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Medicare

Westchester Nursing Home Among 4 In NY To Pay $45M Settlement After Mistreating Residents: AG Westchester Nursing Home Among 4 In NY To Pay $45M Settlement After Mistreating Residents: AG
Westchester Nursing Home Among 4 In NY To Pay $45M Settlement After Mistreating Residents: AG A Westchester County nursing home is one of four in New York that will be required to pay tens of millions of dollars following years of mistreating and neglecting its senior residents, officials announced. In an announcement on Thursday, Nov. 14, New York Attorney General Letitia James revealed that four New York nursing homes, including the Martine Center for Rehabilitation and Nursing at 12 Tibbets Ave. in White Plains, would pay a $45 million settlement to address years of alleged insufficient staffing and resident neglect. The other nursing homes, all managed by Centers for Care, …
Election 2024: Winner Projected In 16th Congressional District Representing Much Of Westchester Election 2024: Winner Projected In 16th Congressional District Representing Much Of Westchester
Election 2024: Winner Projected In 16th Congressional District Representing Much Of Westchester The votes are in, and New York's 16th Congressional District now knows its next representative in Congress.  Democrat George Latimer has been projected as the winner for the House seat representing the southern portion of Westchester, including White Plains, Mount Vernon, Yonkers, New Rochelle, and Rye, and a small part of the northern Bronx, defeating Republican Miriam Flisser, according to the state Board of Elections. Latimer was leading Flisser by a margin of 72 to 28 percent, with 54 percent of the vote in as of 12:15 a.m. Wednesday, Nov. 6.  The people of Westc…
Journalist Vs. Chemist: Avlon, Goroff Face Off In Closely-Watched NY Congressional Primary Race Journalist Vs. Chemist: Avlon, Goroff Face Off In Closely-Watched NY Congressional Primary Race
Journalist Vs. Chemist: Avlon, Goroff Face Off In Closely-Watched NY Congressional Primary Race Among the New York races that political pundits are keeping an eye on this Primary Day is that of the journalist versus the chemist. On Long Island, Democrats John Avlon and Nancy Goroff are facing off to determine who will take on Republican Rep. Nick LaLota in November for the state’s 1st Congressional District, representing the eastern two-thirds of Suffolk County. The 51-year-old Avlon is a former political analyst at CNN who previously served as a columnist and associate editor for The New York Sun. He was also the chief speech writer for former New York City Mayor Rudy Giuliani. Ea…
$2M Scheme: Westchester Accounting Firm Partners Admit To Tax Fraud Conspiracy $2M Scheme: Westchester Accounting Firm Partners Admit To Tax Fraud Conspiracy
$2M Scheme: Westchester Accounting Firm Partners Admit To Tax Fraud Conspiracy Two New York accounting firm partners have pleaded guilty to a multi-million dollar tax evasion scheme.  Click here for a new, updated story - Update: Scarsdale-Based Accountant Nabbed In Tax Fraud Scheme Was Longtime Firefighter Westchester County resident George Sanossian, age 70, of Scarsdale, and New Jersey resident Jack Sardis, age 66, of Englewood Cliffs, both certified public accountants, admitted to conspiracy to defraud the IRS by scheming with clients to reduce tax liabilities through a shell company, leading to over $2 million in unreported cash transactions.  The tw…
$50M Scheme: Pelham Manor Man Admits Selling Fraudulent Prescriptions, Feds Say $50M Scheme: Pelham Manor Man Admits Selling Fraudulent Prescriptions, Feds Say
$50M Scheme: Pelham Manor Man Admits Selling Fraudulent Prescriptions, Feds Say A 44-year-old Westchester man has admitted to a healthcare fraud scheme that cost Medicare nearly $50 million in losses, federal officials announced. Pelham Manor resident Manishkumar Patel pleaded guilty on Friday, April 26 to charges connected to a healthcare fraud and kickback scheme involving the sale of fraudulent prescriptions, according to the US Attorney's Office for the Southern District of New York. Earlier Report - $10M Scheme: Pelham Manor Man Nabbed For Selling Fraudulent Prescriptions, Feds Say According to federal officials, between 2019 and 2022, Patel and a …
$10M Scheme: Westchester Man Nabbed For Selling Fraudulent Prescriptions, Feds Say $10M Scheme: Westchester Man Nabbed For Selling Fraudulent Prescriptions, Feds Say
$10M Scheme: Westchester Man Nabbed For Selling Fraudulent Prescriptions, Feds Say A 44-year-old Westchester man faces healthcare fraud charges after generating fake prescriptions and using them to bill Medicare for at least $10 million of false claims, federal officials announced. Pelham Manor resident Manishkumar Patel, age 44, was arrested on Tuesday morning, Oct. 31 in connection with a healthcare fraud and kickback scheme involving the sale of fake prescriptions, the US Attorney's Office for Southern District of New York announced.  According to federal officials, between 2019 and 2022, Patel and a co-conspirator would fraudulently sell the prescriptions an…
Nursing Home Stole $22.6M In Government Funds, NY AG Says Nursing Home Stole $22.6M In Government Funds, NY AG Says
Nursing Home Stole $22.6M In Government Funds, NY AG Says Millions of dollars in public funding that should’ve gone to caring for residents of a New York nursing home were instead diverted into the pockets of its greedy owners, according to a lawsuit from Attorney General Letitia James. The suit, filed Friday, Dec. 16, alleges a years-long fraud scheme carried out by the owners of Long Island’s Cold Spring Hills Center for Nursing and Rehabilitation, located in Woodbury. Earlier Report: East Meadow Nursing Home's $16M Fraud Scheme Led To 'Devastating' Resident Abuse, AG Says An investigation by the Office of the Attorney General (OAG) found that…
NY Nursing Home's $16M Fraud Scheme Led To 'Devastating' Resident Abuse, Neglect, AG Says NY Nursing Home's $16M Fraud Scheme Led To 'Devastating' Resident Abuse, Neglect, AG Says
NY Nursing Home's $16M Fraud Scheme Led To 'Devastating' Resident Abuse, Neglect, AG Says Sexual abuse, unexplained bruising, unanswered call bells, and humiliating missed trips to the bathroom. Those were just some of the horrors experienced by residents at a New York nursing home stemming from a multimillion-dollar fraud scheme, according to a lawsuit from Attorney General Letitia James. Related Report: East Meadow Nursing Home Employee Sexually Assaulted Resident, Boss Covered Up Crime, DA Says The suit, filed Tuesday, Dec. 13, alleges that the owners of Long Island’s Fulton Commons Care Center, located in East Meadow, exploited New York’s Medicaid program to enrich themsel…
NY Doctor Charged For $1.3 Million Fraud Scheme NY Doctor Charged For $1.3 Million Fraud Scheme
NY Doctor Charged For $1.3 Million Fraud Scheme A New York doctor is accused of defrauding Medicare and Medicaid of over $1.3 million. Federal prosecutors allege that Dr. Perry Frankel, age 64, of Roslyn, in Nassau County, submitted false billing claims to Medicare and Medicaid for office visits that were never performed for patients who received COVID-19 tests. The tests were done at mobile sites across Long Island through Frankel’s cardiology clinic, Advanced Cardiovascular Diagnostics PLLC, located in Great Neck. Frankel was not even in New York when some of the alleged office visits occurred, prosecutors said. “As alleged, exploiti…
Doctor From Westchester Charged For 'Prolific Seven-Year Fraud Scheme,' Feds Say Doctor From Westchester Charged For 'Prolific Seven-Year Fraud Scheme,' Feds Say
Doctor From Westchester Charged For 'Prolific Seven-Year Fraud Scheme,' Feds Say An eye doctor from Westchester who had practices throughout the Hudson Valley and Fairfield County who was previously charged with healthcare fraud has been sentenced for attempting to exploit the COVID-19 pandemic through loan fraud. Westchester resident Ameet Goyal, age 58, of Rye, who operated The Eye Associates Group, with practices in Rye, Mount Kisco, Wappingers Falls in Dutchess County, and Greenwich, has been sentenced to 96 months in prison for orchestrating a seven-year fraud scheme and for obtaining government loans intended for small businesses during the pandemic. In addition t…
Six Physical Therapists, Two Acupuncturists Charged In $20M Fraud Scheme, SDNY Says Six Physical Therapists, Two Acupuncturists Charged In $20M Fraud Scheme, SDNY Says
Six Physical Therapists, Two Acupuncturists Charged In $20M Fraud Scheme, Sdny Says Six physical therapists and a pair of acupuncturists in New York are facing charges for their roles in a $20 million health care fraud scheme during the COVID-19 pandemic. US Attorney for the Southern District of New York Audrey Strauss announced that nine suspects have been indicted for operating an over $20 million health care fraud scheme at fraudulent medical offices in Manhattan, Brooklyn, and Queens. It is alleged that as part of the fraud scheme, co-conspirators paid a kickback to some patients who were insured by Medicare and other insurance providers to fraudulently bill them for p…
New Rochelle Doctor Sentenced For Pushing Fentanyl For Drug Company New Rochelle Doctor Sentenced For Pushing Fentanyl For Drug Company
New Rochelle Doctor Sentenced For Pushing Fentanyl For Drug Company A Westchester doctor who practiced in Manhattan has been sentenced to five years in prison for taking bribes from drug companies for prescribing fentanyl. Jeffrey Goldstein, of New Rochelle, was sentenced on Wednesday, June 16, for violating the anti-kickback statute after receiving more than $200,000 from Subsys’s manufacturer, Insys Therapeutics, in exchange for prescribing Subsys, a potent fentanyl-based spray, said. Audrey Strauss, the U.S. Attorney for the Southern District of New York. Goldstein, age 51, previously pleaded guilty, in August 2019, the United States Attorney's Office sa…
COVID-19: Don't Fall For These Vaccine-Related Scams, Police Say COVID-19: Don't Fall For These Vaccine-Related Scams, Police Say
Covid-19: Don't Fall For These Vaccine-Related Scams, Police Say The rise in Americans going out and getting the COVID-19 vaccine has also brought about a rise in the number of opportunistic scammers looking to take advantage of the pandemic, law enforcement officials are cautioning. An alert was issued by police in the area regarding COVID-19 vaccine scams that have been reported to law enforcement agencies across the country. According to the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), scammers have been using telemarketing calls, text messages, social media platforms, and door-to-door visits to perpetrate COVID-…
COVID-19: Westchester County Executive Warns Of Uninsured Being Charged For Vaccinations COVID-19: Westchester County Executive Warns Of Uninsured Being Charged For Vaccinations
Covid-19: Westchester County Executive Warns Of Uninsured Being Charged For Vaccinations Some Westchester residents who lack health insurance have been illegally charged for the COVID-19 vaccine, County Executive George Latimer is cautioning. During his bi-weekly COVID-19 briefing on Monday, April 5, Latimer said that his office has received multiple reports of uninsured residents being charged $20 by some providers to administer the vaccine. Latimer noted that there “should be no out-of-pocket cost to any individual for the COVID-19 vaccine, which is to be provided to all eligible parties for free, as per the guidance from the federal and state governments." According to Lati…
COVID-19: Nursing Home Scandal Could Bring Criminal Charges For Cuomo, Prosecutor Says COVID-19: Nursing Home Scandal Could Bring Criminal Charges For Cuomo, Prosecutor Says
Covid-19: Nursing Home Scandal Could Bring Criminal Charges For Cuomo, Prosecutor Says New York Gov. Andrew Cuomo’s COVID-19 nursing home scandal could lead to federal charges, according to a longtime prosecutor. John Daukas, who was acting attorney general for the Justice Department’s Civil Rights Division under President Donald Trump, said that Cuomo could face criminal charges after underreporting nursing home deaths and then attempting to cover it up. Earlier story - COVID-19: Nursing Home Scandal Fallout Increases As More Dems Turn On Cuomo, Feds Launch Probe In an op-ed in the Wall Street Journal, Daukas said that Cuomo’s administration misled the public, and the …
COVID-19: Cuomo Calls For Nursing Home Reform Amid Federal Probe, Increasing Pressure COVID-19: Cuomo Calls For Nursing Home Reform Amid Federal Probe, Increasing Pressure
Covid-19: Cuomo Calls For Nursing Home Reform Amid Federal Probe, Increasing Pressure With pressure coming from both sides of the aisle into investigating New York Gov. Andrew Cuomo’s handling of nursing homes during the peak of the COVID-19 pandemic, he has vowed sweeping reform as part of the 30-day amendments. Cuomo announced reforms to improve the health, quality of life, and safety of nursing home residents to ensure that “facilities prioritize patient care over profits.” “You can’t say to a nursing home that ‘either you can buy new beds, or you can make more money,' " Cuomo said during a COVID-19 briefing on Friday, Feb. 19. “It’s not a matter of hiring more staff or …
COVID-19: Beware Of These Vaccine Scams, FBI, DOJ Warn COVID-19: Beware Of These Vaccine Scams, FBI, DOJ Warn
Covid-19: Beware Of These Vaccine Scams, FBI, DOJ Warn Scammers are using the arrival of COVID-19 vaccines in the United States to trick people into paying for doses or early access that never comes, federal authorities are warning. As COVID-19 vaccines become more available, there has been a spike in scams seeking to exploit people’s desire to protect themselves and their loved ones from the virus, according to the U.S. Department of Justice as well as local police departments and other law enforcement agencies. “Members of the public should be suspicious of unexpected or unsolicited contact from anyone unknown to them claiming to have inform…
22-Year-Old From Hudson Valley Running For State Senate 22-Year-Old From Hudson Valley Running For State Senate
22-Year-Old From Hudson Valley Running For State Senate An upstart 22-year-old from the area announced his intention to run for the New York State Senate. Rockland resident Matthew Weinberg, a Republican, is the latest candidacy to throw his hat into the ring for the New York State Senate District 38 seat that has been held by Democratic Sen. David Carlucci since 2010. Carlucci will be challenging for the retiring Nita Lowey’s seat in New York’s 17th congressional district.  In a statement, Weinberg, of Suffern, cited "disunity within his district, depressed property values due to some of the highest property and school taxes in the nation,…
Westchester Doctor Accused Of Stealing Millions From Patients Westchester Doctor Accused Of Stealing Millions From Patients
Westchester Doctor Accused Of Stealing Millions From Patients 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…
Two Doctors Among Five Charged In Northeast Regional Health Care Fraud Takedown Two Doctors Among Five Charged In Northeast Regional Health Care Fraud Takedown
Two Doctors Among Five Charged In Northeast Regional Health Care Fraud Takedown Two doctors, a pharmacy owner, pharmacist who lost his license and a registered nurse are facing charges for their roles in a $17 million fraud scheme. The United States Attorney’s Office in the Eastern District of New York announced that Anna Steiner, 63, Denny Martin, 46, Andrew Barrett, 60, Phyllis Pincus, 58, and Kevin McMahon, 31, have been charged for defrauding the Medicare and Medicaid programs by overbilling them by millions of dollars. It is alleged that Steiner, a licensed anesthesiologist from Valatie in Columbia County, New York, was involved in a $17.4 million scheme related …
NY State Part Of $209.2M Nationwide Settlement With Walgreens Over Medicaid Fraud NY State Part Of $209.2M Nationwide Settlement With Walgreens Over Medicaid Fraud
NY State Part Of $209.2M Nationwide Settlement With Walgreens Over Medicaid Fraud Walgreens has agreed to a nationwide settlement with New York and federal lawmakers regarding allegations of fraudulent over-dispensing of insulin pens at Walgreens pharmacies. New York Attorney General Letitia James announced that an agreement has been reached resolving allegations that Walgreens knowingly engaged in fraudulent conduct when it dispensed insulin pens. According to James, “when filling insulin prescriptions, Walgreens did not always adhere to the dosage outlined by the prescribing doctor, but rather dispensed insulin pens in boxes containing five pens, regardless of the pati…
Brothers Among Four Charged In Multi-Million Dollar Hudson Valley Health Insurance Fraud Brothers Among Four Charged In Multi-Million Dollar Hudson Valley Health Insurance Fraud
Brothers Among Four Charged In Multi-Million Dollar Hudson Valley Health Insurance Fraud A pair of Hudson Valley brothers were among four charged in federal court for their roles in an extensive, multi-million dollar scheme to defraud Medicare and health insurance providers through false billing. Middletown residents James Spina, 59, and Jeffery Spina, 56, participated “in a widespread health care fraud scheme through their fraudulent operation of Dolson Avenue Medical, a multi-disciplinary medical clinic located in (Orange County).” From 2011 through September last year, Dolson Avenue Medical was a registered medical service that “purported to provide a variety of pain managem…
Hudson Valley Doctor, Wife Fined Over Questionable Cancer Drug Hudson Valley Doctor, Wife Fined Over Questionable Cancer Drug
Hudson Valley Doctor, Wife Fined Over Questionable Cancer Drug A Poughkeepsie doctor and his wife have been ordered to pay fines for delivering misbranded cancer-fighting drugs, according to the United States Department of Justice. Oncologist Vincent Koh, 73, and his wife and office manager Milly Koh, 64, drew fines of $7,500 and $3,000, for receiving and delivering misbranded drugs, after pleading guilty in November, the Justice Department said. From July 2010 through March 2012, the Kohs ordered various discount oncology drugs from foreign sources that Vincent Koh prescribed and administered to patients. The drugs had not been approved by the Food an…
St. John's Riverside Hospital In Westchester Seeks Partnership St. John's Riverside Hospital In Westchester Seeks Partnership
St. John's Riverside Hospital In Westchester Seeks Partnership St. John’s Riverside Hospital in Yonkers, announced on Wednesday, March 28, that it has issued a Request For Proposals to major healthcare systems to explore a future partnership arrangement.  It's one of last two remaining independent hospitals in Westchester County. The RFP process is expected to take 18 to 24 months “The changing healthcare landscape mandates that we reconsider our current business model in order to continue to serve the community with state-of-the-art care and remain as an important and valued economic contributor to our local community," said Ron Corti, the hospit…
Police Warn Of Medicare Scam Targeting Elderly In Westchester Police Warn Of Medicare Scam Targeting Elderly In Westchester
Police Warn Of Medicare Scam Targeting Elderly In Westchester Police are cautioning residents to be aware of fraudsters attempting to scam them as part of a Medicare scheme that has made the rounds throughout Westchester County. The Eastchester Police Department issued an alert this week regarding the scam, which includes a caller stating they are from Medicare, claiming that the homeowner is entitled to knee braces through the insurance program. Police said that the caller will ask for the last four digits of the homeowner’s social security number and other identifying information. Investigators said that the scammers have been largely targeting the …