A federal jury in the Southern District of Texas convicted a Houston-based home-health agency owner for her role in a $13 million Medicare fraud scheme and money laundering.
Assistant Attorney General Leslie R. Caldwell of the Justice Department's Criminal Division, U.S. Attorney Kenneth Magidson of the Southern District of Texas, Special Agent in Charge D....
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Category: Medicare Fraud
Life Care pays record $145 million to end U.S. case for of false claims to Medicare from skilled nursing facilities
Life Care Centers of America Inc. (Life Care) has agreed to pay $145 million to settle a government whistleblower lawsuit alleging that Life Care violated the False Claims Act by knowingly causing skilled nursing facilities (SNFs) to submit false claims to Medicare and TRICARE for rehabilitation therapy services that were not reasonable, necessary or...
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Owner of large home health company admits illegal kickbacks to 20 medical directors for referrals of Medicare patients
Romy Macaset Jr., owner of a home health care company, Home Bound Healthcare, Inc. of Illinois, admitted in federal court today that he paid illegal kickbacks to procure referrals of elderly patients on Medicare. He acknowledged in a plea agreement that he retained and paid Medical Directors a monthly...
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GOP leaderships issue warning to CMS: Medicare fraud is rampant and more must be done
Major Republican lawmakers are worried that the federal government hasn't done enough to fight Medicare fraud and members of the House Ways and Means Committee and Energy and Commerce Committee penned a letter to the Centers for Medicare and Medicaid Services, stressing that 12 cents of every Medicare dollar was misspent last year. Total...
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Brooklyn surgeon facing 40 years in prison after federal jury convicts him for Medicare fraud
Brooklyn surgeon Syed Ahmed faces more than 40 years in prison after a federal jury convicted him of defrauding millions from Medicare including claims he'd performed 600 procedures on one patient. He was found guilty of all six counts late Thursday night in Brooklyn Federal Court after the jury had deliberated for four...
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Skilled Nursing Facility owners charged in $1 Billion Medicare Fraud case
Philip Esformes, of Miami owners of more than 30 Miami-area skilled nursing and assisted living facilities, a hospital administrator and a physician’s assistant were charged with conspiracy, obstruction, money laundering and health care fraud in connection with a $1 billion scheme involving numerous Miami-based health care providers. According to the indictment, Esformes operated...
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EverCare pays $18 mill in hospice case on whistleblower claims that patients were not terminally ill
EverCare, doing business now as Optum Palliative and Hospice Care, A Minnesota-based company that operates in Colorado will pay $18 million after falsely claiming Medicare reimbursement for patients who were not eligible for hospice care. A whistleblower lawsuit, alleging that the provider knowingly submitted or caused false claims to be submitted to Medicare for...
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MD2U home health company pays $21 mill. to Uncle Sam in “extreme” Medicare fraud case
MD2U, a home care company with operations in Florida, Indiana, Kentucky, Ohio and North Carolina has agreed to pay the federal government $21 million after admitting to fraudulent billing practices so widespread, the government called the company an "extreme outlier."
Kentucky-based MD2U Holding Company has admitted to violating the False Claims Act and is now...
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Physical therapy company pays 7 million to Uncle Sam for Medicare Tricare fraud
Drayer Physical Therapy Institute, LLC (“Drayer”). Drayer has locations in South Carolina and 14 other states from Pennsylvania to Oklahoma is paying the Government $7 million to resolve allegations that it submitted invoices to Medicare, TRICARE, and Federal Employee Health Benefit Programs for services being provided to multiple patients simultaneously as though...
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Justice Dept arrests over 300 health professionals for $1 Billion in Medicare fraud
The U.S. Justice Department has arrested hundreds of professional medical personnel for allegedly billing nearly $1 billion for unnecessary and false medical treatments under Medicare and Medicaid plans. The DOJ said in a press release that the Medicare Fraud Strike Force, working across 36 federal jurisdictions, arrested 301 individuals, including 61 doctors, nurses...
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