The pharmaceutical industry in Pasadena is much like the rest of the United States. There are certainly an influx of individuals who receive Medicare using these services for particular ailments and diseases that accompany being older than 65 years old. However, a local Pasadena pharmacy, Akhtamar Pharmacy, was abusing the Medicare funds...
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Category: Healthcare Fraud
The top 5 healthcare fraud settlements in the U.S. in 2018 totalling $2.5 Billion
U.S. Healthcare companies paid the bulk of all False Claims Act whistleblower settlements in 2018 accounting for $2.5 billion. These came from drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice care organizations, hospitals, pharmacies, and laboratories.
The five largest settlements in 2018 are:
AmericourseBergen Corp and some subsidiaries paid $625 million to...
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U.S. Government intervenes in case against Sutter Health for submission of false claims in Medicare Advantage plans
The United States has intervened in a complaint against Sutter Health LLC, a California-based healthcare services provider, and an affiliated entity, Palo Alto Medical Foundation, (collectively "Sutter") that alleges that Sutter violated the False Claims Act by submitting inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage Plans, the Justice Department...
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Three home health care employees plead guilty to home health care Medicaid fraud of $87 Million
Three employees of home health care companies, Travis Moriarty, 37, Tiffhany Covington, 41, and Brenda Lowry Horton, 48, all of Pittsburgh, Pennsylvania, pleaded guilty conspiracy to defraud the Pennsylvania Medicaid program. The companies Moriarty Consultants, Inc. (MCI), Activity Daily Living Services, Inc. (ADL), Coordination Care, Inc. (CCI), and Everyday People Staffing, Inc. (EPS). MCI,...
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Millions of elderly excluded from Alzheimer’s trials due to language barriers
Millions of elderly immigrants, mainly Spanish speakers cannot participate in clinical trials because they cannot speak English. The reason is that clinicians and researchers do not believe that using interpreters can properly accomplish the neuropsych testing, according to a study published in Clinical Neuropsychology.
Dr. Benjamin Sommers, who studies health policy...
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Emergency room patients given ketamine and antispychotic drugs without their knowledge or consent.
According to an article in STAT https://www.statnews.com/2018/10/29/er-patients-given-ketamine-powerful-drugs-without-consent/?utm_source=STAT+Newsletters&utm_campaign=56d4d18dfb-Daily_Recap&utm_medium=email&utm_term=0_8cab1d7961-56d4d18dfb-118516237, a Minnesota hospital tested powerful antipsychotics and potent anesthetic on emergency room patients without their knowledge or consent. This is a violation of law say federal inspectors have determined.
According to FDA inspectors, the hospital's Institutional Review Board...
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Government files False Claims Act complaint against ophthalmologist supporting whistleblower
The government intervened and filed a complaint in a False Claims Act lawsuit against Aarti D. Pandya, M.D. a/k/a Arati D. Pandya, M.D., an ophthalmologist from Conyers, Georgia, and her practice Aarti D. Pandya, M.D., P.C. (“the Pandya Defendants”). The lawsuit alleges that the Pandya Defendants submitted false claims to Medicare for...
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Ambulance company owner convicted in $3 million Medicare fraud faces possible 10 years in prison
Monday, August 20, 2018
Anthony Chukwudi Nwosah owner of Tonieann EMS and Rosenberg EMS, admitted he conspired to submit more than $3 million in false and fraudulent claims to Medicare for ambulance transport services that were not provided and...
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NEWMANLAW ANNOUNCES $11.5 MILL SETTLEMENT IN MED DEVICE SALES FOR UNAPPROVED USES
Contact: Jeffrey A. Newman Esq.
Jeff Newman Law ANNOUNCES $11.5 MILLION SETTLEMENT IN WHISTLEBLOWER FRAUD CASE AGAINST MEDICAL DEVICE DISTRIBUTOR ANGIODYNAMICS INC. FOR SELLING GELSPHERE DEVICE FOR UNAPPROVED CHEMOTHERAPY ELUTING PURPOSES
False Claims Lawsuit reveals sales of embolic device for uses other than those approved by...
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Nursing home dementia patients being given drug not approved by the FDA for dementia
The Centers for Medicare & Medicaid Services is alerting insurers that a drug called Nuedexta may be improperly given to nursing home patients including dementia patients for non approved uses. The drug alert, said that CMS is “monitoring the increased utilization of the drug Nuedexta” after allegations of potential use “for non-medically accepted indications.”It...
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