LUBBOCK, Texas (KCBD) – A former NFL player who played for Texas Tech from 1995 to 1998 was arrested on Thursday, charged with submitting fraudulent health reimbursement claims. Investigators with the Texas Department of Insurance (TDI) say Willie Montae Reagor … Read More
The Department of Justice recovered over $3 billion from False Claims cases in the 2019 fiscal year, with $2.6 billion coming form healthcare fraud schemes. In a recent announcement, the Justice Department reported that the billions of dollars stemming from … Read More
LAREDO, TX (KGNS) – A medical service provider in San Antonio and Laredo have two of their leaders arrested. Federal authorities are charging them with health care fraud. Through a release sent out on Friday by the Department of Justice, … Read More
MEMPHIS, Tenn. — A Tennessee woman is charged with TennCare fraud and identity theft for allowing another person to use her TennCare card to receive dental benefits. TennCare covers dental services for adults only when there is a medical emergency. … Read More
Ten former NFL players, including some high-profile names, were charged Thursday by the Justice Department for allegedly defrauding the league’s healthcare benefits program of millions of dollars through an elaborate fraud scheme. The Justice Department announced the charges in a … Read More
McALLEN — Two former employees of the Centers for Arthritis and Osteoporosis, the clinic owned by Dr. Jorge Zamora Quezada, testified Thursday about what they perceived to be unusual practices at the clinic as part of the ongoing trial. Zamora … Read More
It has now been a common belief that opioid addiction begins at the doctor’s office. It’s hard to dispute that assertion now as New Jersey physician Morris “Moishe” Starkman has been guilty of said act. The former Bordentown, NJ doctor … Read More
The US Department of Justice (“DOJ”) has recently announced several healthcare fraud enforcement actions, charging 149 people for fraud schemes resulting in hundreds of millions of dollars in unlawful billings to the federal government healthcare programs. These charges resulted from … Read More
The U.S. Department of Justice announced last week that a Massachusetts-based laboratory has agreed to pay nearly $27 million to settle claims that they improperly billed federal healthcare programs for lab tests. The settlement resolves allegations that the company, Laboratory … Read More
A bond hearing is set for Nov. 18 for the former mayor of Rio Bravo who was found guilty Wednesday of participating in a $150 million health care fraud scheme. Laredoan Franciso Peña, 82, Merida Group director, former Laredo Medical … Read More
HOUSTON, TEXAS — Police confiscated dental equipment from a west Houston office and arrested two people who were allegedly practicing dentistry without a license. Carolina Flores-Paz, 36, and Enrique Eduardo Alvarez, 47, were arrested Monday at Delta Image Makers in … Read More
WASHINGTON – Bilal Ahmed, 47, of Potomac, Maryland, pled guilty on September 6, 2019, to a federal charge of health care fraud stemming from a scheme in which he and others caused the District of Columbia’s Medicaid program to be … Read More
SHERMAN OAKS—Two pharmacy owners from Sherman Oaks were found guilty for their participation in a $35 million health care and money laundering scheme on Tuesday, August 21 in federal court. During their scheme, Aleksandr Suris, 51 and Maxim Sverdlov, 44, … Read More
The federal government hit Medoc Health Services with a lawsuit alleging the Dallas-based pharmacy services provider filed hundreds of false claims and engaged in a kickback scheme worth millions of dollars. The complaint comes about a year after the FBI … Read More
Four men accused of scamming Medicare out of $150 million that funded a lavish lifestyle with premium San Antonio Spurs tickets and Louis Vuitton clothing will go to trial in early August. U.S. District Judge Rolando Olvera ruled last Tuesday … Read More
McALLEN — The owner and an employee of a now-closed durable medical equipment business each pleaded guilty to healthcare fraud charges, court records show. Standing before U.S. District Judge Micaela Alvarez, Everardo Villarreal and Delilah Rae Robles each pleaded guilty … Read More
A Mira Mesa dentist was charged Tuesday with insurance fraud for falsifying hundreds of root canal claims to scam insurance companies out of nearly $600,000, the San Diego County District Attorney’s Office said. April Rose Ambrosio, 58, was charged with … Read More
Richard “Nate” Schott, the ex-Murfreesboro dentist who grifted nearly $1 million from insurance companies, is headed to prison for 33 months. U.S. District Court Judge Waverly Crenshaw handed down the sentence Friday morning before a courtroom crowd of about 30 … Read More
The last person arrested in what federal authorities allege was a scam that bilked Medicare out of $150 million was the first to plead guilty. Jesus Virlar-Cadena, of San Antonio, pleaded guilty Tuesday afternoon to charges of conspiracy to commit … Read More
A Lake Township man is facing federal allegations he defrauded Medicare and Medicaid out of roughly $2 million. Thomas G. O’Lear, 55, has been indicted in U.S. District Court in Cleveland on 25 counts of health care fraud and a … Read More
McALLEN — A Mission man indicted in connection with a healthcare fraud scheme pleaded guilty Wednesday, avoiding a jury trial that was expected to begin next week, court records show. U.S. District Judge Micaela Alvarez accepted a guilty plea from … Read More
HARRISBURG — The former owner of a Harrisburg-based dental and vision claims processing business pleaded guilty to one count of health care fraud in federal court this week, according to U.S. Attorney David J. Freed. Michael Timothy Buchanan, 68, of … Read More
The healthcare professionals were sentenced to federal prison last week for illegally distributing opioids and other controlled substances in the Eastern District of Texas. After pleading guilty last October, Dr. Howard Gregg Diamond, a Sherman physician, received a 20-year sentence … Read More
A company known as “Acadia Healthcare” has agreed to pay penalties and fines totaling $17 million. Acadia and it’s subcontractors admitted overcharging for drug testing of clients at drug treatment centers across West Virginia. Source: Largest healthcare fraud settlement in … Read More
HOUSTON (CBSDFW.COM/AP) — A businessman who operated an ambulance company in the Houston area must serve more than five years in federal prison for running what prosecutors call a $2.8 million billing scam. Keeble Lovall, 46, of Houston was sentenced … Read More
McALLEN, Texas ‐ The owner of a durable medical equipment (DME) company has been ordered to federal prison for defrauding Medicaid of more than $3 million, announced U.S. Attorney Ryan K. Patrick. Anna Ramirez-Ambriz, 57, of McAllen, pleaded guilty March … Read More
AUSTIN – Investigative work by the decorated Medicaid Fraud Control Unit of Texas Attorney General Ken Paxton’s office helped federal prosecutors obtain convictions and prison sentences in two home health care fraud cases against five individuals who cheated Medicaid and … Read More
The Office of the Inspector General (OIG) is making good on its long-held promise to ramp up oversight of home- and community-based services, requesting an extra $10 million in its fiscal year 2020 budget to tackle fraud, waste and abuse … Read More
After a morning session on Wednesday, the government rested its case against Forest Park Medical Center. They allege that the for-profit, physician-owned medical center located near Forest Lane and Central Expressway conducted a bribery scheme where it sent payments to … Read More
ST. LOUIS • An Illinois prison inmate pleaded guilty Wednesday to federal charges and admitted using fake nursing and educational credentials to work at three area health-care facilities. Benjamin Danneman, 37, who is serving a prison sentence in Illinois, pleaded … Read More
Former Palo Pinto General Hospital CEO Harris Brooks pleaded guilty to defrauding BlueCross BlueShield of Texas, CIGNA Texas, and United Healthcare for millions of dollars, according to U.S. Attorney for the Northern District of Texas Erin Nealy Cox. An FBI … Read More
NEWARK, N.J. – An Essex County, New Jersey, man was sentenced today to 50 months in prison for his role in a conspiracy to defraud New Jersey state benefit programs, , U.S. Attorney Craig Carpenito announced. Brian Catanzarite, 43, a … Read More
CLEVELAND (AP) — Federal authorities say six people have been indicted in a $48 million Medicaid fraud scheme, including a man who was viewed as a local superhero for his car collection and daring feats for charity. Thirty-eight-year-old Ryan Sheridan … Read More
AUGUSTA, Ga. (WJBF) – A Martinez man has been sentenced following a case regarding healthcare fraud. 32-year-old Jonathan Duane Austin is sentenced to 30 months in federal prison and has been ordered to pay $1,473,377.51 in restitution for defrauding government … Read More
A Los Angeles, CA-based dentist pleaded guilty on Thursday to a March 2018 indictment charging him with health care fraud arising from his false and fraudulent billings for crowns and fillings, which were never provided to patients. Assistant Attorney General … Read More
Tampa, Florida – U.S. District Judge James S. Moody Jr. today sentenced Jayam Krishna Iyer (66, Clearwater) to six months in federal prison for committing health care fraud, ordered Iyer to forfeit over $52,000 in health care fraud proceeds, and … Read More
Walgreens Boots Alliance Inc. agreed to pay $269.2 million to settle U.S. claims that the drugstore chain defrauded a federally funded health care program over insulin drugs and a consumer-discount initiative. The two settlements, announced Tuesday, cover allegations over improper … Read More
The former executive director of Cleveland Clinic Innovations, the development and commercialization arm of Cleveland Clinic, was sentenced Dec. 19 to 30 months in prison for his role in a fraud scheme, according to the Department of Justice. Federal prosecutors … Read More
The Department of Justice has announced that it obtained $2.5 billion in settlements and judgments from cases involving healthcare fraud in 2018. The healthcare fraud settlements are part of more than $2.8 billion the government obtained through False Claims Act … Read More
An operator of a durable medical equipment (DME) company was ordered to federal prison following his admission of defrauding Medicaid, announced U.S. Attorney Ryan K. Patrick. George Louis Moreno, 59, of McAllen, pleaded guilty Jan. 24, 2018. Today, U.S. District … Read More
