The big data tools used by the Centers for Medicare and Medicaid Services, or CMS, to fight Medicare fraud have saved the taxpayer over $1.5 billion over the past five years, CMS officials say. These big data and predictive analytics tools are part of the Fraud Prevention System CMS began...

The former CEO of Horizons Hospice hospice, Mary Ann Stewart is scheduled to plead guilty to Medicare fraud for allegedly treating patients that weren't terminally ill to collect millions of dollars in false Medicare and Medicaid billings . According to the indictment against her, Stewart had her staff admit patients who weren't terminally ill...

A settlement may be close in the federal government's closely watched False Claims Act case against Cleveland, Tn.-based Life Care Centers of America.ΠAttorneys have asked Chattanooga Federal Judge Sandy Mattice to put a 30-day hold on depositions, saying a settlement is in the works. Judge Mattice granted the motion.The government says claims in...

A federal jury convicted a registered nurse who took part in a multimillion-dollar fraud on Medicare that involved hospice care, announced Assistant Attorney General Leslie R. Caldwell of the Justice Department's Criminal Division and U.S. Attorney Zane David Memeger of the Eastern District of Pennsylvania. Patricia McGill, 68, of Philadelphia, was found guilty yesterday of...

A federal judge has sentenced a registered nurse in Texas to jail for ten years for her role in a $25 million Medicare scam. Pat Akamnonu of Cedar Hill and her husband Cyprian Akamnonu owned Ultimate Home Health Services Inc. Both plead guilty of billing Medicare for home health services that were never provided...

Rose Radiology Centers Inc. has agreed to pay $8.71 million to the federal government to resolve allegations that it violated the False Claims Act by billing health care programs for procedures that were not medically necessary or furnished in violation of applicable federal regulations, the U.S. Attorney's Office said Friday. The settlement comes out of...

The clinical director of a Waltham-based home nursing agency, At Home VNA, was sentenced on Monday in connection with her role in a multi-million dollar scheme to defraud Medicare. Janie Troisi, 66, of Revere, was sentenced to three years in prison and three years of supervised release. In August, 2015, Troisi was convicted after...

An outpatient physical therapy practice in Delaware has agreed to pay $710,000 to resolve allegations that it was improperly billing Medicare for physical therapy services. The U.S. Attorney's Office of Delaware accused Old Towne Physical Therapy LP of health care fraud under the federal False Claims Act. Federal prosecutors claimed Old Towne, which owns...

The owner-operator of an ambulance company was sentenced Monday to nine years in federal prison for running a $1.5 million Medicare scam. Yaroslav "Steven" Proshak, 47, of Valley Village, operated ProMed Medical Transportation, a California ambulance company that provided non-emergency transportation services to Medicare beneficiaries, many of whom were dialysis patients.