U.S. Senators are concerned that billions in tax dollars are being stolen from Medicare and Medicare by Russian and Cuban criminal groups and the moneys dispersed and hidden in various nations. Earlier this week, federal officials in Miami charged Oscar Sanchez in connection with a criminal operation which defrauded Medicare of at least $31...
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Category: Medicaid Fraud
ALASKA MEDICAID AGENCY TO PAY $1.7 IN HIPAA SETTLEMENT IN DATA BREACH OF HARD DRIVE
The U.S. Department of Health and Human Services just announced that Alaska's state Medicaid agency agrees to pay HHS $1.7 million to settle violations of the security rule provision of the Health Insurance Portability and Accountability Act of 1996. Alaska's health and social services department submitted a breach report regarding the theft of a...
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GRAFTON MASS. MAN CHARGED IN CONN. MEDICAID SCHEME UNDER FALSE CLAIMS ACT
A North Grafton Massachusetts man is charged in connection with an alleged Medicaid fraud in Connecticut, the Connecticut Post reports. Connecticut Attorney General George Jepsen has brought a civil action against 28 individuals, dental practices and corporations, including Paul Anusavice of North Grafton, the paper reports.Jepsen, in his action against Mehran Zamani of Stamford,...
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JOHNSON & JOHNSON FINED $1 BILLION FOR MEDICAID FRAUD IN REPERDAL MARKETING
An Arkansas judge fined Johnson & Johnson and its Janssen subsidiary more than $1.1 billion a day after a jury found the companies hid risks, including diabetes and weight gain associated with Risperdal, an antipsychotic drug. Judge Tim Fox found nearly 240,000 violations under the state Medicaid fraud law and each violation carries a...
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OCCUPATIONAL THERAPIST GIVEN GREEN LIGHT ON WHISTLEBLOWER CASE
A federal judge gave an occupational therapist the green light this week to begin gathering evidence against the nation's largest nursing home operator and contract physical therapy company for submitting false Medicare and Medicaid claims for years. Ricia Johnson an Occupational Therapist filed the lawsuit against Aegis Therapies Inc. which provides rehab services at...
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JOHNSON & JOHNSON SETTLES MEDICAID FRAUD WHISTLEBLOWER SUIT FOR $158 MILLION
Johnson & Johnson has agreed to pay $158 Million to settle a major whistleblower lawsuit alleging that the company for paying kickbacks and for other illegal marketing practices to bosst Resperal, a pill for schizophrenia and bipolar disorder. The lawsuit was originally filed by a former employee of the office of Inspector General in...
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U.S TO REQUIRE MEDICARE/MEDICAID DRUG AND DEVICE COMPANIES TO REPORT MONEY PAID TO DOCTORS
Under a new health care law, if a company has just one product covered by Medicare or Medicaid, it will have to disclose all payments to doctors and the feds will be posting the information on a public web site available to all. More than 1,100 drug, device and medical supply companies will have...
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HOME CARE RECIPIENT: MEDICAID FRAUD HARMS PATIENTS
Health care providers who use fraudulent billing cost Medicaid and Medicare billions of dollars every year but they also hurt the patients themselves. Two subcommittees at the House Oversight and Government Affairs Committee are looking at the effects of Medicare and Medicaid Fraud on patients themselves. One patient, Richard West, a New Jersey resident...
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PATIENT WHISTLEBLOWER EXPOSES $150 MILLION MEDICAID FRAUD
63 year old wheelchair bound Medicaid patient Richard West exposed Maxim Healthcare's widespread Medicaid fraud scheme of billing home health care nursing services never rendered. West, who uses a ventilator and needs oxygen learned in 2004 that New Jersey state officials had suspended his Medicaid benefits saying he had exceeded his monthly cap. West...
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NEW YORK CITY PAYS $70 MILLION IN MEDICAID OVERBILLING WHISTLEBLOWER SUIT
New York City is paying Uncle Same $70 Million to settle a whistleblower lawsuit saying the city overbilled Medicaid by improperly approving home care for frail and elderly clinets. The city has acknowledged that for ten years, from 2000 to 2010, it had re-authorized personal care for patients without having physically obtained the required...
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