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Healthcare fraud

Business
Walgreens Knowingly Filled Millions Of Prescriptions Lacking Legit Medical Purpose, DOJ Says Walgreens Knowingly Filled Millions Of Prescriptions Lacking Legit Medical Purpose, DOJ Says
Walgreens Knowingly Filled Millions Of Prescriptions Lacking Legit Medical Purpose, DOJ Says The Justice Department has filed a nationwide lawsuit against Walgreens, alleging the pharmacy chain filled millions of prescriptions without legitimate medical purposes, particularly involving dangerous opioid combinations, over more than a decade. Filed in the US District Court for the Northern District of Illinois, the civil complaint contends Walgreens violated the Controlled Substances Act (CSA) and False Claims Act (FCA) by dispensing prescriptions despite clear red flags and seeking federal reimbursements for these drugs. “This lawsuit seeks to hold Walgreens accountable for the many…

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by Joe Lombardi
News
Somerset County Man Sentenced After Defrauding $4 Mil From Brain Injury Fund: Feds Somerset County Man Sentenced After Defrauding $4 Mil From Brain Injury Fund: Feds
Somerset County Man Sentenced After Defrauding $4 Mil From Brain Injury Fund: Feds A 58-year-old Somerset County man was sentenced on Thursday, Nov. 14,  to 7.5 years in prison after he was convicted of defrauding millions from the New Jersey Brain Injury Fund, authorities said. C.R. Kraus, a Manville resident, was convicted in April of conspiracy to commit healthcare fraud, five acts of healthcare fraud, and four counts of tax evasion, US Attorney Philip Sellinger said. Two of Kraus' co-conspirators pled guilty for their role in the scheme and are awaiting sentencing, Sellinger said. From 2009 to 2019, Kraus and his co-conspirators conspired to defraud the brai…

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by Sam Barron
Police & Fire
Jersey Shore Couple Failed To Report $4.5 Million In Income: Prosecutor Jersey Shore Couple Failed To Report $4.5 Million In Income: Prosecutor
Jersey Shore Couple Failed To Report $4.5 Million In Income: Prosecutor A Jersey Shore couple was arrested and charged on Tuesday, Oct. 15, with failing to report nearly $4.5 million in income over five years, authorities said. An analysis of Eli and Lauren Levy's personal and business banking records revealed that the 43-year-old Manalapan residents intentionally omitted taxable income from their jointly filed tax returns from 2018 through 2022, Monmouth County Prosecutor Raymond Santiago said. They did so despite their companies, Supreme Cleaning Services, LLC and Nation Wide Shippers, LLC, collecting a total of approximately $4.48 million in revenue ove…

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by Sam Barron
News
PA Lab Must Pay $7.3M To NJ After Charging $1,000 For $3 For Drug Tests: Comptroller PA Lab Must Pay $7.3M To NJ After Charging $1,000 For $3 For Drug Tests: Comptroller
PA Lab Must Pay $7.3M To NJ After Charging $1,000 For $3 For Drug Tests: Comptroller A Pennsylvania-based lab has been ordered to pay $7.3 to the state of New Jersey after overcharging New Jersey’s Medicaid program for urine drug testing services, officials said. Atlantic Diagnostic Laboratories (ADL) in Bensalem violated Medicaid regulations when it charged Medicaid as much as $1,035 per drug test while charging other payers as little as $2.38 for the same test, New Jersey's State Comptroller's office (OSC) said citing an audit report. Medicaid paid ADL between $63.40 and $180.40 for these same services. ADL also improperly billed for tests that the physician or …

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by Cecilia Levine