The nursing home chain, Saber Healthcare Group LLC, and related entities, (Saber) have agreed to pay $10 million to settle a whistleblower case alleging that Saber violated the False Claims Act by knowingly causing certain of its skilled nursing facilities (SNFs) to submit false claims to Medicare for rehabilitation therapy services that were not...
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Category: Healthcare Fraud
Genetic testing company pays $42.6 Million to settle kickback and medical necessity claims
UTC Laboratories Inc. (RenRX) has agreed to pay $41.6 million,to resolve allegations that they violated the False Claims Act by paying kickbacks in exchange for laboratory referrals for pharmacogenetic testing and for furnishing and billing for tests that were not medically necessary. RenRX, a laboratory company headquartered in New Orleans, Louisiana, also agreed...
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Father and Son Sentenced to Prison for $27 Million Hearing Aid Healthcare Fraud
Terry Anderson and his son, Rocky Anderson, were found guilty of multiple counts of health care fraud and aggravated identity theft following a 10-day trial in 2018. On Thursday, August 5th, 2019, it was announced that the duo would serve eight...
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New Jersey Man Faces 10 Years in Prison for Compounding Pharmacy Scheme
On Tuesday, August 13th, 2019, Peter Frazzano, 46, admitted to participating in a health care fraud scheme involving the submission of fraudulent claims for compounding prescriptions. Frazzano pleaded guilty to conspiracy to commit health care fraud, which is punishable by up to 10 years in prison and a $250,000 fine. Frazzano has...
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Man Targets Public Employees Retirement Association for $300,000 Health Care Fraud Scheme
Michael Bang, of Mesa, Arizona, was indicted on 20 counts of health care fraud, aggravated identity theft, and wire fraud following the investigation of a health care fraud scheme targeting the Colorado Public Employees Retirement Association (COPERA).
According to the Department of Justice, Bang was able to steal around...
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Delaware Physician Indicted for Participation in $12.7 Million Health Care Fraud Scheme Involving Fraudulent Medicare Claims
Frederick Gooding, a physician of Wilmington, Delaware, was charged in an indictment with 11 counts of health care fraud following an investigation into his participation in a $12.7 million scheme that sought to defraud Medicare.
According to the Department of Justice, Gooding submitted claims to Medicare for injections and...
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Doctor Indicted For Submitting Medicare and Medicaid Claims for Services Performed By Other Physicians
Dr. Antonio Reyes-Vizcarrondo was indicted for one count of conspiracy to commit health care fraud and one count of health care fraud following allegations that he submitted false claims to both Medicare and Medicaid.
According to the Department of Justice, Reyes-Vizcarrondo submitted a total of 8,159 claims between 2008...
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Participant in $6.5 Million Health Care Fraud Scheme Receives 96 Month Sentence and a Forfeiture of Over $1.4 Million
Michael Burton, of Decatur, Georgia, was sentenced to 96 months in federal prison for his participation in a scheme that defrauded TRICARE and other insurers a combined $6.5 million. According to the Department of Justice, Burton plead guilty to charges of conspiracy to commit health care fraud, conspiracy to commit money laundering,...
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Telemedicine Scheme Involving Illegal Kickbacks and Unnecessary Prescriptions Results in $2.5 Million Settlement
Scott Roix, as well as HealthRight, LLC, Health Savings Solutions, LLC, Vici Marketing, LLC, and Vici Marketing Group, LLC, have agreed to pay $2.5 million to resolve allegations that they violated the False Claims Act through their telemedicine scheme.
According to the Department of Justice, Roix and the marketing...
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Former Bedford, MA VA Nursing Assistant Charged in Boston for Making False Statements Regarding Hourly Checks On a Patient Who Died
According to the Department of Justice, Patricia Waible, of Nashua, NH, plead guilty to two counts of making false statements during the investigation of a patient’s death. The defendant allegedly claimed that she had conducted the required hourly bed checks on the patient the night of his death, but investigators later found...
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