David Williams called himself Dr. Dave and claimed he served clients in Las Vegas, Denver, Orlando, Seattle and Tucson.
In reality, he is a fitness expert from Fort Worth, has been charged by federal authorities with fraudulently billing health insurance companies more than $25 million and billing for medical services while impersonating a certified healthcare...
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Category: Healthcare Fraud
CityMD Will Pay $6.6M in Medicare to Settle Whistleblower Lawsuit
Federal prosecutors say CityMD, a New York based urgent care, admitted that it overcharged Medicare. They will pay millions for ordering more expensive procedures, and billing for services provided by physicians who were not properly credentialed.
The Whistleblower Lawsuit
The federal government joined a private whistleblower...
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Chicago Doctor Indicted for Stealing Almost $1 Million in Medicare Fraud Scheme
Fake Treatments and Paperwork Lead to Arrest in Medicare Fraud Case
A physician has been indicted for stealing nearly $1 million in Medicare fraud scheme that also included private insurance. Dr. Pranav Patel, of the Chicago area, allegedly submitted fake insurance claims for medical tests and exams that were...
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Radiation therapy company SightLine Health pays $11.5 million to settle Medicare fraud and kickback case
SightLine Health LLC (SightLine), which operates radiation therapy centers throughout the United States, will pay $11.5 million to settle a False Claims Act lawsuit alleging that it knowingly submitted claims to the Medicare program that violated the Anti"ïKickback Statute. Together with Integrated Oncology Network Holdings LLC (ION), which acquired SightLine in 2011, SightLine has...
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N.J. man charged with fraud for convincing seniors to have $1 million worth of fake tests
A New Jersey man is facing fraud charges after a federal grand jury agreed he took advantage of senior citizens. The man is accused of operating a nonprofit with the intention of defrauding people with unnecessary tests. According to Tapinto.net, Seth Rehfuss, 43, of Somerset NJ, used a nonprofit agency called Good Samaritans...
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Cardiologist receives $6 million in False Claims Act Settlement
Pennsylvania cardiologist who sued his former colleagues and UPMC Hamot will receive $6 million as part of the $20.75 million whistleblower settlement.
According to GoEarie, Tullio Emanuele, M.D., claimed Hamot and the other defendant, Medicor Associates Inc., knowingly submitted claims to the Medicare and Medicaid programs that violated the AntiKickback Statute...
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The Justice Department Hopes New Painkiller Data Will Aid in the Opioid Crisis Fight
DOJ Takes a Step That Could Help in The Opioid Crisis
This week the Justice Department made a big move that could be a game changer for the nation's opioid crisis. According to Cleveland.com, the DOJ will make a large swath of data on painkillers available, hoping the intel will be used in the...
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On her deathbed, VA doctor turns whistleblower revealing substandard care for veterans
Massachusetts Whistleblower Case
VA physician Dr. Sarah Kemble, Chief of Medicine for the U.S. Department of Veterans Affairs for the central and western Massachusetts region revealed on her deathbed that the medical care for veterans at the Northampton Medical Center is substandard, especially regarding psychiatric care. Dr. Kemble wrote a...
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MedMax Compounding Company Bilked Tricare Millions of Dollars, and Sold Unneeded Drugs
Steven M. Butcher, 39, owner of MedMax LLC, which provided marketing services for compounded medications, pleaded guilty before U.S. District Judge John Michael Vazquez in Newark federal Court for conspiracy to commit healthcare fraud and violate the Anti-Kickback Statute.
Butcher used his company, MedMax, to convince people to obtain unneeded compound medications and then bill...
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A Look at The True Cost of Medicaid Fraud and How to Fight it
Fighting Medicaid Fraud
Hearing the term Medicaid fraud may conjure up images of lawyers and government officials, but the true cost is actually much closer to home for many people. Fraud and abuse in Medicaid cost taxpayers billions of dollars every year. Funds intended to help the sick end up being wasted.
But worse than the...
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