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False Claims Act

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Medicaid Fraud: CT Health Practice Charged For Services Provided By Unlicensed People, Feds Say Medicaid Fraud: CT Health Practice Charged For Services Provided By Unlicensed People, Feds Say
Medicaid Fraud: CT Health Practice Charged For Services Provided By Unlicensed People, Feds Say A Connecticut behavioral health practice based in New Haven County defrauded the state's Medicaid program by knowingly billing it for services performed by unlicensed individuals, officials said.  Hamden-based practice K-Assist, owned by Kelly Stutzman, entered into a more than $234,000 civil settlement agreement with both the federal and Connecticut state government to resolve allegations that the practice violated federal and state False Claims Acts, the US Attorney's Office for the District of Connecticut announced on Tuesday, April 18.  According to federal officials…

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by Ben Crnic
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CT Husband/Wife Physicians Pay Nearly $5M To Settle False Claims Act Allegations CT Husband/Wife Physicians Pay Nearly $5M To Settle False Claims Act Allegations
CT Husband/Wife Physicians Pay Nearly $5M To Settle False Claims Act Allegations Two doctors in Connecticut will pay out nearly $5 million to settle a claim that they defrauded the Medicaid program. Middletown resident Crispin Abarientos, and his wife, Antonieta Abarientos, have reached a civil settlement with the federal and state governments in which they will pay $4,927,903 to resolve allegations that they violated the federal and state False Claims Acts. Crispin Abarientos and his wife owned and operated Middlesex Rheumatology in Middletown, which specialized in the diagnosis and treatment of arthritis, autoimmune diseases, and related conditions, U.S.Attorney John …

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by Zak Failla
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Former CT Physician Pays $300K To Settle False Claims Act Allegations Former CT Physician Pays $300K To Settle False Claims Act Allegations
Former CT Physician Pays $300K To Settle False Claims Act Allegations A former physician in Connecticut has reached an agreement with the federal government to pay $300,000 for issuing and approving invalid prescriptions. Philippe Chain agreed to the civil settlement to resolve the allegations that he violated the False Claims Act, U.S. Attorney John Durham said. Chain, who currently has a practice in Florida, previously practiced medicine in Connecticut. He also worked for CallMD, a telemedicine company in Nevada that involved him prescribing compound medications to TRICARE beneficiaries. Durham said that “TRICARE is the federal health care program for act…

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by Zak Failla
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CT Doctor, Practice Pay $425K to Settle Improper Billing Allegations CT Doctor, Practice Pay $425K to Settle Improper Billing Allegations
CT Doctor, Practice Pay $425K to Settle Improper Billing Allegations A Connecticut doctor and his practice have reached a civil settlement with federal and state governments to pay nearly $500,000 to resolve allegations of improperly billing Medicare and state Medicaid programs. Mark Thimineur, who owns Comprehensive Pain and Headache Treatment Centers - an interventional pain management practice with offices in Derby and Meriden - reached a settlement of $425,000, which resolves allegations of improper billing. U.S. Attorney John Durham said that the charges against Thimineur and his practice arose out of improper billing of drug tests. It is alleged that…

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by Zak Failla
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Social Worker Pays $145,855 To Settle False Claims Allegations Social Worker Pays $145,855 To Settle False Claims Allegations
Social Worker Pays $145,855 To Settle False Claims Allegations A social worker in Connecticut has agreed to pay nearly $150,000 after billing Medicaid for psychotherapy services that were provided by unlicensed individuals. Cheshire resident Patricia McAlinden, who owns a private practice in Connecticut, has entered into a civil settlement agreement with the federal and state government to pay $145,855 to resolve claims that she violated False Claims Acts. McAlinden will also be suspended from the Connecticut Medicaid Program for three years as part of the settlement. U.S. Attorney John Durham said that McAlinden, a Licensed Behavioral Health Clinicia…

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by Zak Failla
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CT Psychologist Pays $126,760 For Medicaid Misconduct CT Psychologist Pays $126,760 For Medicaid Misconduct
CT Psychologist Pays $126,760 For Medicaid Misconduct A psychologist in Connecticut has paid more than $125,000 to resolve state and federal claims that she violated the False Claims Acts by billing Medicaid for services she failed to provide. Dr. Arlene Werner allegedly billed Medicaid for psychotherapy services that were not provided and for family psychotherapy sessions for multiple family members when she should have instead billed just one member for individual psychotherapy services. According to John Durham, the United States Attorney for the District of Connecticut, Werner is licensed as a psychologist in the State of Connecticut and t…

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by Zak Failla
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Drug Abuse Treatment Providers Settle $1.3M Case For False Psychotherapy Drug Abuse Treatment Providers Settle $1.3M Case For False Psychotherapy
Drug Abuse Treatment Providers Settle $1.3M Case For False Psychotherapy New Era Rehabilitation Center as well as Dr. Ebenezer Kolade and Dr. Christina Kolade have entered into a civil settlement agreement with federal and state governments and pay more than $1.37 million in fines for violating the False Claims Act.  United States Attorney John H. Durham and Connecticut Attorney General George Jepsen announced hat the physician couple had agreed to pay a settlement of $1,378,533 to resolve the allegations.  New Era provides behavioral health and substance abuse services to patients at its clinics in New Haven and Bridgeport.  As part of their practice, New Era …

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by Jon Craig