Nabil Fakih, a licensed pharmacist, Michigan Board of Pharmacy member, and owner of a Dearborn Heights drug store, was charged with healthcare and wire fraud and indicted by a grand jury. The Indictment accused Fakih of wrongfully taking millions of United States dollars from Medicare, Medicaid and Blue Cross Blue Shield (BCBS),...
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Category: Medicare Fraud
Additional Reports Show That The Future of Medicare and Social Security Looks Bleak as the risk of Insolvency advances without attention to deficit
We recently published a blog on the impending crisis concerning funding of Medicare and Social Security benefits. The numbers of inquiries on this were substantial so I am writing additional information on the problem.
One issue is that Congress appears reluctant to address the issue especially given the coming...
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Drug companies pay $122 million to settle case charging kickbacks including bribery to patients under the guise of charitable organizations on co-pays
Jazz Pharma, Alexion, and Lundbeck were the subject of SOJ lawsuits asserting kickbacks and committing general violations of Medicare laws. The United States Department of Justice has decided to agree to a settlement of $122.6 million in total from these three alleged Medicare violators.
The drug companies were accused of...
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Predictions of Medicare Part A Running Out of Funds By 2026 Leaves SNFs in The Red By 2040
Full coverage of Medicare Part A benefits is said to be at risk within seven years as funding begins to run out. This could potentially lead to long-term effects that will be devastating to a large number of nursing homes and those who operate them, as well as the healthcare system as...
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Fresenius Medical Care settles bribery investigation for $255 million after anonymous whistleblower notification
Fresenius Medical Care, a German company with offices here, has settled allegations of a foreign bribe and will pay $255 million to the U.S. Government.
The German dialysis giant also said that it had booked charges of $254.6 million (äå224.0 million)...
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Nursing Assistant from Florida Loses License Permanently After The Discovery of a $7 Million Medicare Fraud
Rossana Ramirez, a once certified nursing assistant, was discovered to be helping run a business in West Miami-Dade that is responsible for $7 million in health care fraud. After pleading guilty Ramirez was stripped of her license permanently through an Emergency Suspension Order and is now serving time at a federal detention center with...
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Pasadena Pharmacy Owner who stole $1.3 Million Dollars in Medicare Fraud awaits Sentencing
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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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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Drug manufacturer Actelion pays $360 Million to end kickbacks case using foundation to pay Medicare copays for high blood pressure meds
Pharmaceutical manufacturer Actelion Pharmaceuticals US, Inc. (Actelion), will pay $360 million to settle claims that it illegally used a foundation as a conduit to pay the copays of thousands of Medicare patients taking Actelion's pulmonary arterial hypertension drugs, in violation of the False Claims Act. The government says that...
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Medical device maker to pay $17.9 million to end case for violation of FDA laws in whistleblower case
Medical device manufacturer ev3 Inc. has agreed to plead guilty to charges related to its neurovascular medical device, Onyx Liquid Embolic System, and pay $17.9 million, the Department of Justice announced today. Covidien LP, whose parent acquired ev3, separately paid $13 million to resolve False Claims Act allegations resulting from its alleged payment of...
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