prison in $25 Million Health Care Fraud Scheme WASHINGTON - Two patient recruiters for a Miami health care agency were sentenced today to 18 and 12 months in prison, respectively, for their participation in a $25 million home health Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
December 14, 2011; U.S. Department of Justice
Owners of Houston Mental Health Company and Assisted Living Facility Indicted for Alleged Roles in $90 Million Medicare Fraud Scheme WASHINGTON - Two owners of a Houston mental health care company, Spectrum Care P.A., and the owner of a Houston assisted living facility were arrested today on charges related to their alleged participation in a $90 million Medicare fraud scheme, announced the Department of Justice, the Department of Health and Human Services and the FBI.
December 14, 2011; U.S. Attorney; Eastern District of Pennsylvania
Philadelphia Doctor Charged With Running Pill Mill PHILADELPHIA - A 23-count Indictment was returned and four Informations were unsealed today charging a total of eight defendants, including Philadelphia physician Dr. Kermit B. Gosnell and members of his former staff, in a drug conspiracy case. Gosnell is charged with illegally prescribing highly-addictive painkillers and sedatives outside the usual course of professional practice and not for a legitimate medical purpose, along with related charges.
December 14, 2011; U.S. Attorney; District of Arizona News Release
Pain Management Doctor and Clinic Administrator Indicted On 130 Counts PHOENIX- A federal grand jury in Phoenix returned a 130 count indictment against Angelo Chirban, 62, and Marilyn Chirban, 60, of Queen Creek, Arizona, for Conspiracy to Illegally Distribute Controlled Substances, Illegal Distribution of Controlled Substances, Health Care Fraud Conspiracy, Health Care Fraud, and Transactional Money Laundering.
December 12, 2011
Co-owners of Pocatello Physical Therapy, P.A. Sentenced in Federal Court POCATELLO - The co-owners of Pocatello Physical Therapy, P.A., were sentenced in U.S. District Court today for altering records in a federal health care audit, U.S. Attorney Wendy J. Olson announced. Dan DesFosses, 65, and Colin "Ric" Benedetti, 58, both of Pocatello, appeared before U.S. District Judge Edward J. Lodge at the federal courthouse. DesFosses and Benedetti were each sentenced to three years of probation. DesFosses was fined $1,000 and ordered to pay $9,757.66 in restitution. Benedetti was ordered to pay $2,442 in restitution. Both will be required to do 300 hours of community service.
December 13, 2011; U.S. Attorney; District of New Jersey
Fourteen New Jersey Health Care Providers Arrested, Charged With Taking Cash Payments for Patient Referrals NEWARK, N.J. - Thirteen New Jersey doctors and a nurse practitioner are charged in a cash-for tests referral scheme for allegedly taking illegal kickback payments to refer patients to an Orange, N.J., medical testing facility, New Jersey U.S. Attorney Paul J. Fishman and U.S. Department of Health and Human Services, Office of Inspector General Special Agent in Charge Tom O'Donnell announced.
December 12, 2011; U.S. Attorney; Western District of Missouri News Release
KC Woman, St. Louis Man Plead Guilty To Medicaid Kickbacks KANSAS CITY, Mo. - Beth Phillips, United States Attorney for the Western District of Missouri, announced that a Kansas City, Mo., woman and a St. Louis, Mo., man pleaded guilty in federal court today to kickbacks that were paid to refer Medicaid patients to a non-emergency medical transportation business.
December 12, 2011; U.S. Department of Justice
Minnesota-Based Medtronic Inc. Pays US $23.5 Million to Settle Claims That Company Paid Kickbacks to Physicians WASHINGTON - Medtronic Inc. of Fridley, Minn., has agreed to pay the United States $23.5 million to resolve allegations that it violated the False Claim Act by using physician payments related to post-market studies and device registries as kickbacks to induce doctors to implant the company's pacemakers and defibrillators, the Justice Department announced today.
December 9, 2011; U.S. Attorney; Northern District of Georgia
Atlanta Radiologist Sentenced to Prison ATLANTA, GA - RAJASHAHKER P. REDDY, 41, of Atlanta, Georgia, was sentenced to prison late yesterday by United States District Judge Orinda D. Evans on charges of health care fraud, wire fraud and mail fraud.
December 8, 2011; U.S. Attorney; Middle District of Louisiana News Release
Guilty Pleas in Baton Rouge, Louisiana, To Charges of Health Care Fraud and Money Laundering BATON ROUGE, LA - United States Attorney Donald J. Cazayoux, Jr. announced that SONYA LEWIS WILLIAMS, age 46, of Baton Rouge, Louisiana, pled guilty today before U.S. District Court Judge Frank J. Polozola to two counts of an indictment charging her with health care fraud and money laundering.
December 8, 2011; U.S. Attorney; Southern District of Texas
Houston Federal Jury Returns Guilty Verdicts in Health Care Fraud Trial HOUSTON - Kelvin Washington, 48, of Houston, has been convicted on all counts of health care fraud, conspiracy and violations of the anti-kickback statute charged against him, United States Attorney Kenneth Magidson announced today. The verdicts were returned less than an hour ago after six days of trial and three and a half hours of deliberation.
December 7, 2011; U.S. Attorney; Eastern District of California
Two Healthcare Systems Pay $2.3 Million Collectively To Settle Overpayment Claims SACRAMENTO, Calif. - United States Attorney Benjamin B. Wagner announced that Catholic Healthcare West has paid $875,564 and Sutter Health Association has paid $1,433,509 to the United States to settle allegations that certain of their affiliate hospitals overcharged the government for infusion therapy and lithotripsy services.
December 8, 2011; U.S. Department of Justice
Owner of Miami-Area Mental Health Company Sentenced to 35 Years in Prison for Orchestrating $205 Million Medicare Fraud Scheme WASHINGTON - The owner of a fraudulent Miami-area mental health care company, American Therapeutic Corporation (ATC), was sentenced today to 35 years in prison for orchestrating a $205 million Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
December 8, 2011; U.S. Attorney; District of New Jersey
Randolph, N.J., Otolaryngologist Pleads Guilty To Health Care Fraud NEWARK, N.J. - A North Caldwell, N.J., doctor today admitted his role in defrauding Blue Cross Blue Shield of more than $725,000 by submitting false claims for services he never performed, U.S. Attorney Paul J. Fishman announced.
December 8, 2011; U.S. Attorney; District of Maryland
Gaithersburg Man Sentenced For Possessing Child Pornography Greenbelt, Maryland - Chief U.S. District Judge Deborah K. Chasanow sentenced Andrew Liang, age 26, of Gaithersburg, Maryland, today to a year and a day in prison followed by five years of supervised release for possessing child pornography. Chief Judge Chasanow ordered that Liang pay a fine of $10,000 and that upon his release from prison, Liang must register as a sex offender in the place where he resides, where he is an employee, and where he is a student, under the Sex Offender Registration and Notification Act (SORNA).
December 7, 2011; U.S. Attorney; Central District of California
Shield Healthcare Pays $5 Million to Resolve 'Whistleblower' Lawsuit Alleging It Overbilled Medi-Cal Program for Incontinence Supplies Santa Ana, California - Shield Healthcare, a medical supply provider based in Santa Clarita, has paid the United States and the State of California a total of $5 million to resolve a "whistleblower" lawsuit alleging that the company submitted inflated bills to California's Medicaid program, Medi-Cal.
December 7, 2011; U.S. Attorney; Southern District of Texas
Palmview, Texas, Siblings Convicted of Health Care Fraud Conspiracy McALLEN, Texas - A co-owner and manager of a McAllen-area durable medical equipment (DME) business have both pleaded guilty to conspiracy to commit health care fraud for their roles in a scheme to defraud Medicare and Medicaid through fraudulent billings for power wheelchairs, United States Attorney Kenneth Magidson announced today.
December 6, 2011; U.S. Department of Justice
Detroit-Area Clinic Owner Pleads Guilty in Connection with Medicare Fraud Scheme WASHINGTON - A clinic owner pleaded guilty today for her participation in a Detroit-area Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
December 6, 2011; U.S. Department of Justice
Owners of Houston Health Care Company Sentenced to Prison for Medicare Fraud WASHINGTON - Two owners of a Houston durable medical equipment (DME) company were each sentenced to prison today for their roles in a Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services
December 6, 2011; U.S. Department of Justice
Doctor and Two Nurses Sentenced to Prison for Roles in $25 Million Miami Health Care Fraud Scheme WASHINGTON - Two nurses and a doctor were sentenced yesterday in Miami federal court for their participation in a $25 million home health Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
December 6, 2011; U.S. Department of Justice
St. Louis-Based KV Pharmaceutical to Pay $17 Million to Settle False Claims Allegations WASHINGTON - KV Pharmaceutical Company, which was the St. Louis-based parent company of now-defunct Ethex Corporation, will pay $17 million to resolve False Claims Act allegations that Ethex failed to advise the Centers for Medicare and Medicaid Services (CMS) that two unapproved products did not qualify for coverage under federal health care programs, the Justice Department announced today. Ethex is alleged to have submitted false quarterly reports to the government related to a pair of drugs, Nitroglycerin Extended Release Capsules (Nitroglycerin ER) and Hyoscyamine Sulfate Extended Release Capsules (Hyoscyamine ER).
December 2, 2011; U.S. Department of Justice
Detroit-Area Clinic Owner Sentenced to 78 Months in Prison for Role in $9.1 Million Medicare Fraud Scheme WASHINGTON - Joaquin Tasis was sentenced today to 78 months in prison for his role in a $9.1 million Detroit-area Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
December 2, 2011; U.S. Attorney; Eastern District of Virginia
Woodbridge Woman Sentenced to 51 Months for Defrauding Medicaid of Nearly $1 Million ALEXANDRIA, Va. - Yanick Pierre, 51, of Woodbridge, Va., was sentenced today to 51 months in prison, followed by a three-year term of supervised release, for fraudulently billing Medicaid nearly $1 million from August 2008 to May 2010.
December 2, 2011; U.S. Attorney; District of Massachusetts
Dorchester Pharmacist Sentenced for Medicaid Fraud BOSTON - A Dorchester pharmacist was sentenced yesterday in federal court for conspiracy to defraud the United States government by submitting false claims to Medicaid, a federally-funded program.
December 1, 2011; U.S. Attorney; Middle District of Pennsylvania
Pennsylvania Hospice to Pay U.S. $10.56 Million Settlement The United States Attorney's Office for the Middle District of Pennsylvania, and the U.S. Department of Health and Human Services, Office of the Inspector General, announced today that Diakon Lutheran Social Ministries d/b/a Diakon Hospice Saint John (Diakon) has agreed to resolve its liability for violations of the False Claims Act (FCA) by paying the United States $10.56 million.
November 2011
November 30, 2011; U.S. Department of Justice
Pompano Beach, Fla.-Area Assisted Living Facility Owner Pleads Guilty to Fraud and Kickback Scheme WASHINGTON - The owner and operator of a Pompano Beach, Fla.-area assisted living facility pleaded guilty today for his role in a Medicare fraud kickback scheme that funneled patients through a fraudulent mental health company and a Medicaid fraud scheme that billed for assisted living services that were never provided, announced the Department of Justice, the FBI, the Department of Health and Human Services (HHS) and the Medicaid Fraud Control Unit (MFCU) of the Florida Office of the Attorney General.
November 29, 2011; U.S. Attorney; Southern District of Texas
Local Music Producer and Club Owner Convicted on Multiple Federal Charges HOUSTON - Julian Kimble, 46, has pleaded guilty to conspiracy to commit healthcare fraud, conspiracy to commit money laundering and tax evasion, United States Attorney Kenneth Magidson announced today. Kimble is the owner of Pearl Records and Pearl Entertainment and investor in Grooves Restaurant & Lounge.
November 29, 2011; U.S. Department of Justice
Patient Recruiter Pleads Guilty in Connection with $5.4 Million Medicare Fraud Scheme in Detroit WASHINGTON - A patient recruiter pleaded guilty today for his participation in a Medicare fraud scheme operated out of three Detroit-area health care clinics, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS).
November 29, 2011; U.S. Department of Justice
Owner of Houston Health Care Company Pleads Guilty to Defrauding Medicare WASHINGTON - The owner of a Houston health care company pleaded guilty today in connection with a Medicare fraud scheme involving durable medical equipment (DME), announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS).
November 28, 2011; U.S. Attorney; Eastern District of Michigan
Southfield Family Practice Doctor, Dr. Gwendolyn Washington, Sentenced To 120 Months For Public Corruption, Illegal Prescription Drug Trafficking And Health Care Fraud Dr. Gwendolyn Washington, M.D., age 67, was sentenced today to 120 months imprisonment for public corruption, health care fraud, and conspiring to illegally distribute prescription drugs, United States Attorney Barbara L. McQuade announced. McQuade was joined in the announcement by Andrew G. Arena, Special Agent in Charge, Federal Bureau of Investigation, Detroit Field Division and Lamont Pugh, III, Special Agent in Charge, Department of Health and Human Services, Office of Inspector General. Dr. Washington was sentenced by the Honorable Paul D. Borman.
November 22, 2011; U.S. Department of Justice
Detroit-Area Foot Doctor Pleads Guilty to Medicare Fraud Scheme WASHINGTON - A Detroit-area foot doctor pleaded guilty today for his participation in a Medicare fraud scheme, announced the Department of Justice, FBI and the Department of Health and Human Services (HHS).
November 22, 2011; U.S. Department of Justice
U.S. Pharmaceutical Company Merck Sharp & Dohme to Pay Nearly One Billion Dollars Over Promotion of Vioxx® WASHINGTON - American pharmaceutical company Merck, Sharp & Dohme has agreed to pay $950 million to resolve criminal charges and civil claims related to its promotion and marketing of the painkiller Vioxx® (rofecoxib), the Justice Department announced today. Under the terms of the resolution, Merck will plead guilty to a one-count information charging a single violation of the Food Drug and Cosmetic Act (FDCA) for introducing a misbranded drug, Vioxx�, into interstate commerce. Under the terms of its plea agreement with the United States, Merck will plead guilty to a misdemeanor for its illegal promotional activity and will pay a $321,636,000 criminal fine.
November 22, 2011; U.S. Department of Justice
United States Files Complaint Against BestCare Laboratory Services Alleging False Claims for Medicare Funds WASHINGTON - The United States filed a complaint against BestCare Laboratories, Inc. and its founder and principal, Karim A. Maghareh, in the U.S. District Court for the Southern District of Texas, the Justice Department announced today. The suit alleges that the defendants knowingly misrepresented the distances traveled by its lab technicians to artificially increase reimbursement from Medicare for mileage-based technician travel allowance fees.
November 21, 2011; U.S. Attorney; Southern District of Florida
Miami Man Sentenced For Stealing Identity Information From DCF Computers For Use In Medicare Fraud Scam Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Henry Gutierrez, Postal Inspector in Charge, United States Postal Inspection Service, Miami Division, Vance Luce, Acting Special Agent in Charge, U.S. Secret Service, John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office, and James K. Loftus, Director, Miami-Dade Police Department, announced today's sentencing of Yenky Sanchez, 25, of Miami, for conspiring to commit health care fraud, in violation of Title 18, United States Code, Section 1349; conspiring to commit authentication feature fraud, in violation of Title 18, United States Code, Sections 1028(a)(3) and (f); and aggravated identity theft, in violation of Title 18, United States Code, Section 1028A(a)(1). U.S. District Judge Cecilia M. Altonaga sentenced Sanchez to 65 months in prison, followed by three years of supervised release. Judge Altonaga also imposed a $5,000.00 fine.
November 21, 2011; U.S. Attorney; District of New Jersey
Former Maxim Healthcare Services Senior Manager Sentenced to Prison for Health Care Fraud TRENTON, N.J. - A former senior manager and 13-year employee of Maxim Healthcare Services, Inc. ("Maxim"), was sentenced today to five months in prison and five months of home confinement with electronic monitoring for his involvement in the unlicensed operation of Maxim office that billed nearly a million dollars to government health care programs, J. Gilmore Childers, First Assistant U.S. Attorney announced.
November 17, 2011; U.S. Attorney; District of Rhode Island
Nationwide Supplier of Medical Equipment Pleads Guilty to Health Care Fraud, Money Laundering & Selling Adulterated and Misbranded Medical Devices PROVIDENCE, R.I. - The owner of Planned Eldercare, a nationwide supplier of durable medical equipment located in Buffalo Grove, Ill., pled guilty today in U.S. District Court in Providence, R.I., to defrauding the Medicare program by targeting arthritic and/or diabetic Medicare beneficiaries, and ensuring that his company ordered and shipped medical equipment and supplies to Medicare beneficiaries that they did not order and/or were not medically necessary.
November 17, 2011; U.S. Department of Justice
Houston Patient Recruiter Sentenced to 21 Months in Prison for Medicare Fraud Scheme Involving Claims of Hurricane Damage to Power Wheelchairs WASHINGTON - A patient recruiter for a Houston durable medical equipment (DME) company was sentenced today to 21 months in prison for her role in a health care fraud scheme involving power wheelchairs, announced the Department of Justice, FBI and the Department of Health and Human Services.
November 17, 2011; U.S. Attorney; Northern District of California
Three Bay Area Residents Charged With Oxycodone Trafficking SAN FRANCISCO - A federal grand jury in San Francisco returned an indictment in which three Bay Area residents are charged variously with conspiracy; possession with intent to distribute oxycodone and oxymorphone; distribution of oxycodone and oxymorphone; and possession of a firearm by a felon, United States Attorney Melinda Haag announced. The prosecution is the result of a seven month, multi-district investigation by the Federal Bureau of Investigation, Drug Enforcement Agency, and Health and Human Services.
November 17, 2011; U.S. Department of Justice
Fort Lauderdale, Fla.-Area Assisted Living Facility Manager Pleads Guilty to Fraud and Kickback Scheme WASHINGTON - The manager of a Fort Lauderdale, Fla.-area assisted living facility and owner of a purported community mental health center pleaded guilty yesterday for his role in a Medicare fraud kickback scheme that funneled patients through a fraudulent mental health company, American Therapeutic Corporation (ATC), announced the Department of Justice, FBI and Department of Health and Human Services.
November 16, 2011; U.S. Attorney; District of New Jersey
Top New Jersey Prescriber of Drugs to Medicaid Patients Sentenced to 43 Months in Prison for Fraud Scheme Involving Fake Physicians NEWARK, N.J. - A doctor with a practice in Elizabeth, N.J., was sentenced today to 43 months in prison for operating a health care fraud scheme in which patients were exposed to treatment during 20,000 patient visits from individuals who made as little as $10 an hour to pose as licensed physicians, U.S. Attorney Paul J. Fishman announced.
November 16, 2011; U.S. Attorney; Southern District of Texas
Houston Man Arrested for Health Care Fraud HOUSTON - Endurance Iyamu, 47, of Houston, has been indicted and arrested for devising and executing a scheme to commit health care fraud, United States Attorney Kenneth Magidson announced today. Iyamu will appear for his arraignment and detention hearing on Friday, Nov. 18.
November 16, 2011; U.S. Attorney; Southern District of Texas
Arrested in Florida, Couple to Appear in Houston on Charges of Bankruptcy Fraud HOUSTON - Husband and wife Michael Giventer and Julia Shvabskaya have been arrested for devising and executing a scheme to commit bankruptcy fraud and defrauding several creditors in Texas and elsewhere, U.S. Attorney Kenneth Magidson announced today. Giventer and Shvabskaya orchestrated the formation of multiple business entities allegedly dedicated to providing healthcare services.
November 15, 2011; U.S. Attorney; Northern District of Texas
Owner And Associates Of Euless Healthcare Corporation Arrested On Conspiracy And Health Care Fraud Charges DALLAS - Three defendants who have been charged in a federal indictment, unsealed today, with various offenses related to their involvement in the operation of Euless Healthcare Corporation, were arrested this morning by special agents with the FBI and the U.S. Department of Health and Human Services - Office of the Inspector General, announced U.S. Attorney Sarah R. Salda�a of the Northern District of Texas.
November 15, 2011; U.S. Attorney; Western District of North Carolina
Monroe Physician To Pay $950,000 To Settle Government Civil Fraud Allegations Millicent Francis-Lane, M.D. has agreed to pay $950,000 to the North Carolina Medicaid Program to resolve False Claims Act allegations, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina and North Carolina Attorney General Roy Cooper. Dr. Francis-Lane owns Union County Women's Care, which has offices in Monroe, N.C.
November 14, 2011; U.S. Department of Justice
U.S. Attorney General Holder and Dominican Prosecutor General Jiménez Sign Agreement to Share $7.5 Million in Forfeited Assets as Countries Agree to Share Assets Forfeited in Medicare Fraud Case SANTO DOMINGO - Attorney General Eric Holder joined today with Dominican Prosecutor General Radhamés Jiménez Peña in Santo Domingo, Dominican Republic, to announce the signing of a case-specific agreement to share approximately $7.5 million in forfeited assets between the United States and the Dominican Office of the Prosecutor General. The United States expects to recover an additional approximately $30 million in forfeited assets as part of the agreement.
November 14, 2011; U.S. Department of Justice
Miami-Area Patient Recruiter Pleads Guilty to Fraud and Kickback Scheme WASHINGTON - The owner and president of a Miami-area transportation company pleaded guilty today for her role in a Medicare fraud kickback scheme that funneled patients through a fraudulent mental health company, American Therapeutic Corporation (ATC), announced the Department of Justice, FBI and Department of Health and Human Services.
November 14, 2011; U.S. Attorney; District of New Jersey
Fugitive Returned From Pakistan After 13 Years Sentenced To Prison For 1997 Health Care Fraud TRENTON, N.J. - A Jersey City, N.J., man who fled to Pakistan to avoid prosecution over a decade ago was sentenced today to 21 months in prison for defrauding Medicare of approximately $126,000 by submitting false claims in 1997, U.S. Attorney Paul J. Fishman announced.
November 14, 2011; U.S. Attorney; Southern District of Texas
Former Houston Doctor Sentenced to Federal Prison HOUSTON - A former Houston physician has been sentenced to 70 months in prison following his convictions for conspiracy to commit mail fraud and mail fraud, United States Attorney Kenneth Magidson announced today.
November 10, 2011; U.S. Attorney; Western District of Washington
South Sound Doctor Convicted Of Multiple Counts Of Healthcare Fraud, Tax Crimes AndDrug Distribution Antoine Johnson, 40, a former resident of Aberdeen, Washington, and his mother, Lawanda Johnson, were convicted today in U.S. District Court in Tacoma of more than two dozen federal felonies connected with their operation of four health care clinics in Western Washington. Following the three week jury trial, Antoine Johnson and Lawanda Johnson were convicted of 24 counts of health care fraud. Antoine Johnson was also convicted of 4 counts of filing false income tax returns and five counts of illegal drug distribution. Lawanda Johnson was convicted of six counts of filing false income tax returns. The jury deliberated about two and a half days before returning the guilty verdicts. U.S. District Judge Ronald B. Leighton scheduled sentencing for February 3, 2012.
November 10, 2011; U.S. Attorney; District of Maryland
Salisbury Cardiologist Sentenced To Over 8 Years In Prison For Implanting Unnecessary Cardiac Stents Baltimore, Maryland - U.S. District Judge William D. Quarles, Jr. sentenced cardiologist John R. McLean, age 59, of Salisbury, Maryland, today to 97 months in prison followed by three years of supervised release for six health care fraud offenses in connection with a scheme in which Dr. McLean submitted insurance claims for inserting unnecessary cardiac stents, ordered unnecessary tests and made false entries in patient medical records, in order to defraud Medicare, Medicaid and private insurers. Judge Quarles also ordered that McLean pay restitution to Medicare and the other health insurance programs of $579,070. Judge Quarles also ordered McLean to forfeit $579,070 as proceeds of the crime.
November 10, 2011; U.S. Department of Justice
Fort Lauderdale-area Halfway House Owners Plead Guilty to Kickback Scheme WASHINGTON - The two managers and operators of a Fort Lauderdale, Fla.-area halfway house company pleaded guilty today for their role in a Medicare fraud kickback scheme that funneled patients through a fraudulent mental health company, American Therapeutic Corporation (ATC), announced the Department of Justice, FBI and Department of Health and Human Services.
November 8, 2011; U.S. Department of Justice
Miami-Area Patient Recruiter Pleads Guilty in $25 Million Health Care Fraud Scheme WASHINGTON - A patient recruiter of a Miami health care agency pleaded guilty yesterday for her participation in a $25 million home health Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
November 8, 2011; U.S. Attorney; Middle District of Tennessee
Vanguard Health Care, Vanguard Health Care Ancillary to Pay two Million Dollars to Settle False Claims Act Allegations Vanguard and its wholly owned subsidiary, Vanguard Health Care Ancillary, have agreed to pay the United States and the State of Tennessee two million dollars to settle False Claims Act allegations, announced Jerry E. Martin, U.S. Attorney for the Middle District of Tennessee.
November 4, 2011; U.S. Attorney; Middle District of North Carolina
Area Dentist Pleads Guilty To Health Care Fraud GREENSBORO, N.C. - United States Attorney Ripley Rand announced that Greensboro dentist Tung Thai Nguyen pleaded guilty yesterday to health care fraud charges in connection with false claims submitted to Medicaid.
November 3, 2011; U.S. Department of Justice
Former "Most Wanted" Health Care Fraud Fugitives Sentenced to 14 Years in Prison for $9.1 Million Detroit Medicare Fraud Scheme WASHINGTON - Two sisters who owned a fraudulent Detroit-area medical clinic and who are former "Most Wanted" health care fraud fugitives were each sentenced in Miami today to 14 years in prison for their leading roles in a $9.1 million Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS).
November 3, 2011; U.S. Attorney; Southern District of West Virginia
Federal Jury Convicts Man On Charges Related To Health Care Fraud Scheme CHARLESTON, W.Va. - Sargis Tadevosyan, 42, an Armenian citizen, was convicted today by a federal jury in connection with a health care fraud scheme that intended to defraud millions of dollars from Medicare, announced U.S. Attorney Booth Goodwin. After a four-day trial, Tadevosyan was found guilty of two felony counts: conspiracy to commit health care fraud and wire fraud and aggravated identity theft.
November 3, 2011; U.S. Department of Justice
Detroit-Area Man Arrested In Connection With $30 Million Medicare Home Health Scheme WASHINGTON - A Detroit-area resident was charged and arrested today in the Eastern District of Michigan for his alleged leading role in a $30 million Medicare fraud scheme involving home health services, announced the Department of Justice, the Department of Health and Human Services (HHS), the FBI and the HHS-Office of Inspector General (OIG). In addition to the arrest, law enforcement agents executed search warrants at five locations, seizure warrants for 31 bank accounts related to the scheme and suspended Medicare payments to 16 health care companies associated with the scheme.
November 2, 2011; U.S. Attorney; Southern District of Texas
Medical Equipment Business Owner and Manager Arrested for Health Care Fraud and Aggravated Identity Theft McALLEN, Texas - A co-owner and manager of a McAllen-area durable medical equipment (DME) business have been indicted by a federal grand jury and charged with conspiracy to commit health care fraud, multiple counts of health care fraud and aggravated identity theft for their alleged roles in a scheme to defraud Medicare and Medicaid through fraudulent billings for power wheelchairs, United States Attorney Kenneth Magidson announced today. Both were arrested approximately an hour and a half ago without incident.
November 2, 2011; U.S. Attorney; District of Rhode Island
R.I. Ambulance Company Owner Sentenced To 24 Months In Federal Prison For Health Care Fraud; Ordered To Pay More Than $700,000 In Restitution PROVIDENCE, R.I. - The owner and president of a Warwick, R.I., ambulance company was sentenced today to 24 month in federal prison, 3 years supervised release and 1,000 hours of community service for defrauding health care programs administered by Medicare and Blue Cross Blue Shield of Rhode Island of more than $700,000.
November 2, 2011; U.S. Department of Justice
Brooklyn, N.Y., Medicare Fraud Strike Force Charges 12 Individuals for Participating in Health Care Fraud Schemes Totaling More Than $95 Million WASHINGTON - Twelve individuals, including three medical doctors, a doctor of osteopathy and a chiropractor, were charged today in the Eastern District of New York for their roles in separate health care fraud schemes that resulted in the submission of more than $95 million in false claims to the Medicare program, announced the Department of Justice, the FBI and the Department of Health and Human Services.
November 1, 2011; U.S. Attorney; Southern District of Texas
Medical Equipment Business Owner and Manager Arrested for Health Care Fraud and Aggravated
Identity Theft McALLEN, Texas - A co-owner and manager of a McAllen-area durable medical equipment (DME) business have been indicted by a federal grand jury and charged with conspiracy to commit health care fraud, multiple counts of health care fraud and aggravated identity theft for their alleged roles in a scheme to defraud Medicare and Medicaid through fraudulent billings for power wheelchairs, United States Attorney Kenneth Magidson announced today. Both were arrested approximately an hour and a half ago without incident.
November 1, 2011; U.S. Attorney; Southern District of Texas
Home Healthcare Nurse Sentenced to Federal Prison McALLEN, Texas - A former home healthcare nurse has been sentenced to federal prison without parole for making false statements relating to health care matters, United States Attorney Kenneth Magidson announced today.
October 2011
October 31, 2011; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Recovers $70 Million In Medicaid False Claims Act Lawsuit Against
New York City Preet Bharara, the United States Attorney for the Southern District of New York, announced today that the United States has settled a civil health care False Claims Act lawsuit it filed in January 2011 against the City of New York (the "City") for $70 million. The lawsuit alleges that the City improperly administered the Medicaid personal care services program by authorizing personal care services for Medicaid beneficiaries without the legally required assessments and approvals. The lawsuit further alleges that between 2000 and 2010, the United States paid tens of millions of dollars in reimbursements for these services. The settlement was approved yesterday and entered in Manhattan federal court today by U.S. District Court Judge Jed S. Rakoff.
October 31, 2011; U.S. Attorney; Southern District of Indiana
United States Attorney Hogsett Announces Conviction Of Fort Wayne Woman For Health Care Fraud INDIANAPOLIS - Joseph H. Hogsett, United States Attorney for the Southern District of Indiana, announced today that Kateen Morris, 44, of Fort Wayne, was sentenced to 12 months in prison and ordered to pay nearly $400,000 in restitution to Hoosier taxpayers by U.S. District Judge William T. Lawrence following her guilty plea to health care fraud. Hogsett also announced that federal law enforcement agents have already recovered $337,999.75 in ill-gotten gains from Morris as part of their investigation.
October 31, 2011; U.S. Department of Justice
Owner of Houston Health Care Company Sentenced to 41 Months in Prison in Connection with $1.3 Million Medicare Fraud Scheme WASHINGTON - An owner and operator of a Houston durable medical equipment (DME) company was sentenced today in Houston federal court to 41 months in prison for his role in a Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
October 28, 2011; U.S. Attorney; Southern District of Texas
Local Doctor Gets 11+ Years in Health Care Fraud Scheme HOUSTON - Houston doctor Christina Joy Clardy, 57, has been sentenced to 135 months in federal prison for her role in a massive health care fraud conspiracy that billed the federal Medicare and Texas Medicaid programs for $45,039,230 over a two-and-a-half-year period, United States Attorney Kenneth Magidson announced today. Clardy was sentenced just a short while ago in federal court in Houston.
October 27, 2011; U.S. Attorney; Southern District of Texas
Houston Chiropractor Pleads Guilty to Health Care Fraud Conspiracy HOUSTON - Justina Okehie aka Dr. Tina Collins, 55, of Richmond, Texas, has pleaded guilty to one count of conspiracy to commit health care fraud, United States Attorney Kenneth Magidson announced today.
October 27, 2011; U.S. Attorney; Central District of California
Authorities Arrest 16 Linked to $18 Million Health Care Fraud Scheme Involving Bogus Prescriptions for Expensive Anti-Psychotic Drugs LOS ANGELES - Sixteen people associated with a Glendale medical clinic, including a doctor and the owners of a San Marino pharmacy, were arrested this morning on criminal charges related to an $18 million scheme to defraud Medicare and Medi-Cal by, among other things, fraudulently prescribing expensive anti-psychotic medications, and then re-billing the government for those drugs over and over.
October 27, 2011; U.S. Department of Justice
California-Based DFine Inc. to Pay U.S. More Than $2.3 Million to Settle Claims That Company Paid Kickbacks to Physicians WASHINGTON - DFine Inc. of San Jose, Calif., has agreed to pay the United States $2.39 million to resolve allegations under the False Claims Act (FCA) that the company paid kickbacks to induce physicians to use certain of the company's devices that are used in treating spinal fractures, the Justice Department announced today.
October 26, 2011; U.S. Department of Justice
California-Based DFine Inc. to Pay U.S. More Than $2.3 Million to Settle Claims That Company Paid Kickbacks to Physicians WASHINGTON - DFine Inc. of San Jose, Calif., has agreed to pay the United States $2.39 million to resolve allegations under the False Claims Act (FCA) that the company paid kickbacks to induce physicians to use certain of the company's devices that are used in treating spinal fractures, the Justice Department announced today.
October 24, 2011; U.S. Attorney; Middle District of Florida
Major Principals of DME Company Sentenced for Medicare and Medicaid Fraud TAMPA, FL-U.S. Attorney Robert E. O'Neill announces that U.S. District Judge Virginia Hernandez Covington sentenced Gregory Bane (41, Valrico), the vice president for operations and IT manager of Bane Medical Services and Oxygen and Respiratory Therapy to three years in federal prison for conspiracy to commit health care fraud, health care fraud, and submitting false claims. Tracy Bane (41, Valrico), the billing supervisor, was sentenced to six months in federal prison, and 18 months of house arrest for conspiracy to commit health care fraud, health care fraud, and submitting false claims.
October 21, 2011; U.S. Department of Justice
Pfizer to Pay $14.5 Million for Illegal Marketing of Drug Detrol WASHINGTON - American pharmaceutical company Pfizer Inc. has agreed to pay $14.5 million to resolve False Claims Act allegations related to its marketing of the drug Detrol, the Justice Department announced today. The settlement resolves the last of a group of 10 qui tam, or whistleblower, suits that were filed in the District of Massachusetts and two other districts, beginning in 2003. The other nine suits were settled or dismissed in 2009 as part of the government's global resolution with Pfizer, under which the company agreed to pay $2.3 billion dollars to resolve civil claims and criminal charges regarding multiple drugs.
October 20, 2011; U.S. Attorney; Southern District of New York
Twenty-Four Defendants Charged In Health Care Billing Scams That Defrauded Insurance Companies, Medicare, And Medicaid Out Of Millions Of Dollars Preet Bharara, the United States Attorney for the Southern District of New York, Janice K. Fedarcyk, the Assistant Director-in-Charge of the New York Office of the Federal Bureau of Investigation ("FBI"), Raymond W. Kelly, the Police Commissioner of the City of New York ("NYPD"), Thomas O'Donnell, the Special Agent-in-Charge of the New York Office of the Inspector General, Department of Health and Human Services ("HHS"), and Benjamin M. Lawsky, the Superintendent of the New York Department of Financial Services ("NY DFS"), announced today the unsealing of three separate Indictments, charging 24 defendants with health care fraud. Two of the Indictments charge a total of 22 defendants with participating in fraudulent billing scams that caused no-fault insurance carriers to pay out millions of dollars in reimbursements for medical treatments that were never provided to patients or that were medically unnecessary.
October 20, 2011; U.S. Attorney; Western District of North Carolina
Charlotte Woman Sentenced To 92 Months In Prison For Medicaid Fraud CHARLOTTE, N.C. - Sarah Lavonne Willis, 49, of Charlotte, was sentenced on Monday, October 17, 2011, to serve 92 months in federal prison, to be followed by three years of supervised release for committing healthcare fraud, money laundering, failure to file tax returns, and possession of a firearm by a convicted felon, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina. U.S. District Judge Max O. Cogburn, Jr. also ordered Willis to pay restitution in the amount of $1,085,041.78 to the North Carolina Medicaid Program and $145,197 to the Internal Revenue Service.
October 20, 2011; U.S. Attorney; Western District of North Carolina
Owner Of Charlotte Health Care Company Sentenced To Prison For $1.9 Million Medicaid Fraud CHARLOTTE, N.C. - The owner of a Charlotte mental and behavioral health services company was sentenced on Tuesday, October 18, 2011, to serve 15 months in federal prison, to be followed by three years of supervised release for his role in a Medicaid fraud scheme, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina.
October 19, 2011; U.S. Department of Justice
Miami-Area Halfway House Owner Pleads Guilty to Fraud and Kickback Scheme WASHINGTON - The owner and president of a Miami-area halfway house company pleaded guilty today for her role in a kickback scheme that funneled patients to a fraudulent mental health provider, American Therapeutic Corporation (ATC), and its related company, the American Sleep Institute (ASI), announced the Department of Justice, FBI and Department of Health and Human Services (HHS).
October 19, 2011; U.S. Attorney; Southern District of Indiana
United States Attorney's Office Recovers $578,820 From Louisville Company In Indiana Health Care Fraud Case JEFFERSONVILLE - Joseph H. Hogsett, United States Attorney, announced today that civil claims against Premier Home Care, a durable medical equipment provider operating in southern Indiana, as well as central and southeastern Kentucky, have been resolved. Premier has agreed to pay $578,820 to the United States and $21,180 to the State of Indiana, more than twice the estimated damages resulting from the fraudulent acts.
October 18, 2011; U.S. Attorney; District of Maine
Kittery Respiratory Therapist and Business Plead Guilty to Health Care Fraud Offenses Portland, Maine -- United States Attorney Thomas E. Delahanty II announced today that Seacoast Sleep Solutions, LLC, and its President, Peter Enzinger, of Kittery, each pled guilty in U.S. District Court in Portland to committing health care fraud.
October 18, 2011; U.S. Department of Justice
FDA Chemist Pleads Guilty to Using Insider Information to Trade on Pharmaceutical Stocks Resulting in Almost $4 Million in Profits WASHINGTON - A Food and Drug Administration chemist pleaded guilty today before U.S. District Court Judge Deborah K. Chasanow in the District of Maryland to one count of securities fraud and one count of making false statements, related to a $3.7 million insider trading scheme that spanned nearly five years.
October 15, 2011; U.S. Attorney; Southern District of Indiana
Hogsett Announces Indianapolis Man Charged With Medicaid Fraud INDIANAPOLIS - Joseph H. Hogsett, United States Attorney, announced today that Ahmed Mohamed Abugroon, 56, of Indianapolis, Indiana, was charged with health care fraud\ following an investigation by the Federal Bureau of Investigation and the Indiana Attorney General's Medicaid Fraud Control Unit.
October 14, 2011; U.S. Department of Justice
Montgomery, Alabama, Woman Pleads Guilty to Two Tax Fraud and Identity Theft Conspiracies - Multi-Million Dollar Fraud Schemes Used Stolen Information of Medicaid Recipients WASHINGTON - Veronica Dale, a resident of Montgomery, Ala., pleaded guilty today to two tax fraud and identity theft conspiracies, the Justice Department and the Internal Revenue Service (IRS) announced. In addition to pleading guilty to two counts of conspiracy to defraud the government with respect to claims, Dale pleaded guilty to two counts of filing false, fictitious or fraudulent claims with the United States; two counts of theft of government money, property or records; one count of wire fraud; and one count of aggravated identity theft.
October 14, 2011; U.S. Attorney; Middle District of Louisiana
Jury Convicts Former Director Of The Louisiana Governor's Program On Abstinence Of Mail Fraud BATON ROUGE, LA - United States Attorney Donald J. Cazayoux, Jr. announced that a federal jury has returned a guilty verdict against Gail Ray Dignam, age 64, currently of Diamondhead, Mississippi, and formerly of Baton Rouge, convicting the defendant of two counts of mail fraud. The verdict followed a three-day trial before United States District Judge James J. Brady.
October 13, 2011; U.S. Department of Justice
Owners of Fraudulent Lakeland, Florida, Physical Therapy Company Sentenced to 42 and 46 Months in Prison WASHINGTON - Miami-area residents Angel Gonzalez and Jorge Zamora, who were the owners and operators of a fraudulent physical therapy company in Lakeland, Fla., were sentenced yesterday and today to 42 months in prison and 46 months in prison, respectively, for their leading roles in a scheme to defraud Medicare, announced the Department of Justice, the FBI and the Department of Health and Human Services.
October 13, 2011; U.S. Attorney; Central District of California
Grand Jury Indicts 14 in L.A.-Based OxyContin Ring that Allegedly Distributed Over 1 Million Pills of the Highly Addictive Painkillers LOS ANGELES - Federal and state authorities this morning arrested 10 defendants - including two doctors - who are named in a federal indictment that alleges members of a drug trafficking organization illegally obtained and distributed more than 1 million OxyContin pills obtained largely through fraud against public insurance programs such as Medicare.
October 13, 2011; U.S. Attorney; Middle District of Louisiana
Sixth Sentenced For Scheme To Defraud Medicare BATON ROUGE, LA - United States Attorney Donald J. Cazayoux, Jr., announced today that Chief United States District Judge Brian Jackson sentenced Ray Kirt, 45, a resident of New Iberia, Louisiana. Kirt was sentenced to serve forty-two months in prison, to pay restitution of $1,063,873 to Medicare, to forfeit the gross proceeds of his scheme to defraud Medicare, and to three years supervised release after imprisonment. Kirt had previously pled guilty to two counts of health care fraud.
October 12, 2011; U.S. Department of Justice
Owner of Houston Health Care Company Sentenced To 33 Months in Prison for Medicare Fraud WASHINGTON - The owner and operator of a Houston durable medical equipment (DME) company was sentenced yesterday in Houston federal court to 33 months in prison for his role in a Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
October 12, 2011; U.S. Attorney; Eastern District of Pennsylvania
Hospice Owner Charged In Health Care Fraud Scheme PHILADELPHIA - An indictment1 was unsealed today charging Matthew Kolodesh, a/k/a "Matvei Kolodech", with conspiracy to defraud Medicare of more than $14 million through his home hospice business, announced United States Attorney Zane David Memeger. Kolodesh was arrested this morning.
October 11, 2011; U.S. Attorney; Southern District of Florida
Twenty-Four Indicted In Oxycodone Trafficking And Health Care Fraud Scheme Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Mark R. Trouville, Special Agent in Charge, Drug Enforcement Administration, Christopher B. Dennis, Special Agent in Charge, Health and Human Services, Office of Inspector General, Jos� A. Gonzalez, IRS Special Agent in Charge, Director James K. Loftus, Miami-Dade Police Department, Al Lamberti, Sheriff, Broward Sheriff's Office, and H. Frank Farmer, M.D., State Surgeon General, Florida Department of Health (DOH), announced the unsealing of a federal indictment charging twenty four defendants for their participation in, among other things, conspiracy to distribute oxycodone and oxymorphone, and conspiracy to defraud Medicare. Twenty-one of the defendants, including a doctor, a pharmacist and two pain clinic operators are currently in custody after a multi-agency takedown was executed early this morning. Three defendants, Hattie Mae Green, Eliezer Salgado and Ronald Regains, remain at large.
October 11, 2011; U.S. Attorney for the District of Minnesota
Home Health Care Agency Owner Pleads Guilty To Aggravated Identity Theft Related To Health Care Fraud MINNEAPOLIS-Recently in federal court, the operator of Universal Home Health, a home health care agency located in Golden Valley, pleaded guilty to an offense related to defrauding Medicaid. On October 7, 2011, Mustafa Hassan Mussa, age 56, of Minnetonka, pleaded guilty to one count of aggravated identity theft. Mussa, who was charged on August 18, 2011, entered his plea before United States District Court Judge Susan Richard Nelson.
October 7, 2011; U.S. Attorney; Eastern District of Arkansas
Former Medical Equipment Supplier Pleads Guilty To Health Care Fraud Little Rock - Christopher R. Thyer, United States Attorney for the Eastern District of Arkansas, announced today the guilty plea of Archibong Edem-Effoing, age 58, of Houston, Texas. Edem-Effoing pled guilty to one count of health care fraud in violation of Title 18, United States Code, Section 1347. At the plea hearing held before United States District Judge Brian S. Miller, Edem-Effoing admitted that no later than December 22, 2007 and continuing through March 1, 2009, he engaged in a scheme to defraud Medicare by stealing the identity of a young Nigerian which he then used to apply for a Medicare Durable Medical Equipment (DME) supplier number. After receiving the DME number, he billed Medicare for arthritis kits and power wheelchairs that, in some cases, were not ordered by a physician, and which in other cases were never delivered.
October 7, 2011; U.S. Department of Justice
Detroit-Area Clinic Owner Sentenced to 10 Years in Prison for Role in $9.1 Million Medicare Fraud Scheme WASHINGTON - Martin Tasis was sentenced today to 10 years in prison for his leading role in a $9.1 million Detroit-area Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
October 6, 2011; U.S. Attorney; Eastern District of Pennsylvania
King of Prussia Man Indicted on Health Care Fraud and Aggravated Identity Theft Charges Elissa Jo Benoit was charged today by indictment with a total of 75 counts involving health care fraud, aggravated identity theft, aiding and abetting the distribution of controlled substances and distribution of controlled substances by a person at least 18 years of age to persons under 21 years of age, announced United States Attorney Zane David Memeger.
October 5, 2011; U.S. Attorney; Western District of North Carolina
Charlotte Woman Pleads Guilty To Scheme To Defraud Medicaid And Money Laundering CHARLOTTE, N.C. - Joye Strong, 43, of Charlotte, pled guilty today to money laundering and defrauding Medicaid through her company, Advocating for America, LLC, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina. Joining U. S. Attorney Tompkins in making today's announcement is Attorney General Roy Cooper, who oversees the North Carolina Medicaid Investigations Unit (MIU).
October 5, 2011; U.S. Department of Justice
Johnson & Johnson Subsidiary Scios Pleads Guilty to Misbranding Heart Failure Drug Natrecor SAN FRANCISCO - Scios Inc., a subsidiary of pharmaceutical giant Johnson & Johnson, pleaded guilty today to a misdemeanor violation of the Food, Drug and Cosmetic Act (FDCA) for introducing into interstate commerce its heart failure drug, Natrecor, for a use that was not approved by the Food and Drug Administration (FDA), the Justice Department announced. The district court also sentenced Scios, which is based in Fremont, Calif., to pay an $85 million criminal fine in accordance with the plea agreement between Scios and the United States.
October 5, 2011; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Recovers $995,000 in Damages in Health Care Fraud Lawsuit against Columbia University and New York Presbyterian Hospital NEW YORK - Preet Bharara, the United States Attorney for the Southern District of New York, announced today that the United States has filed, and simultaneously settled, a civil health care fraud lawsuit against The Trustees of Columbia University ("Columbia"), New York Presbyterian Hospital ("Presbyterian Hospital"), and Dr. Erik Goluboff ("Dr. Goluboff"). The complaint, filed along with the settlement, alleges that Columbia, Presbyterian Hospital, and Dr. Goluboff fraudulently caused Medicare to be over-billed for urological procedures and billed for urological tests that were medically unnecessary. The settlement was approved October 4, 2011, in Manhattan federal court by U.S. District Court Judge Leonard B. Sand, and requires Columbia to pay $995,000 in civil damages under the False Claims Act.
October 5, 2011; U.S. Attorney; Southern District of Indiana
Terre Haute Pharmacist Sentenced For Healthcare Fraud And Money Laundering TERRE HAUTE - United States Attorney Joseph H. Hogsett announced that John D. Love, 54, of Brazil, Ind., was sentenced today to 51 months of imprisonment for healthcare fraud and money laundering. This follows an investigation by the U.S. Department of Health and Human Services, Office of Inspector General, the Internal Revenue Service, the Federal Bureau of Investigation, and Indiana Attorney General Greg Zoeller's Medicaid Fraud Enforcement Unit.
October 3, 2011; U.S. Attorney; Northern District of Illinois
Attorney and Former Edgewater Hospital Owner Indicted for Allegedly Lying and Obstructing Justice to Impede U.S. and Bank Efforts to Collect Judgments Totaling More Than $188 Million CHICAGO - An Indiana attorney was arrested today in Florida on federal charges alleging that he and his onetime client, the former owner and chief executive of the bankrupt Edgewater Hospital and Medical Center in Chicago, committed perjury and obstruction of justice to thwart efforts by the government and a bank creditor to collect civil judgments totaling approximately $188 million involving fraud that resulted in Edgewater's collapse.
September 2011
September 30, 2011; U.S. Attorney; Eastern District of Arkansas
Pine Bluff Doctor Sentenced In Health Care Fraud And Misbranding Case Little Rock - Christopher R. Thyer, United States Attorney for the Eastern District of Arkansas and Patrick J. Holland, Special Agent in Charge of the Food and Drug Administration's Office of Criminal Investigations for the Kansas City Field Office, announced Kelly Dean Shrum, age 43, a Doctor of Osteopathic Medicine who practiced as an obstetrician-gynecologist in Pine Bluff, Arkansas in 2008 and 2009 was sentenced by the Honorable James M. Moody to five years probation on each count of his conviction to be served concurrently. He was ordered to serve 200 hours community service each year of his probation. He was also ordered to pay $204,194.49 restitution and to forfeit $75,000 of proceeds from the health care fraud.
September 30, 2011 - U.S. Attorney; Southern District of Georgia
Miami Man Sentenced to More Than 11 Years In Prison On Multi-Million Dollar Medicare Fraud Scheme SAVANNAH, GA - Alfredo Rasco, 52, from Miami, Florida was sentenced on Wednesday by United States District Court Judge William T. Moore, Jr. to 133 months in prison for his role in defrauding Medicare of approximately $4 million. Rasco's wife, Niurka Rasco, 50, was also sentenced on Wednesday to 3 years probation for her role in the scheme.
September 30, 2011; U.S. Department of Justice
Louisiana-Based LHC Group Inc. Agrees to Pay U.S. $65 Million to Resolve False Claims Act Allegations WASHINGTON - LHC Group Inc. has agreed to pay $65 million, plus interest, to the federal government to resolve allegations that it violated the False Claims Act for false home healthcare billings to the Medicare, TRICARE and Federal Employees Health Benefits programs, the Justice Department announced today. The company also agreed to be bound by the terms of a Corporate Integrity Agreement with the Department of Health and Human Services - Office of Inspector General.
September 29, 2011; U.S. Attorney; District of Rhode Island
Nationwide Supplier Of Medical Equipment To Plead Guilty In R.I. To Health Care Fraud, Money Laundering & Selling Adulterated And Misbranded Medical Devices PROVIDENCE, R.I. - An Illinois businessman has agreed to plead guilty in U.S. District Court in Providence, R.I., to a five-count Information charging him with health care fraud; the introduction of an adulterated and misbranded medical device into interstate commerce; and money laundering, it was announced by U.S. Attorney Peter F. Neronha.
September 29, 2011; U.S. Attorney; Southern District of Texas
Jury Convicts DME Business Owner of Health Care Fraud and Aggravated Identity Theft Scheme McALLEN, Texas - A federal jury in McAllen has convicted the owner of a durable medical equipment business in connection with a health care fraud and aggravated identity theft scheme, United States Attorney Jos� Angel Moreno announced today along with Health and Human Services - Office of Inspector General (DHHS-OIG) Special Agent-in-Charge Mike Fields, FBI Special Agent-in-Charge Cory Nelson and Texas Attorney General Gregg Abbott.
September 28, 2011; U.S. Attorney; Southern District of Texas
DME Owner Sentenced to Prison for Defrauding Medicare of Millions in Wake of Hurricanes Katrina and Rita HOUSTON - A former owner of a durable medical equipment company (DME) was sentenced today to more than six years in federal prison for engaging in a conspiracy to defraud Medicare of more than $5 million and wire fraud, United States Attorney Jos� Angel Moreno announced today.
September 28, 2011; U.S. Attorney for the Southern District of Florida
Doral Woman Sentenced To 43 Months For Medicare Fraud Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office, and Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), announced today's sentencing of defendant Isachi Gil, of Doral, Florida. At today's hearing, U.S. District Judge Marcia Cooke sentenced Gil to 43 months in prison, to be followed by three years of supervised release. In addition, Gil was also ordered to perform 300 hours of community service and to pay restitution in the amount of $335,968.
September 27, 2011; U.S. Department of Justice
Kentucky Doctor Pays U.S. $349,860 to Settle False Claims Act Allegations WASHINGTON -Louisville, Ky., physician Dr. Steven H. Stern and his practice, Kentuckiana Center for Better Bone and Joint Health PLLC (KCB) have agreed to pay $349,860 to settle allegations of overbilling Medicare, the Justice Department announced today.
September 27, 2011; U.S. Attorney; Eastern District of Tennessee
Hill-Rom Company, Inc. Will Pay $41.8 Million To Resolve Federal Health Care Fraud Investigation KNOXVILLE, Tenn. - Hill-Rom Company, Inc., one of the largest national suppliers of durable medical equipment, has agreed to pay $41.8 million to settle alleged violations of the federal False Claims Act and other federal laws and regulations. This is the largest civil fraud recovery ever by the U.S. Attorney's Office for the Eastern District of Tennessee.
September 27, 2011; U.S. Department of Justice
Two Miami-Area Residents Plead Guilty in $25 Million Health Care Fraud Scheme WASHINGTON - Two Miami-area residents pleaded guilty late yesterday in U.S. District Court in Miami for their participation in a $25 million home health Medicare fraud scheme, announced the Department of Justice, the Department of Health and Human Services and the FBI.
September 26, 2011; U.S. Attorney; District of North Dakota
Former Director of IHS Pharmacy Sentenced for Drug Charge BISMARCK - United States Attorney Timothy Q. Purdon announced that on September 26, 2011, Douglas T. Aos, 56, of Belcourt, North Dakota, was sentenced by United States District Court Judge Daniel L. Hovland on a charge of acquisition of a controlled substance by misrepresentation. Aos pleaded guilty to the charge on June 27, 2011.
September 26, 2011; U.S. Department of Justice
Boston Scientific Subsidiary Guidant Pays U.S. $9.25 Million to Settle False Claims Act Allegations WASHINGTON - Guidant LLC, a wholly owned subsidiary of Boston Scientific Corp. of Natick, Mass., has agreed to pay the United States $9.25 million to resolve False Claims Act allegations, the Justice Department announced today. The government alleges that the company inflated the cost of replacement pacemakers and defibrillators to federal health care programs by knowingly failing to grant warranty credits and rebates to hospitals for pacemakers and defibrillators that were explanted while covered under a product warranty or another credit program.
September 22, 2011; U.S. Attorney; Eastern District of Texas
Tyler, Texas Medical Supply Owner Sentenced for Health Care Fraud Scheme TYLER, Texas - A 51-year-old Tyler man has been sentenced to federal prison for health care fraud violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales today.
September 22, 2011; U.S. Attorney; Northern District of Iowa
Spencer Pharmacist Sentenced For Health Care Fraud A pharmacist who formerly owned and operated Medicap pharmacy in Spencer, Iowa, and defrauded Medicaid and his own health insurance provider, was sentenced on September 21, 2011, to more than 3 years in federal prison.
September 22, 2011; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Announces Settlement With Podiatrist To Pay $800,000 For Submitting False Medicare Claims Preet Bharara, the United States Attorney for the Southern District of New York, announced that the United States has settled a civil fraud lawsuit it filed against Chaim Chaimowitz, a podiatrist, for submitting false claims to Medicare. According to the lawsuit, Chaimowitz sought reimbursement for non-compensable routine foot care, and billed Medicare for services that could not have been performed in the time period reported. The settlement, entered yesterday in Manhattan federal court by U.S. District Court Judge Robert W.Sweet, requires Chaimowitz to pay $800,000 to the United States under the False Claims Act. Chaimowitz has also entered into an Integrity Agreement with the Office of Inspector General of the Department of Health and Human Services for a five year period that, among other things, requires him to establish and maintain a compliance program and undertake training obligations.
September 21, 2011; U.S. Department of Justice
Ten Miami-Area Residents Plead Guilty in $25 Million Health Care Fraud Scheme WASHINGTON - Ten Miami-area residents pleaded guilty today and yesterday in U.S. District Court in Miami for their participation in a $25 million home health Medicare fraud scheme, announced the Department of Justice, the Department of Health and Human Services (HHS) and the FBI.
September 19, 2011; U.S. Department of Justice
Former President of Fraudulent Florida Physical Therapy Company Sentenced to 24 Months in Prison for Medicare Fraud Scheme WASHINGTON - The former president and administrator of a fraudulent physical therapy company in Lakeland, Fla., was sentenced today to 24 months in prison for his role in a scheme to defraud Medicare, announced the Department of Justice, the Department of Health and Human Services and the FBI.
September 19, 2011; U.S. Department of Justice
Owner of Miami-Area Mental Health Company Sentenced to 35 Years in Prison for Orchestrating $205 Million Medicare Fraud Scheme WASHINGTON - Miami resident Marianella Valera, the owner of a mental health care company, American Therapeutic Corporation, was sentenced today to 35 years in prison for orchestrating a $205 million Medicare fraud scheme, announced the Department of Justice, the Department of Health and Human Services and the FBI.
September 16, 2011; U.S. Department of Justice
Owner of Miami-Area Mental Health Company Sentenced to 50 Years in Prison for Orchestrating $205 Million Medicare Fraud Scheme WASHINGTON - Miami resident Lawrence Duran, the owner of a mental health care company, American Therapeutic Corporation (ATC), was sentenced today to 50 years in prison for orchestrating a $205 million Medicare fraud scheme, announced the Department of Justice, the Department of Health and Human Services and the FBI.
September 15, 2011; U.S. Attorney; District of New Jersey
Wright Medical Technology, Inc. Deferred Prosecution Agreement With Government Extended For 12 Months NEWARK, N.J. - The 12-month Deferred Prosecution Agreement executed in September 2010 by Wright Medical Technology, Inc. - a publicly-traded national manufacturer and distributor of orthopaedic implant devices and supplies based in Arlington, Tenn. - has been extended by another 12 months, First Assistant U.S. Attorney J. Gilmore Childers announced.
September 15, 2011; U.S. Attorney; Eastern District of Louisiana
New Orleans Physician Charged With Conspiracy To Commit Health Care Fraud Dr. Anthony Stephen Jase, age 41 and a resident of New Orleans, Louisiana, was charged in a one-count Bill of Information for conspiracy to commit health care fraud, announced U. S. Attorney Jim Letten.
September 15, 2011; U.S. Attorney; Western District of Missouri
Operation Oxyclean - KC Man Sentenced For Leading $1 Million Drug-Trafficking Conspiracy KANSAS CITY, Mo. - Beth Phillips, United States Attorney for the Western District of Missouri, announced that a Kansas City, Mo., man was sentenced in federal court today for leading a conspiracy to illegally distribute more than $1 million worth of OxyContin and oxycodone that were obtained, in part, by defrauding Medicare and other health care programs.
September 14, 2011; U.S. Attorney; Northern District of Georgia
Fake Doctor Pleads Guilty To Health Care Fraud And Criminal HIPAA Violations Atlanta, GA - Matthew Paul Brown, 30, formerly of Atlanta, Georgia and Nashville, Tennessee, pleaded guilty today in federal district court to charges of health care fraud and wrongful disclosure of individually identifiable health information.
September 14, 2011; U.S. Attorney; Southern District of Florida
Jury Convicts Miami Man For Stealing Identity Information From DCF Computers For Use In Medicare Fraud Scam Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Henry Gutierrez, Postal Inspector in Charge, United States Postal Inspection Service, Miami Division, Michael K. Fithen, Special Agent in Charge, U.S. Secret Service, John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office, Dawn E. Case, Inspector General, Florida Department of Children and Families, and James K. Loftus, Director, Miami-Dade Police Department, announced that a jury returned a verdict of guilty on September 12, 2011 against Yenky Sanchez, 25, of Miami. Sanchez was found guilty on one count of conspiracy to commit health care fraud, in violation of Title 18, United States Code, Section 1349; one count of conspiracy to commit authentication feature fraud, in violation of Title 18, United States Code, Sections 1028(a)(3) and (f); and ten counts of aggravated identity theft, in violation of Title 18, United States Code, Section 1028A(a)(1). The guilty verdict against Sanchez follows on the heels of the guilty plea by his co-conspirator, Raul Lazaro Diaz-Perera, 43, of Miami, for the same charges.
September 14, 2011; U.S. Attorney; Eastern District of Pennsylvania
Durable Medical Equipment Company And Owner Sentenced In Medicare Fraud And Kickback Scheme PHILADELPHIA - Robert Saul, 38, of Philadelphia, was sentenced yesterday to 66 months in prison for a Medicare fraud and kickback scheme involving his company, R&V Medical Supplies, LLC, also located in Philadelphia, announced United States Attorney Zane David Memeger. Saul pleaded guilty June 3, 2011 to conspiracy, 48 counts of health care fraud, six counts of mail fraud, 47 counts of paying illegal kickbacks, and three counts of obstruction of justice.
September 12, 2011; U.S. Attorney; District of New Jersey
Maxim Healthcare Services Charged with Fraud, Agrees to Pay Approximately $150 Million, Enact Reforms After False Billings Revealed as Common Practice NEWARK, N.J. - Maxim Healthcare Services, Inc. ("Maxim") - one of the nation's leading providers of home healthcare services - has entered into a settlement to resolve criminal and civil charges relating to a nationwide scheme to defraud Medicaid programs and the Veterans Affairs program of more than $61 million. J. Gilmore Childers, Acting New Jersey U.S. Attorney; Tony West, Assistant Attorney General of the Civil Division of the Department of Justice; Tom ODonnell, Special Agent in Charge of the Health and Human Services Office of Inspector General (HHS OIG) region covering New Jersey; Michael B. Ward, Special Agent in Charge of the FBI's Newark Field Office; and Jeffrey Hughes, Special Agent in Charge of the U.S. Department of Veterans Affairs, Office of the Inspector General (VA OIG), Northeast Field Office, announced the developments today.
September 9, 2011; U.S. Department of Justice
U.S. Joined False Claims Act Lawsuit Against Florida's Halifax Hospital Medical Center and Halifax Staffing Inc. WASHINGTON - The United States has partially intervened in a lawsuit under the False Claims Act against Halifax Hospital Medical Center and Halifax Staffing Inc. in the U.S. District Court for the Middle District of Florida, the Department of Justice announced today.
September 7, 2011; U.S. Attorney; Northern District of Illinois
Four Chicago Area Defendants Charged In Nationwide Medicare Fraud Strike Force Takedown; Three Others Charged With Defrauding Private Health Insurers CHICAGO - An area vascular surgeon, three chiropractors, a psychologist and a nursing home admissions director are among seven defendants charged this week with participating in four separate, unrelated health care fraud schemes to defraud the Medicare program or private health insurers of millions of dollars, federal law enforcement officials announced today.
September 7, 2011; U.S. Attorney; Central District of California
Six Defendants Charged In Los Angeles As Part Of Nationwide Medicare Fraud Strike Force Takedown Los Angeles - As part of a nationwide effort to target fraud against the Medicare program, two doctors and four others have been charged here for allegedly participating in schemes to defraud the Medicare program of nearly $11 million.
September 7, 2011; U.S. Attorney; Southern District of Texas
Two Houston-Area Residents Charged in Nationwide Medicare Fraud Strike Force Takedown Houston -The owner of a Medicare referral business and the owner of a medical supply company have been charged for their participation in separate schemes to defraud the Medicare program of more than $62 million, announced the Departments of Justice, Health and Human Services and the Texas Attorney General's Office.
September 7, 2011; U.S. Attorney; Southern District of Florida
45 Individuals And One Corporation Charged As Part Of Nationwide Operation By Health Care Fraud Prevention And Enforcement Action Teams (Heat) Miami - Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office, and Christopher Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), announced charges against forty-five (45) individuals and one corporation as part of a nationwide enforcement operation by HEAT Task Force Teams. The 46 South Florida defendants are allegedly responsible for more than $160 million in false billings to Medicare.
September 7, 2011; U.S. Department of Health and Human Services
Medicare Fraud Strike Force Charges 91 Individuals For Approximately $295 Million In False Billing WASHINGTON - Attorney General Eric Holder and Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that a nationwide takedown by Medicare Fraud Strike Force operations in eight cities has resulted in charges against 91 defendants, including doctors, nurses, and other medical professionals, for their alleged participation in Medicare fraud schemes involving approximately $295 million in false billing.
September 6, 2011; U.S. Attorney; Eastern District of Kentucky
Medicare Fraud Complaint Filed against Lexington Home Health Agency LEXINGTON - United States Attorney for the Eastern District of Kentucky, Kerry B. Harvey, announced today that a civil complaint has been filed against Nurses' Registry in Lexington which adds new allegations regarding how the company defrauded Medicare.
September 2, 2011; U.S. Attorney; Western District of North Carolina
Mt. Holly Woman Pleads Guilty to Health Care Fraud Conspiracy and Money Laundering CHARLOTTE, N.C. - Erika Holland, 41, of Mt. Holly, N.C., entered a plea of guilty today before U.S. Magistrate Judge David S. Cayer, to one count of conspiring to commit health care fraud, and one count of money laundering, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina.
September 1, 2011; U.S. Department of Justice
OIG Arrests Eleven in Puerto Rico for Alleged Health Care Fraud
The Office of Inspector General for the Department of Health and Human Services arrested eleven individuals this morning in Puerto Rico. The arrests were a result of the Federal grand jury's three indictments and one superseding indictment against thirteen individuals for conspiracy to commit health care fraud.
According to one indictment, one of the schemes was led by Dr. José López-Díaz, owner and operator of the health clinic Centro Pediátrico. With co-conspirators, Dr. José López-Díaz fraudulently billed Medicare for over 1.6 million dollars in services not rendered, receiving over 500,000 dollars. Dr. José López-Díaz billed for over 1800 claims for medical treatment provided to patients at a medical institution for which he never worked and for patients he never saw. He also billed for performing a procedure on female patients that can only be performed on males.
September 1, 2011; U.S. Attorney; Northern District of Texas
UTSW and Parkland Resolve Allegations of Improper Physician Supervision of Surgical Residents DALLAS - The University of Texas Southwestern Medical Center at Dallas; the University of Texas Southwestern Medical Center at Dallas Medical Service, Research, and Development Plan; the University of Texas Southwestern Health Systems a/k/a UT Southwestern Health Systems (collectively "UTSW") agreed to pay the U.S. and Texas $1.4 million to resolve allegations that it, along with the Dallas County Hospital District d/b/a Parkland Health and Hospital System (Parkland), violated the civil False Claims Act and Texas Medicaid Fraud Prevention Act, announced U.S. Attorney James T. Jacks of the Northern District of Texas. The U.S. and Texas contend defendants caused "upcoded" claims to be submitted to Medicare and Medicaid for teaching physician-related items and services between 2004 and 2007. Defendants fully cooperated with the investigation, and by settling, did not admit any wrong-doing or liability.
September 1, 2011; U.S. Attorney; Northern District of Texas
Owners/Operators Of New Horizons Mental Health Facilities Plead Guilty To Federal Charges DALLAS - Joanna Jones Ellis Kemp, 68, and her husband, Peter A. Kemp, 67, both of Plano, Texas, each appeared in federal court this morning before U.S. Magistrate Judge Irma C. Ramirez and pleaded guilty to one count of conspiracy to commit false statements relating to health care matters, announced U.S. Attorney James T. Jacks of the Northern District of Texas. They each face a maximum statutory sentence of five years in prison and a $250,000 fine. In addition, restitution could be ordered. Sentencing is set for December 21, 2011, before U.S. District Judge Ed Kinkeade.
September 1, 2011; U.S. Department of Justice
California Medical Billing Company Agrees to Pay U.S. $4.6 Million to Resolve Allegations of False Claims to Federal Health Care Programs WASHINGTON - Janzen, Johnston & Rockwell Emergency Medicine Management Services Inc. (JJ&R), a provider of billing services for physicians, hospitals and other health care providers, has agreed to pay the United States $4.6 million to settle allegations that it submitted false claims to Medicare and Louisiana's Medicaid program, the Justice Department announced today. JJ&R is headquartered in El Segundo, Calif.
September 1, 2011; U.S. Attorney; Eastern District of Michigan
Eighteen Charged for Medicare Fraud Schemes in Detroit Involving $28 Million in False Billings DETROIT-Eighteen individuals were charged in court documents unsealed today and yesterday in the Eastern District of Michigan for their participation in a series of separate Medicare fraud schemes involving home health and psychotherapy services, announced the Department of Justice, the Department of Health and Human Services (HHS), the FBI and the HHS Office of Inspector General. According to court documents unsealed today and yesterday in U.S. District Court in Detroit, the separate schemes allegedly involved a total of more than $28 million in fraudulent claims submitted to Medicare for services that were medically unnecessary and/or never provided. Fifteen of the defendants were arrested this morning, one defendant was arrested in July 2011, and two defendants remain at large. In addition, law enforcement agents today executed search warrants at 11 locations and seizure warrants of 28 bank accounts related to the alleged fraud schemes.
August 2011
August 31, 2011; U.S. Attorney; Southern District of Texas
Houston Medical Equipment Company Owner Lands in Federal Prison for Medicare Fraud HOUSTON - Sunny Robinson, the owner of Memorial Medical Supply - a Houston durable medical equipment business, has been sentenced to 97 months in prison for his role in a Medicare fraud scheme, United States Attorney José Angel Moreno announced today.
August 31, 2011; U.S. Department of Justice
Miami-Area Nurse Pleads Guilty in $25 Million Health Care Fraud Scheme WASHINGTON - Miami-area resident Farah Maria Perez, a registered nurse, pleaded guilty today for her participation in a $25 million Medicare fraud scheme involving false billings for home health services, announced the Department of Justice, the FBI and the Department of Health and Human Services.
August 30, 2011; U.S. Attorney; District of North Dakota
Belcourt Man Sentenced for Drug Conspiracy Charge BISMARCK - United States Attorney Timothy Q. Purdon announced that on August 29, 2011, Jordan Delong, 25, of Belcourt, North Dakota, was sentenced on a charge of conspiracy to possess with intent to distribute and distribute a controlled substance. Delong pleaded guilty to the charge on May 16, 2011.
August 25, 2011; U.S. Department of Justice
Detroit Occupational Therapist Pleads Guilty to Medicare Fraud Scheme WASHINGTON - A Detroit-area occupational therapist pleaded guilty today for her participation in a Medicare fraud scheme, announced the Departments of Justice and Health and Human Services. Carol Gant, 66, pleaded guilty before U.S. District Judge Avern Cohn in the Eastern District of Michigan to one count of conspiracy to commit health care fraud. At sentencing, Gant faces a maximum penalty of 10 years in prison and a $250,000 fine.
August 25, 2011; U.S. Department of Justice
Detroit-Area Clinic Owner Sentenced to 48 Months in Prison for Medicare Fraud Schemes Totaling More Than $15 Million WASHINGTON- An owner of three Detroit-area clinics was sentenced to 48 months in prison today for his role in schemes that attempted to defraud the Medicare program of more than $15 million, the Departments of Justice and Health and Human Services announced.
August 24, 2011; U.S. Department of Justice
Former "Most Wanted" Health Care Fraud Fugitives Plead Guilty to $9.1 Million Detroit Medicare Fraud Scheme WASHINGTON - Two sisters who owned a fraudulent Detroit-area medical clinic and who are former "Most Wanted" health care fraud fugitives pleaded guilty today in Miami for their leading roles in a $9.1 million Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
August 23, 2011; U.S. Attorney; Middle District of Florida
President of DME Company Sentenced to 12 ½ Years for Medicare and Medicaid Fraud TAMPA, FL-U.S. Attorney Robert E. O'Neill announces that U.S. District Judge Virginia Hernandez Covington today sentenced Ben Bane (64, Plant City) to 12 ½ years in federal prison for conspiracy to commit health care fraud, health care fraud, and submitting false claims. His prison sentence is to be followed by three years of supervised release. Bane was also ordered to pay $7 million in restitution, a $3 million fine, and a $1,000 special assessment. The court also entered a money judgment in the amount of $5,800,000, representing the proceeds of the health care fraud.
August 23, 2011; U.S. Attorney; Northern District of Texas
Government Recovers More Than $1.6 Million From Eleven Cities To Resolve Allegations They Caused Improper Medicare And Medicaid Ambulance Claims DALLAS - The Texas cities of Plano, Frisco, Richardson, Mesquite, Celina, DeSoto, Corpus Christi, Cedar Hill, Rowlett, North Richland Hills and University Park (collectively "Cities") have agreed to pay the U.S. and Texas the collective amount of $1.69 million to resolve allegations they violated the civil False Claims Act and Texas Medicaid Fraud Prevention Act, announced U.S. Attorney James T. Jacks of the Northern District of Texas. The U.S. and Texas contend all the Cities caused "upcoded" claims to be submitted to Medicare and Medicaid for city-dispatched 911 ambulance transports between 2006 and 2010. All the Cities fully cooperated with the investigation, and by settling, did not admit any wrongdoing or liability.
August 23, 2011; U.S. Department of Justice
Miami-Area Doctor Pleads Guilty in $25 Million Health Care Fraud Scheme WASHINGTON - A Miami-area medical doctor who owned two medical offices pleaded guilty today for his participation in a $25 million home health Medicare fraud scheme, announced the Department of Justice, FBI and the Department of Health and Human Services (HHS).
August 23, 2011; U.S. Department of Justice
Owner of Miami-Area Mental Health Care Corporation Convicted on All Counts for Orchestrating $205 Million Medicare Fraud Scheme WASHINGTON - A federal jury today convicted a Miami-area owner of a mental health care company, American Therapeutic Corporation (ATC), for orchestrating a fraud scheme that resulted in the submission of more than $205 million in fraudulent claims to Medicare, announced the Department of Justice, FBI and Department of Health and Human Services.
August 23, 2011; U.S. Department of Justice
Miami-Area Medical Equipment Company Owners Sentenced to Prison for Medicare Fraud Scheme WASHINGTON - The husband and wife owners and operators of a Miami-area medical equipment company were sentenced today to 70 months and 37 months in prison, respectively, for participating in a durable medical equipment (DME) health care fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.
August 22, 2011; U.S. Attorney; Eastern District of Pennsylvania
Former Chair of Temple's Ophthalmology Department Convicted of Health Care Fraud PHILADELPHIA - A federal jury today convicted Dr. Joseph J. Kubacki, 62, of Destin, Florida, of 150 counts of health care fraud, wire fraud, and making false statements in health care matters, announced United States Attorney Zane David Memeger. Kubacki was the Chairperson of the Ophthalmology Department of the Temple University School of Medicine and also served as the Assistant Dean for Medical Affairs when, between 2002 and 2007, he caused thousands of false claims to be submitted to health care benefit programs with false charges totaling more than $4.5 million for services rendered to patients whom Kubacki did not personally see or evaluate.
August 22, 2011; U.S. Department of Justice
Department of Health and Human Services Employee Pleads Guilty to Theft of Government Funds WASHINGTON - An employee of the Department of Health and Human Services (HHS) pleaded guilty today in U.S. District Court in Asheville, N.C., to theft of approximately $114,494 in government funds, announced Assistant Attorney General Lanny A. Breuer of the Justice Department's Criminal Division.
August 18, 2011; U.S. Attorney; District of Western Oklahoma
New York Men Convicted of Health Care Fraud in Wheelchair Scam Oklahoma City, Oklahoma - Late yesterday, a jury found two New York men guilty of committing five counts of health care fraud in connection with the sale of power wheelchairs and wheelchair accessories to Medicare beneficiaries, announced Sanford C. Coats, United States Attorney for the Western District of Oklahoma.
August 18, 2011; U.S. Attorney; District of Minnesota
Two Charged in Medicaid Fraud Schemes MINNEAPOLIS-Earlier today in federal court, a former employee and the operator of Universal Home Health, a home health care agency located in Golden Valley, were charged with offenses related to defrauding Medicaid. In separate Informations, Stephen Jon Rondestvedt, age 58, of Minneapolis, was charged with one count of health care fraud, and Mustafa Hassan Mussa, age 56, of Minnetonka, was charged with one count of aggravated identity theft.
August 17, 2011; U.S. Attorney; Southern District of Georgia
Armenian Nationals Plead Guilty In Multi-Million Dollar Medicare Fraud And Money Laundering Scheme Brunswick, GA - Sahak Tumanyan, 44, an Armenian national from Los Angeles, pled guilty Monday before Chief United States District Judge Lisa Godbey Wood to his role in the laundering of $1.5 million defrauded from Medicare through a phony medical business in Brunswick, Georgia. Earlier this month, Arthur Manasarian, 48, also an Armenian national from Los Angeles, pled guilty before Chief Judge Wood to his role in the Medicare fraud scheme.
August 17, 2011; U.S. Department of Justice
Four Individuals Convicted in $4.7 Million Louisiana Medicare Fraud Scheme WASHINGTON - The owner of a Baton Rouge, La., durable medical equipment (DME) company, a medical doctor and two patient recruiters were each convicted late yesterday for their roles in a $4.7 million Medicare fraud scheme, announced the Department of Justice, the FBI, the Department of Health and Human Services and the Medicaid Fraud Control Unit (MFCU) of the Louisiana State Attorney General's Office.
August 17, 2011; U.S. Attorney; Southern District of Florida
Miami Mother Sentenced to Jail in $12.3 Million Health Care Fraud Scheme MIAMI, FL - Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation, Miami Field Office, and Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General, Office of Investigations, announced yesterday's sentencing of Isabel Torres, 48, of Hialeah, Florida, on health care fraud charges.
August 11, 2011; U.S. Attorney; Western District of Kentucky
Baptist Healthcare, Inc. and Hardin Memorial Hospital to Pay $8,900,000 to Settle Improper Billing of Medicare LOUISVILLE, KY - The United States Department of Justice, United States Attorneys' Offices for the Western and Eastern Districts of Kentucky, and Office of Inspector General of the Department of Health and Human Services today announce the $8,900,000 settlement with Baptist Healthcare Systems, Inc. and Hardin County, Kentucky d/b/a Hardin Memorial Hospital. As part of this settlement, Baptist Healthcare Systems, Inc. has agreed to pay the United States $5,785,000 to resolve claims that the company improperly billed Medicare. Hardin Memorial Hospital, under the management of Baptist Healthcare Systems, Inc., has agreed to pay the United States $3,115,000 to resolve claims that the hospital improperly billed Medicare.
August 10, 2011; U.S. Department of Justice
Los Angeles Jury Convicts Two Church Pastors and Their Employee of $14.2 Million Medicare Fraud Scheme WASHINGTON - Two pastors of a now defunct Los Angeles church and a woman they employed at their fraudulent durable medical equipment (DME) supply companies were convicted late yesterday of conspiracy and health care fraud charges in connection with a $14.2 million Medicare fraud scheme, announced the Departments of Justice and Health and Human Services (HHS).
August 10, 2011; U.S. Attorney; District of Maryland
Peninsula Regional Medical Center Agrees To Pay $1.8 Million To Resolve Allegations That It Failed To Prevent Medically Unnecessary Cardiac Stent Procedures By Dr. John R. McLean Baltimore, Maryland - Peninsula Regional Medical Center ("PRMC") in Salisbury Maryland has agreed to pay $1.8 million to settle allegations under the False Claims Act that it was aware of, but failed to take action to prevent medically unnecessary cardiac stent procedures by John R. McLean, formerly a cardiologist with privileges at PRMC.
August 10, 2011; U.S. Attorney; Eastern District of Pennsylvania
Physician And Pharmacist Among Those Arrested In Drug Conspiracy And Health Care Fraud Case PHILADELPHIA - A 498-count indictment1 was unsealed today charging 53 defendants, including a Montgomery County physician and a Northeast Philadelphia pharmacist, in a multimillion dollar drug conspiracy involving phony prescriptions, phony patients, and an alleged drug trafficking organization.
August 10, 2011; U.S. Attorney; Southern District of Florida
Miami Woman Is Tenth Person Arrested For Her Role In Leading $27 Million Health Care Fraud Conspiracy MIAMI -- Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation, Miami Field Office, and Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General, Office of Investigations, announced today's arrest of Elizabet Lombera, 39, of Miami Lakes, Florida.
August 9, 2011; U.S. Attorney; District of Colorado
Two Former Western Colorado Doctors Indicted For Illegally Prescribing Controlled Substances - Prescriptions Doctors Wrote Were Responsible For a Total of Four Deaths DENVER - Two Western Colorado doctors, Sam Jahani, M.D., age 49 of Cleveland, Texas, and Eric Peper, D.O., age 53 of Summerland Key, Florida, were indicted by a federal grand jury on August 3, 2011, on charges related to health care fraud, money laundering and dispensing controlled substances in which four cases resulted in death. Jahani was arrested by federal agents without incident in Texas. Peper has yet to be arrested. Jahani will make an appearance in U.S. District Court in Beaumont, Texas this afternoon. No court appearance has yet been set for Peper.
August 8, 2011; U.S. Attorney; Southern District of Florida
Miami Home Health Nurse Sentenced To Ten Years' Imprisonment For Health Care Fraud Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office, and Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), Office of Investigations, announced today's sentencing of Armando Santos, 46, of Miami. In May 2001, a federal jury in Miami convicted Santos of one count of conspiracy to commit health care fraud, in violation of Title 18, United States Code, Section 1349; four counts of health care fraud, in violation of Title 18, United States Code, Section 1347, and two counts of false statements related to health care matters, in violation of Title 18, United States Code, Section 1035. Chief U.S. District Judge Federico Moreno sentenced Santos to the statutory maximum of 10 years' imprisonment as to each of the fraud charges, and five years' imprisonment as to each of the false statement charges. The counts of conviction are to run concurrent to one another.
August 8, 2011; U.S. Attorney; District of Maryland
Oncologist Pleads Guilty To Purchasing Misbranded Drugs Isabella Martire, M.D., age 52, of Laurel, Maryland, an oncologist in solo practice in Laurel, pleaded guilty to introducing a misbranded drug into interstate commerce. The guilty plea was announced by United States Attorney for the District of Maryland Rod J. Rosenstein; Special Agent in Charge Antoinette V. Henry of the Food & Drug Administration - Office of Criminal Investigations, Metro Washington Field Office; and Special Agent in Charge Nicholas DiGiulio, Office of Investigations, Office of Inspector General of the Department of Health and Human Services.
August 5, 2011; U.S. Attorney; Southern District of Texas
Recruiter in Multi-Million Dollar Health Care Fraud Scheme Pleads Guilty to Conspiracy to Violate the Anti-Kickback Statute HOUSTON - An accused recruiter in a multi-million dollar health care fraud scheme scheduled for trial on Monday, has instead pleaded guilty to conspiracy to violate the Anti-Kickback Statute, United States Attorney José Angel Moreno announced today. Birdie Leroy Revis, 60, of Houston, pleaded guilty before United States District Judge David Hittner this morning to conspiracy to violate the Anti-Kickback Statute. Trial had been scheduled to begin with jury selection on Monday, Aug. 8, 2011.
August 5, 2011; U.S. Attorney; Southern District of Indiana
Hogsett Announces Indianapolis Man Charged In Health Care Fraud Scheme INDIANAPOLIS - Joseph H. Hogsett, United States Attorney announced, that earlier this week, William Maultsby, 52, Indianapolis, Indiana, was charged with health care fraud, following an investigation by the U.S. Health and Human Services Inspector General and Indiana Attorney General Medicaid Fraud Control Unit.
August 5, 2011; U.S. Attorney; Central District of California
Orange County Medical Center And Doctor Who Bilked Medicare Agree To Pay $7.5 Million To Settle Fraud Case Pacific Coast Hematology, Inc., a medical group in Orange County, and Dr. Glen Justice, who was the primary physician at the group, have agreed to pay the United States $7.5 million to settle a civil lawsuit alleging that they submitted false claims to the Centers for Medicare and Medicaid Services.
August 4, 2011; U.S. Attorney; Southern District of Texas
Nursing Home Administrator Arrested for Health Care Fraud and Taking Kickbacks HOUSTON - An employee of a Houston area nursing home has been arrested as a result of the return of a sealed indictment by a Houston grand jury charging him with conspiracy, health care fraud and violations of the anti-kickback statute arising from a scheme to unlawfully bill federal health care programs for ambulance transport, United States Attorney Jos� Angel Moreno along with Texas Attorney General Greg Abbott announced today.
August 2, 2011; U.S. Attorney; Western District of Kentucky
Owners Of Durable Medical Equipment Companies Indicted For Submitting False Billings To Medicare A federal grand jury in Louisville, Kentucky has returned a 13 count indictment charging the owners of two durable medical equipment companies with conspiracy, health care fraud, submitting false claims and wire fraud announced David J. Hale, United State Attorney for the Western District of Kentucky.
August 2, 2011; U.S. Department of Justice
Miami-Area Resident Pleads Guilty to Participating in $200 Million Medicare Fraud Scheme A Miami-area resident pleaded guilty today in U.S. District Court in Miami for his role in two separate fraud schemes that resulted in the submission of more than $200 million in fraudulent claims to Medicare, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS).
August 2, 2011; U.S. Attorney; Eastern District of Michigan
Twenty-Six Indicted In Drug Distribution Investigation That Led To Uncovering MassiveHealth Care Fraud An indictment returned by a federal grand jury in Detroit was unsealed today, charging twenty-six individuals for their participation in a large-scale health care fraud and drug distribution scheme, United States Attorney Barbara L. McQuade announced today. McQuade was joined in her announcement by Special Agent in Charge Robert L. Corso of the Drug Enforcement Administration, Special Agent in Charge Andrew G. Arena of the Federal Bureau of Investigation, and Lamont Pugh, Special Agent in Charge of the Inspector General of the Department of Health and Human Services.
August 1, 2011; U.S. Attorney; Southern District of Georgia
U.S. Files Suit against United Distributors and an Ohio Company for Defrauding the Medicare Program SAVANNAH, GA - The United States has filed a complaint under the False Claims Act (FCA) against United Distributors, Inc., Commerce Benefits Group, Inc., Thomas Patton of Avon Lake, Ohio, and Linnie Reaves of Smyrna, Georgia. The complaint, entered today in the United States District Court in Savannah, alleges that the defendants violated the FCA by knowingly causing the submission of false and fraudulent claims for payment to the Medicare program.
July 2011
July 28, 2011; U.S. Attorney; Eastern District of Michigan
Southfield Family Practice Doctor, Dr. Gwendolyn Washington, Pleads Guilty to Illegal Prescription Drug Trafficking and Health Care Fraud Dr. Gwendolyn Washington, M.D., age 67, pleaded guilty today to four felony counts involving drug trafficking and health care fraud, United States Attorney Barbara L. McQuade announced. McQuade was joined in the announcement by Andrew G. Arena, Special Agent in Charge, Federal Bureau of Investigation, Detroit Field Division and Lamont Pugh, III, Special Agent in Charge, Department of Health and Human Services, Office of Inspector General.
July 27, 2011; U.S. Attorney; Southern District of Florida
Miami Husband and Wife Charged with Home Health Care Fraud Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office, and Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), Office of Investigations, Miami Regional Office, announced the indictment of Elizabeth Acosta Sanz and Luis Alejandro Sanz, both of Miami, Florida, on charges of conspiracy to commit health care fraud, health care fraud, conspiracy to pay kickbacks, the payment of kickbacks, conspiracy to commit money laundering, and money laundering, in violation of Title 18, United States Code, Sections 1349, 1347, 371 and 1956, respectively.
July 27, 2010; U.S. Attorney; District of Connecticut
Walgreens Pays $140,000 To Settle Allegations Under The False Claims Act United States Attorney David B. Fein and Connecticut Attorney General George Jepsen today announced that The Walgreen Co., a nationwide retail pharmacy chain, has entered into a civil settlement with the federal and state governments in which it will pay $140,000 to resolve allegations that it violated the False Claims Act and common law.
July 26, 2011; U.S. Attorney; Western District of Texas
Seven Former Texas Medicaid Medical Transportation Program Call Center Employees Arrested On Federal Health Care Fraud Charges United States Attorney John E. Murphy, Special Agent in Charge Cory B. Nelson, Federal Bureau of Investigation -San Antonio Division, Special Agent in Charge George M. Fields, Department of Health and Human Services Office of Inspector General-Dallas Field Division and Texas Attorney General Greg Abbott announced that federal, state and local authorities arrested 18 individuals this morning, including seven former Texas Medicaid Medical Transportation Program San Antonio call center employees, in connection with a health care fraud investigation focusing on more than 1,000 fraudulent transportation claims totaling approximately $200,000.
July 26, 2011; U.S. Attorney; District of Maryland
Salisbury Cardiologist Convicted Of Implanting Unnecessary Cardiac Stents A federal jury in Baltimore convicted cardiologist John R. McLean, age 59, of Salisbury, Maryland, today on six health care fraud offenses in connection with a scheme in which Dr. McLean submitted insurance claims for inserting unnecessary cardiac stents, ordered unnecessary tests and made false entries in patient medical records, in order to defraud Medicare, Medicaid and private insurers.
July 26, 2011; U.S. Department of Justice
Two Brooklyn, N.Y., Pharmacists Charged in $3 Million Health Care Fraud Scheme Two defendants who co-owned and operated two Brooklyn, N.Y.,-area pharmacies were arrested today on health care fraud charges for their alleged participation in a scheme to defraud Medicare Part D that resulted in more than $3 million in fraudulent billings, announced the Department of Justice, FBI and the Department of Health and Human Services and its Office of Inspector General.
July 26, 2011; U.S. Department of Justice
U.S. Government Intervenes in False Claims Lawsuit Against Nurses' Registry and Home Health Corporation The United States has intervened in a lawsuit against Nurses' Registry and Home Health Corporation in the U.S. District Court for the Eastern District of Kentucky, the Justice Department announced today. The lawsuit was filed in March 2008 by two former Nurses' Registry employees, Alicia Robinson-Hill and David Price, and alleges among other things that Nurses' Registry made false claims to Medicare for medically unnecessary home health services.
July 26, 2011; U.S. Attorney; District of Minnesota
Brooklyn Park Man Pleads Guilty To Defrauding Medicaid
July 25, 2011; U.S. Attorney; Central District of California
July 21, 2011; U.S. Department of Justice
Patient Recruiter for Miami Health Care Agency Pleads Guilty in $25 Million Medicare Fraud Scheme
July 20, 2011; U.S. Attorney; District of Massachusetts
Dorchester Pharmacist Convicted For Defrauding Medicare And Medicaid
July 20, 2011; U.S. Attorney; Northern District of Illinois
July 20, 2011; U.S. Attorney; District of Colorado
July 18, 2011; U.S. Attorney; Middle District of Louisiana
Baton Rouge Man Sentenced To Four-Year Prison Term For Health Care Fraud
July 15, 2011; U.S. Attorney; Eastern District of Tennessee
Physician Receives One Year Prison Sentence for Health Care Fraud and Tax Offenses
July 14, 2011; U.S. Attorney; Central District of Illinois
July 14, 2011; U.S. Department of Justice
Owner of Fraudulent Physical Therapy Company Pleads Guilty to Medicare Fraud Scheme
July 14, 2011; U.S. Department of Justice
July 13, 2011; U.S. Department of Justice
Three Miami-Area Residents Plead Guilty to Participating in $200 Million Medicare Fraud Scheme
July 13, 2011; U.S. Attorney for the Middle District of Tennessee
Tenncare Fraud Settlement Announced
July 13, 2011; U.S. Attorney; Western District of Washington
July 12, 2011; U.S. Department of Justice
July 11, 2011; U.S. Attorney, District of New Jersey
July 8, 2011; U.S. Attorney's Office; Southern District of New York
Leader of Armenian Organized Crime Ring Pleads Guilty in Manhattan Federal Court to Racketeering
July 8, 2011; U.S. Attorney's Office; District of Connecticut
New Milford Clinical Social Worker Pays $210,000 to Settle Allegations Under the False Claims Act
July 8, 2011; U.S. Department of Justice
Co-Owner of Two Health Care Companies Convicted on Multiple Health Care Fraud Charges
July 7, 2011; Federal Bureau of Investigation, Atlanta Division
Atlanta Radiologist Guilty of Fraudulently Passing off Diagnoses Prepared by Non-Physician Employees
July 6, 2011; U.S. Attorney's Office; Middle District of Pennsylvania
Convicted Carbondale Physician Excluded from Participation in All Federal Health Care Programs
July 6, 2011; U.S. Department of Justice
Brooklyn Neurologist Pleads Guilty in Health Care Fraud Scheme
July 6, 2011; U.S. Attorney; District of Maryland
Gambrills Podiatrist Pleads Guilty To Fraudulently Billing Medicare Over $1.1 Million
June 2011
June 30, 2011; U.S. Attorney's Office; Middle District of North Carolina
Winston-Salem Couple Sentenced
June 30, 2011; U.S. Attorney; Middle District of Louisiana
Baton Rouge Man Sentenced To Lengthy Prison Term For Health Care Fraud
June 30, 2011; U.S. Department of Justice
Miami-Area Psychiatrist Pleads Guilty for Role in $200 Million Medicare Fraud Scheme
June 30, 2011; U.S. Department of Justice
June 30, 2011; U.S. Attorney; Northern District of Illinois
Operator Of Two Home Health Care Businesses Indicted In Alleged $20 Million Medicare Fraud Scheme
June 29, 2011; U.S. Attorney's Office; Eastern District of Texas
Longview Medical Supplier Sentenced for Health Care Fraud Scheme
June 28, 2011; U.S. Attorney; District of North Dakota
Former Indian Health Service Employee Sentenced for Stealing Drugs
June 27, 2011; U.S. Department of Justice
Miami Doctor Sentenced to 235 Months in Prison for Medicare Fraud Scheme
June 23, 2011; U.S. Attorney's Office; Middle District of Louisiana
Gonzales Woman Sentenced for Fraud
June 23, 2011; U.S. Department of Justice
June 22, 2011; U.S. Department of Justice
Owners of Houston Health Care Company Plead Guilty to Medicare Fraud
June 22, 2011; U.S. Department of Justice
June 22, 2011; U.S. Attorney for the District of Maryland
Baltimore Woman Pleads Guilty To Bank Fraud And Aggravated Identity Theft
June 21, 2011; U.S. Department of Justice
June 21, 2011; U.S. Attorney's Office; Central District of California
Manager of Tujunga Business Sentenced to Over Four Years in Federal Prison in MedicareFraud Scheme
June 20, 2011; U.S. Department of Justice
Owner of Houston Health Care Company Pleads Guilty to Defrauding Medicare
June 16, 2011; U.S. Attorney Office; Eastern District of Michigan
Troy Physician And Her Husband Indicted For Health Care Fraud
June 16, 2011; U.S. Attorney's Office; District of Minnesota
Brooklyn Park Man Charged with Defrauding Medicaid
June 15, 2011; U.S. Attorney's Office; District of Connecticut
Wallingford Man Sentenced to Federal Prison for Role in Oxycontin Distribution Conspiracy
June 14, 2011; U.S. Department of Justice
United States Files Suit Against Florida-Based Bay Area Sleep Associates LLC and Its Owner
June 13, 201; U.S. Attorney's Office; Southern District of Illinois
St. Clair County Chiropractor Ordered to Pay Restitution of $1.9 Million
June 13, 2011; U.S. Attorney's Office; District of New Jersey
June 10, 2011; U.S. Attorney's Office; Eastern District of Texas
Lufkin Physician Arrested For Health Care Fraud Violations
June 10, 2011; U.S. Attorney's Office; Southern District of Illinois
Former NBA Basketball Player Sentenced for Failure to Pay Child Support
June 10, 2011; U.S. Department of Justice
Two Officers of Fraudulent Physical Therapy Company Plead Guilty in Tampa, Fla., to Medicare Fraud
June 10, 2011; US Department of Justice
June 10, 2011; U.S. Attorney's Office, Eastern District of New York
June 9, 2011; US Department of Justice
June 8, 2011; US Department of Justice
June 7, 2011; U.S. Attorney's Office, Northern District of Texas
June 7, 2011; US Department of Justice
June 2, 2011; U.S. Attorney's Office, Eastern District of Louisiana
Marrero Woman Sentenced To Federal Prison for Health Care Fraud
June 2, 2011; U.S. Attorney's Office, District of Maryland
Army Doctor Indicted for Illegally Distributing Oxycodone
June 1, 2011; U.S. Attorney's Office, District of Connecticut
Hartford Physician Pays $2.2 Million to Settle Allegations under the False Claims Act
June 1, 2011; U.S. Attorney for the Eastern District of New York
Health Care Company Agrees To Settle Civil Fraud Charges For $12.5 Million
May 2011
May 27, 2011; U.S. Attorney's Office, Southern District of Texas
Federal Jury Convicts Houston Dr. and others in Medicare Fraud Scheme
May 26, 2011; U.S. Attorney's Office, Middle District of Tennessee
May 26, 2011; U.S. Attorney's Office, Southern District of Florida
Miami Nurse Convicted of Health Care Fraud and False Statements Regarding Health Care Matters
May 26, 2011; U.S. Attorney's Office, Southern District of Florida
Doral Woman Convicted of Health Care Fraud and False Statements Regarding Health Care Matters
May 26, 2011; US Attorney, District of North Dakota
Keplin Sentenced for Illegal Distribution of Indian Health Service Drugs
May 26, 2011; US Department of Justice
May 26, 2011; US Department of Justice
Areté Sleep to Pay the United States $650,000 to Resolve False Claims Act Allegations
May 24, 2011; US Department of Justice
Miami-Area Owners and Operators of Medical Equipment Company Plead Guilty to Medicare Fraud
May 23, 2011; U.S. Attorney's Office District of Connecticut
Former Haven Healthcare Administrator who Obstructed Federal Investigation is Sentenced
May 19, 2011; California Attorney General
May 18, 2011; US Department of Justice
May 17, 2011; U.S. Attorney, Middle District of Florida
May 16, 2011; U.S. Attorney, District of South Dakota
Agency Village Woman Sentenced for Health Care Fraud
May 13, 2011; US Department of Justice
Brooklyn Physical Therapist Pleads Guilty to Fraud Scheme Involving False Billings to Medicare
May 12, 2011; U.S. Attorney, Western District of Washington
Two Plead Guilty in Scheme to Get Prescription Medication by Fraud
May 12, 2011; U.S. Attorney, District of New Jersey
Rahway, New Jersey Man Admits Posing as Licensed Physician in Medicaid & Medicare Fraud Scheme
May 9, 2011; U.S. Attorney, District of Maine
Medical Doctor Sentenced to Prison for Medicare and Medcaid Fraud
May 9, 2011; U.S. Attorney, District of Maine
Antiguan Man Arraigned on Federal Identity and Government Benefit Fraud Charges
May 6, 2011; US Department of Justice
Two Clinic Owners and a Money Launderer Convicted in $9.1 Million Medicare Fraud Scheme in Detroit
May 5, 2011; Massachusetts Attorney General
Harrison Woman Sentenced for Stealing More than $4 Million from the MaineCare Program
May 4, 2011; US Department of Justice
Houston Federal Jury Convicts Four Defendants in Connection with $5.2 Million Medicare Fraud Scheme
May 4, 2011; US Department of Justice
Pharmaceutical Giant, Serono, Agrees to Pay $44.3 Million to Settle False Claims Act Case
May 3, 2011; US Department of Justice
Two Miami-Area Corporations Plead Guilty to More Than $200 Million Medicare Fraud
May 2, 2011; U.S. Attorney, District of Maryland
May 2, 2011; U.S. Attorney, Southern District of Texas
DME Company Owner and Marketers Convicted of Defrauding Medicare of Millions
April 2011
April 27, 2011; U.S. Attorney, District of New Jersey
Hawthorne, New Jersey Man Admits Posing as Licensed Physician in Medicaid & Medicare Fraud Scheme
April 27, 2011; Massachusetts Attorney General
Former Roxbury Pharmacist Pleads Guilty in Connection with Stealing Over $550,000 from MassHealth
April 26, 2011, Federal Bureau of Investigation, New Orleans
Search Warrants and Arrest Warrants Executed on Organized Health Care Fraud Crime Ring
April 26, 2011; U.S. Department of Justice
April 26, 2011; U.S. Attorney, District of Connecticut
Masonicare Health Center Pays $447,776 to Settle Allegations under the False Claims Act
April 25, 2011; U.S. Department of Justice
April 25, 2011; U.S. Attorney, Eastern District of North Carolina
Medical Corporation Pleads Guilty to Health Care Fraud
April 21, 2011; U.S. Attorney; Western District of North Carolina
Monroe Physician To Pay $750,000 To Settle Government Civil Fraud Allegations
April 21, 2011; U.S. Department of Justice
Ohio-Based Cardinal Health Inc. to Pay U.S. $8 Million to Resolve False Claims Act Allegations
April 21, 2011, Federal Bureau of Investigation, Houston
April 20, 2011; U.S. Department of Justice
April 19, 2011; Alabama Attorney General
AG Strange Announces Settlement with CVS that Recovers $366,758 for Alabama Medicaid AgencyApril 15, 2011; U.S. Department of Justice
CVS Pharmacy Inc. Agrees to Pay $17.5 Million to Resolve False Prescription Billing Case
April 14, 2011; U.S. Attorney, District of Minnesota
Multiple Health Care Fraud Cases Filed in the District of Minnesota
April 14, 2011; U.S. Department of Justice
Miami Doctor Convicted in $23 Million Medicare Fraud Scheme
April 14, 2011; U.S. Department of Justice
April 13, 2011; U.S. Attorney, Northern District of Georgia
Autism Researcher Indicted for Stealing Grant Money
April 13, 2011; U.S. Attorney, District of Connecticut
Former Haven Health Care Bookkeeper Sentenced To 18 Months in Federal Prison
April 11, 2011; U.S. Attorney, Eastern District of Wisconsin
April 8, 2011, Federal Bureau of Investigation, Houston
Jury Convicts Houston Father and Daughter of Health Care Fraud
April 8, 2011; U.S. Attorney, Middle District of Florida
Villages Woman Sentenced to 15 Months for Medicare Fraud
April 8, 2011, U.S. Department of Justice
April 7, 2011, U.S. Department of Justice
April 6, 2011; U.S. Attorney, Southern District of Iowa
Federal Search Warrant Executed in Newton, Iowa
April 6, 2011; U.S. Attorney, District of South Dakota
Wisconsin Man Indicted for Failing to Pay Legal Child Support
April 6, 2011; U.S. Attorney, District of South Dakota
Iowa Man Indicted for Failing to Pay Legal Child Support
April 5, 2011; U.S. Attorney, Southern District of Indiana
Indianapolis Man Charged with Health Care Fraud
April 5, 2011; U.S. Attorney, District of South Dakota
Nevada Man Indicted for Failing to Pay Legal Child Support
April 4, 2011; U.S. Department of Justice
April 4, 2011; U.S. Attorney, District of South Dakota
Phoenix Man Sentenced For Failure to Pay Legal Child Support
April 4, 2011; U.S. Attorney, District of South Dakota
Arizona Man Sentenced for Failure to Pay Legal Child Support
April 1, 2011; U.S. Department of Justice
U.S. Files Complaint against Texas-Based Healthpoint Ltd. Under the False Claims Act
March 2011
March 31, 2011; U.S. Attorney, Northern District of Georgia
United States Files Complaint Against Medical Transport Corporation
March 29, 2011; U.S. Attorney, Central District of California
March 29, 2011, Federal Bureau of Investigation, Washington Field Office
FDA Chemist and Son Charged with Trading on Inside Information
March 29, 2011; U.S. Department of Justice
March 28, 2011; U.S. Attorney, Southern District of Illinois
March 28, 2011; U.S. Attorney, Southern District of Florida
Miami-Dade Family Charged with Health Care Fraud
March 28, 2011, U.S. Attorney, Northern District of Georgia
March 25, 2011; U.S. Attorney, Southern District of Florida
Doctor Charged with Conspiring to Distribute Controlled Substances
March 25, 2011; U.S. Department of Justice
March 24, 2011, U.S. Attorney, Southern District of Indiana
Connersville Woman Sentenced for Medicaid Fraud
March 23, 2011, U.S. Attorney, Eastern District of Michigan
Monroe Doctor Arrested on Drug and Health Care Fraud Charges
March 16, 2011, Federal Bureau of Investigation, Jackson, Mississippi
Two Men Indicted in Health Care Fraud Scheme
March 15, 2011, U.S. Department of Justice
March 15, 2011, U.S. Attorney, Middle District of Pennsylvania
Former Podiatrist Charged with Health Care Fraud
March 14, 2011, New York Attorney General
March 11, 2011, U.S. Attorney, Southern District of Illinois
Former NBA Player Pleads Guilty to Failure to Pay Legal Child Support Obligations
March 11, 2011, U.S. Department of Justice
March 11, 2011, U.S. Attorney, Southern District of Florida
Boynton Beach Doctor Sentenced on Health Care Fraud Charges
March 9, 2011, Federal Bureau of Investigation, Houston
Jury Convicts Durable Medical Equipment Business Owner for Fraud
March 7, 2011, U.S. Attorney, District of New Jersey
March 7, 2011, U.S. Attorney, Southern District of Texas
Leader of Florida-Based Medicare Fraud Ring Sentenced to Prison
March 7, 2011, U.S. Department of Justice
March 4, 2011, U.S. Department of Justice
March 4, 2011, U.S. Attorney, Eastern District of Texas
Medical Supplier Indicted for Wheelchair Scam
March 4, 2011, Federal Bureau of Investigation, Indianapolis
Terre Haute Man Charged with Health Care Fraud and Money Laundering
March 2, 2011, Federal Bureau of Investigation, Tampa
Five Former Executives Indicted on Health Care Fraud Charges
March 2, 2011, U.S. Department of Justice
Forest Pharmaceuticals Sentenced to Pay $164 Million for Criminal Violations
February 2011
February 25, 2011, U.S. Attorney, Southern District of Texas
February 24, 2011, U.S. Attorney, Northern District of Illinois
Bluecross Blueshield of Illinois to Pay $25 Million to Settle Civil False Claims Act Allegations
February 24, 2011, U.S. Attorney, Middle District of Pennsylvania
February 24, 2011, U.S. Attorney, Western District of North Carolina
Charlotte Woman Pleads Guilty to Health Care Fraud, Money Laundering and Failure to File Tax Returns
February 23, 2011, U.S. Attorney, Southern District of Texas
February 23, 2011, U.S. Attorney, Western District of Tennessee
Memphis Woman Indicted on 214 Counts of Health Care Fraud
February 23, 2011, U.S. Attorney, Eastern District of Louisiana
Parent of Medicaid Recipient Convicted of Federal Health Care Fraud
February 22, 2011, U.S. Attorney, Northern District of Georgia
APS Healthcare Pays $13 Million to Settle False Claims Act Case
February 22, 2011, Attorney General of Georgia
APS Healthcare Pays $13 Million to Settle Investigation into False Medicaid Claims
February 18, 2011, U.S. Attorney, Eastern District of California
Catholic Healthcare West Agrees to Pay $9 Million to Settle False Claims Act Allegations
February 18, 2011, U.S. Department of Justice
February 17, 2011, U.S. Department of Justice
February 16, 2011, Attorney General of Indiana
Southern Indiana Psychologist Charged with Medicaid Fraud
February 16, 2011, U.S. Department of Justice
February 16, 2011, U.S. Attorney, Western District of Missouri
Operation Oxyclean: Independence Physician Pleads Guilty to $1 Million Drug-Trafficking Conspiracy
February 15, 2011, U.S. Department of Justice
February 14, 2011, Attorney General of Oregon
Fugitive in Health Care Fraud Scheme Captured while Seeking Medical Treatment in Oregon
February 14, 2011, U.S. Attorney, District of South Dakota
Cheyenne Vision Clinic, P.C. Settles Claims Brought Under the False Claims Act
February 10, 2011, U.S. Department of Justice
February 10, 2011, U.S. Department of Justice
Medical Assistant Sentenced to 36 Months in Prison for His Role in a Fraudulent Home Health Scheme
(February 10, 2011, U.S. Attorney, Western District of North Carolina)>
U.S. Attorney Announces Skilled Nursing Facility Fraud Settlement (Not Posted to DOJ Site at this Time)
February 10, 2011, U.S. Attorney, Eastern District of Pennsylvania
Charges Filed in Healthcare Fraud Scheme
February 9, 2011, U.S. Attorney, District of Minnesota
February 4, 2011, U.S. Attorney, Western District of Oklahoma
Tecumseh Man Charged with Health Care Fraud in Sale of Prosthetics
February 4, 2011, U.S. Attorney, Southern District of Indiana
Indianapolis Woman Sentenced for Medicaid Fraud
February 4, 2011, U.S. Attorney, Northern District of West Virginia
Martinsburg Physician Convicted on 34 Counts of Health Care Fraud
February 4, 2011, U.S. Department of Justice
February 1, 2011, U.S. Department of Justice
February 1, 2011, Attorney General of Texas
Multi-jurisdictional Effort Seeks Forfeiture of $250,000 in Gold Coins for Texas Medicaid Program
February 1, 2011, U.S. Attorney, Southern District of Texas
January 2011
January 25, 2011, U.S. Attorney, Middle District of Louisiana
Guilty Pleas in Baton Rouge, Louisiana, to Charge of Health Care Fraud
January 24, 2011
Health Care Fraud Prevention and Enforcement Efforts Recover Record $4 Billion; New Affordable Care Act Tools Will Help Fight Fraud As issued by U.S. Department of Justice As issued by U.S. Department of Health and Human Services
January 20, 2011, U.S. Department of Justice
Two Owners of Houston Health Care Company Plead Guilty to Alleged $5.2 Million Medicare Fraud Scheme
January 20, 2011, U.S. Department of Justice
January 18, 2011, U.S. Attorney, Southern District of New York
January 10, 2011, U.S. Attorney, District of Connecticut
Former Haven Health Care Bookkeeper Pleads Guilty to Fraud and Tax Charges
January 10, 2011, U.S. Attorney, District of New Jersey
January 6, 2011, U.S. Attorney, District of Maryland
January 6, 2011, U.S. Department of Justice)
January 4, 2011, U.S. Department of Justice
January 4, 2011, U.S. Department of Justice
Houston Doctor Sentenced to 41 Months in Prison for Role in Medicare Fraud Scheme