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Health Care Fraud

CT Hearing Aid Dealer Gets Years In Prison For Submitting False Medicaid Claims CT Hearing Aid Dealer Gets Years In Prison For Submitting False Medicaid Claims
CT Hearing Aid Dealer Gets Years In Prison For Submitting False Medicaid Claims The 54-year-old owner of a Connecticut hearing aid dealer will spend several years in prison for submitting false claims to the state's Medicaid program for services and equipment that were not provided or were medically unnecessary.  New Haven County resident Dennis Dellaghelfa, age 54, of Waterbury, was sentenced on Wednesday, Sept. 6 to four years in prison for health care fraud, the US Attorney's Office for the District of Connecticut announced.  According to federal officials, Dellaghelfa, a licensed hearing instrument specialist, is the owner of Waterbury-based hea…
Woman From Fairfield County Admits Committing Fraud While Awaiting Sentencing In Other Case Woman From Fairfield County Admits Committing Fraud While Awaiting Sentencing In Other Case
Woman From Fairfield County Admits Committing Fraud While Awaiting Sentencing In Other Case A 32-year-old former Farifield County resident pleaded guilty to a health care fraud offense that she committed while waiting to be sentenced for a separate health care fraud charge. Nicole Steiner, a former Stratford resident, pleaded guilty to the charge on Friday, July 29, according to Vanessa Roberts Avery, United States attorney for the District of Connecticut. Steiner, who is now a resident of Edison, New Jersey, previously pleaded guilty to one count of health care fraud on April 28, in relation to the operation of Helping Hands Academy, LLC in Bridgeport, which offered app…
Fairfield County Woman Awaiting Sentencing In Fraud Case Arrested For Same Offense Fairfield County Woman Awaiting Sentencing In Fraud Case Arrested For Same Offense
Fairfield County Woman Awaiting Sentencing In Fraud Case Arrested For Same Offense A Fairfield County woman who pleaded guilty to health care fraud was arrested and accused of committing the same offense while released on bond. Nicole Steiner, age 32, of Stratford, was arrested on Monday, May 2, and charged with committing health care fraud, according to Leonard Boyle, United States Attorney for the District of Connecticut. Steiner had pleaded guilty on April 28, 2021, in a separate health care fraud case, Boyle said.  Following her arrest on Monday, she was released into home detention under electronic monitoring on a $250,000 bond, according to the announceme…
CT Man Sentenced For Wide-Ranging $1.3M Medicaid Fraud Scheme CT Man Sentenced For Wide-Ranging $1.3M Medicaid Fraud Scheme
CT Man Sentenced For Wide-Ranging $1.3M Medicaid Fraud Scheme A former licensed professional counselor was sentenced for operating a scheme to defraud the Connecticut Medicaid Program of more than $1.3 million. Hartford County resident Cortney Dunlap, age 37, of Burlington, was sentenced on Friday, March 11, to 57 months in prison followed by three years of supervised release, according to Leonard Boyle, United States Attorney for the District of Connecticut. Dunlap was also ordered to pay restitution to Medicaid of $1,313,322, Boyle said. He pleaded guilty to one count of health care fraud on June 4, the US Attorney's Office reported. From 201…
CT Business Owner Ordered To Pay $310K For Employing 'Excluded' Person, Feds Say CT Business Owner Ordered To Pay $310K For Employing 'Excluded' Person, Feds Say
CT Business Owner Ordered To Pay $310K For Employing 'Excluded' Person, Feds Say A Connecticut psychiatry business and its owner have been ordered to pay more than $310,000 to resolve allegations that they improperly employed an individual who was excluded from federal health care programs. Geriatric & Adult Psychiatry, LLC and its owner Dr. Alan Siegal entered into the civil settlement agreement with federal and state governments, according to an announcement on Wednesday, Feb. 23, from Leonard Boyle, United States Attorney for the District of Connecticut. The Hamden business and Siegal were ordered to pay a total of $310,874, the US Attorney's Office announce…
Shelton Doctor Accused Of Selling Prescriptions For Cash Shelton Doctor Accused Of Selling Prescriptions For Cash
Shelton Doctor Accused Of Selling Prescriptions For Cash A Fairfield County doctor has been charged by federal officials with health care fraud and selling prescriptions for cash. Dr. David Ciancimino, age 62, a resident of Trumbull, was arrested on Thursday, Sept. 23, on a federal criminal complaint charging him with health care fraud and controlled substances offenses related to the illegal distribution of prescription medication, said Leonard C Boyle, acting US Attorney for the District of Connecticut. As alleged in court documents and statements made in court, Ciancimino has been a sole practitioner practicing psychiatry and neurology/ps…
New Haven Guidance Counselor Accused Of Rampant Fraud New Haven Guidance Counselor Accused Of Rampant Fraud
New Haven Guidance Counselor Accused Of Rampant Fraud An Avon counselor who worked in the New Haven Public School District allegedly billed Medicaid hundreds of times for services he never provided - and at least some of those charges were made while he was on a cruise to the Bahamas. Cortney Dunlap, 36, of Avon, was arrested on Wednesday, Oct. 14, and charged with health care fraud and making false statements relating to health care matters, according to the U.S. Attorney’s Office, Connecticut. Dunlap, a licensed professional counselor, allegedly used the identities of his clients, students, and employee to file false claims for psychotherapy…
Three CT Residents Charged In Elder Fraud Cases Three CT Residents Charged In Elder Fraud Cases
Three CT Residents Charged In Elder Fraud Cases Three Connecticut residents were among those targeted and charged following the “largest coordinated sweep of elder fraud cases in history,” the U.S. Attorney’s Office announced. The Department of Justice said that this year, prosecutors charged more than 400 people - up from 260 the year before - for elder scams. In each case, offenders allegedly engaged in financial schemes that targeted or largely affected seniors.  In total, the charged elder schemers caused alleged losses of over a billion dollars. In Connecticut, Torrington resident Lestor Burroughs, a registered securities bro…
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 …
Stamford Health Care Provider Sentenced For Million-Dollar Fraud Scheme Stamford Health Care Provider Sentenced For Million-Dollar Fraud Scheme
Stamford Health Care Provider Sentenced For Million-Dollar Fraud Scheme A health care provider in Fairfield County will spend time in prison after being found guilty by a federal jury in Connecticut of a million-dollar fraud scheme. Kwasi Gyambibi, of Stamford, was found guilty of two counts of health care fraud-related to fraudulent prescriptions for compound drugs that were submitted to Advantage Pharmacy in March 2015 to the tune of $1.5 million in February last year. This week, Gyambibi was sentenced to 12 months in prison, followed by one year of supervised release. Gyambibi worked at UConn-Stamford with his wife, Kakra, was a physician at Stamford H…
Area Doctor Billed Patients $8M For Surgeries He Didn't Do, Feds Say Area Doctor Billed Patients $8M For Surgeries He Didn't Do, Feds Say
Area Doctor Billed Patients $8M For Surgeries He Didn't Do, Feds Say A Westchester eye doctor who had practices throughout the Hudson Valley and Fairfield County is facing charges for health care fraud. Ameet Goyal, 56, of Rye, who operates The Eye Associates Group, with practices in Rye, Mount Kisco, Wappingers Falls and in Greenwich, was arrested and charged by federal officials for allegedly fraudulently billing patients. The indictment alleges that between 2010 and 2017, Goyal was billing patients, Medicare, and private insurance programs millions of dollars for complex eye surgeries that were never actually performed. The complaint states that Goyal and…
CT Doctor Sentenced For $894K Medicaid Defraud Scam CT Doctor Sentenced For $894K Medicaid Defraud Scam
CT Doctor Sentenced For $894K Medicaid Defraud Scam A doctor in Connecticut is will spend years behind bars after admitting to defrauding a Medicaid program of nearly a million dollars. Middletown resident Crispin Abarientos, a 45-year-old who owns and operates Middlesex Rheumatology in Middletown, has been sentenced to 37 months in prison, followed by two years of supervised release, after pleading guilty in Hartford federal court to one count of health care fraud after he ran a scheme that netted him $894,789. According to U.S. Attorney John Durham, one of the medications that Abarientos prescribes to his Middlesex Rheumatology patients wa…
Ex-Fairfield County Doctor Sentenced To Prison For Her Role In $2.5M Medicaid Fraud Schemes Ex-Fairfield County Doctor Sentenced To Prison For Her Role In $2.5M Medicaid Fraud Schemes
Ex-Fairfield County Doctor Sentenced To Prison For Her Role In $2.5M Medicaid Fraud Schemes A doctor in Fairfield County will spend time behind bars after admitting to her role in a pair of schemes to defraud Medicaid out of more than $2.5 million. Juliet Jacob, formerly of Bridgeport, was sentenced to one year and a day in prison after she pleaded guilty in Bridgeport District Court to one count of health care fraud stemming from a scheme that lasted several years last year. She must also pay a total of $2,711,173 in restitution connected to the schemes. Beginning in January 2012, Jacob and another person operated Traditional Development and Training and It Takes A Promise in Bri…
Bridgeport Woman Sentenced For ID Theft, Health Care Fraud Bridgeport Woman Sentenced For ID Theft, Health Care Fraud
Bridgeport Woman Sentenced For ID Theft, Health Care Fraud A woman from Fairfield County is heading to prison after admitting to her role in stealing identifying information of more than 150 Medicaid patients to steal more than a million dollars. Bridgeport resident Nikkita Chesney, 46, was sentenced in Bridgeport district court to seven months in prison, followed by three years of supervised release, for her role in a Medicaid fraud scheme. Chesney pleaded guilty in October last year to one count of health care fraud and one count of aggravated identity theft. She must also pay restitution of $1,369,654.57. In May 2012, Chesney was employed by a…
CT Rheumatologist Admits To Defrauding Medicaid Program CT Rheumatologist Admits To Defrauding Medicaid Program
CT Rheumatologist Admits To Defrauding Medicaid Program A rheumatologist in Connecticut is facing a decade behind bars after admitting to defrauding a Medicaid program of nearly a million dollars. Middletown resident Crispin Abarientos, 44, who owns and operates Middlesex Rheumatology in Middletown, pleaded guilty in Hartford federal court to one count of health care fraud after he ran a scheme that netted him $894,789. According to U.S. Attorney John Durham, one of the medications that Abarientos prescribes to his Middlesex Rheumatology patients is Remicade, an injectable prescription medication used to treat rheumatoid arthritis.  When …
Doctor Involved in Compound Prescription Fraud Scheme Sentenced to Prison Doctor Involved in Compound Prescription Fraud Scheme Sentenced to Prison
Doctor Involved in Compound Prescription Fraud Scheme Sentenced to Prison A former physician at Stamford Hospital will spend time in prison for her role in a compound prescription fraud scheme. Kakra Gyambibi, 38, formerly of Connecticut, has been sentenced to three months in prison, followed by three years of supervised release after pleading guilty to one count of conspiracy to commit health care fraud in January. According to U.S. Attorney John Durham, Advantage Pharmacy was a compounding pharmacy located in Hattiesburg, Mississippi. The specialty medication they create costs health care providers thousands of dollars. “As a compounding pharmacy, Advanta…
Darien Doctor Gets Prison Time For $5M Fraud At Norwalk Clinic Darien Doctor Gets Prison Time For $5M Fraud At Norwalk Clinic
Darien Doctor Gets Prison Time For $5M Fraud At Norwalk Clinic A former Fairfield County doctor will spend nearly a decade in prison after admitting to billing Medicaid for nearly $5 million, and hiding the money in a Swiss bank account before attempting to flee the country. Darien resident Ramil Mansourov, who owned and operated Family Urgent Health Care in Norwalk, has been sentenced to 87 months in prison, followed by three years of supervised release after pleading guilty to health care fraud and money laundering offenses. Mansourov, 49, purchased Immediate Health Care from Bharat Patel in 2012, renaming it Family Urgent Health Care, and allowed P…
Ex-Doctor From Darien Sentenced For Health Care Fraud, Money Laundering Ex-Doctor From Darien Sentenced For Health Care Fraud, Money Laundering
Ex-Doctor From Darien Sentenced For Health Care Fraud, Money Laundering A former Fairfield County doctor will spend nearly a decade in prison after admitting to billing  Medicaid for nearly $5 million, and hiding the money in a Swiss bank account before attempting to flee the country. Darien resident Ramil Mansourov, who owned and operated Family Urgent Health Care in Norwalk, has been sentenced to 87 months in prison, followed by three years of supervised release after pleading guilty to health care fraud and money laundering offenses. Mansourov, 49, purchased Immediate Health Care from Bharat Patel in 2012, renaming it Family Urgent Health Care, and allo…
Jury Finds Health-Care Provider In Fairfield County Guilty Of Fraud Jury Finds Health-Care Provider In Fairfield County Guilty Of Fraud
Jury Finds Health-Care Provider In Fairfield County Guilty Of Fraud A federal jury in Connecticut found a Fairfield County health care provider guilty of a million dollar fraud scheme. Kwasi Gyambibi, of Stamford, was found guilty of two counts of health care fraud related to fraudulent prescriptions for compound drugs that were submitted to Advantage Pharmacy in March 2015 to the tune of $1.5 million. Gyambibi worked at UConn-Stamford with his wife, Kakra, was a physician at Stamford Hospital. According to U.S. Attorney John Durham, “Advantage Pharmacy was a compounding pharmacy located in Hattiesburg, Mississippi.  As a compounding pharmacy, Advanta…
Woman Faces $2.5M Restitution After Admitting Role In Fraud Scheme Woman Faces $2.5M Restitution After Admitting Role In Fraud Scheme
Woman Faces $2.5M Restitution After Admitting Role In Fraud Scheme A Fairfield County woman has admitted to her role in an elaborate scheme to defraud Medicaid for services they never provided. Toshirea Jackson of Bridgeport has pleaded guilty in Bridgeport district court to one count of healthcare fraud for participating in a scheme involving two businesses she co-owned in Connecticut. Beginning in 2012, Jackson and Juliet Jacob operated Transitional Development and Training and It Takes A Promise in Bridgeport, which provided social and psychotherapy services. U.S. Attorney John Durham said that an investigation into the two businesses found that t…
Bridgeport Woman Admits To Million-Dollar Medicaid Fraud Scheme Bridgeport Woman Admits To Million-Dollar Medicaid Fraud Scheme
Bridgeport Woman Admits To Million-Dollar Medicaid Fraud Scheme A Fairfield County woman has admitted to her role in stealing the identifying information of about 150 Medicaid patients to steal more than a million dollars. Bridgeport resident Nikkita Chesney, a former employee of a health care provider in Bridgeport, pleaded guilty this week to one count of health care fraud and one count of aggravated identity theft for stealing the information from the patients which led to the billing of Medicaid for services never provided. In May 2012, Chesney was employed by a healthcare provider that offered substance abuse treatment, including a detoxification p…
Doctor Admits To Her Role In $2.5M Medicaid Fraud Scheme To Patients In Fairfield County Doctor Admits To Her Role In $2.5M Medicaid Fraud Scheme To Patients In Fairfield County
Doctor Admits To Her Role In $2.5M Medicaid Fraud Scheme To Patients In Fairfield County A doctor in Fairfield County has admitted to her role in a pair of schemes to defraud Medicaid out of more than $2.5 million. Juliet Jacob, formerly of Bridgeport, pleaded guilty this week in Bridgeport District Court to one count of health care fraud stemming from a scheme that lasted several years. Beginning in January 2012, Jacob and another person operated Traditional Development and Training and It Takes A Promise in Bridgeport. Their businesses provided social and psychotherapy services to patients in Fairfield County. Jacob admitted to using those companies to bill Medicaid for psych…
Ex-Fairfield County Doctor Admits To Health Care Fraud, Money Laundering Ex-Fairfield County Doctor Admits To Health Care Fraud, Money Laundering
Ex-Fairfield County Doctor Admits To Health Care Fraud, Money Laundering A former Fairfield County doctor has admitted to billing Medicaid for nearly $5 million, and hiding the money in a Swiss bank account before attempting to flee the country. Darien resident Ramil Mansourov, who owned and operated Family Urgent Health Care in Norwalk, has pleaded guilty in New Haven District Court to health care fraud and money laundering offenses. Mansourov, 49, purchased Immediate Health Care from Bharat Patel in 2012, renaming it Family Urgent Health Care, and allowed Patel to continue to work for the practice, John Durham, the United States Attorney for the District of Co…
Norwalk Doctor Admits To Painkiller Drug Distribution, Health Care Fraud Norwalk Doctor Admits To Painkiller Drug Distribution, Health Care Fraud
Norwalk Doctor Admits To Painkiller Drug Distribution, Health Care Fraud A 71-year-old doctor from Connecticut pleaded guilty on Monday, June 25 to federal narcotics distribution and health care fraud charges. Bharat Patel of Milford entered his plea in U.S. District Court in New Haven, according to John H. Durham, U.S. Attorney for the District of Connecticut, and Brian D. Boyle, Special Agent in Charge of the Drug Enforcement Administration (DEA) for New England. In pleading guilty, Patel admitted that he wrote hundreds of medically unnecessary prescriptions for oxycodone and hydrocodone, and received nearly $159,000 as a result, according to Durham. Accordin…
CT Psychiatrist, Mental Health Clinic Pay $800K Settlement CT Psychiatrist, Mental Health Clinic Pay $800K Settlement
CT Psychiatrist, Mental Health Clinic Pay $800K Settlement A Connecticut psychiatrist and mental health clinic are set to pay more than $800,000 to resolve claims that they allegedly violated federal and state False Claims Acts regarding urine sample tests. United States Attorney John Durham announced that psychiatrist Erum Shahab and Waire, LLC, which did business as Ellington Behavioral Health, have reached an agreement to pay $805,071 for submitting unsubstantiated claims to Medicare. According to officials, Ellington Behavioral Health regularly conducted urine drug screenings of patients with substance use disorders at the practice. Urine drug …