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Healthcare fraud

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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
Police & Fire
Jersey Shore Doctor Who Wrote $5M In Fraudulent Prescriptions Sentenced, Feds Say Jersey Shore Doctor Who Wrote $5M In Fraudulent Prescriptions Sentenced, Feds Say
Jersey Shore Doctor Who Wrote $5M In Fraudulent Prescriptions Sentenced, Feds Say A Margate doctor will spend more than a year in prison for his role in a $5 million prescription kickback scheme, authorities said. Brian Sokalsky, 46, was sentenced on Tuesday, Oct. 29 to a year and three months in prison, said Vikas Khanna, First Assistant U.S. Attorney for the District of New Jersey, in a news release. Sokalsky previously pleaded guilty to conspiring to commit healthcare fraud by prescribing compound medications. Sokalsky was a doctor at Jersey Shore Sports Medicine. His online biography said he graduated with a bachelor's degree in exercise science from R…

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by Chris Spiker
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
Police & Fire
Former Wildwood Mayor Admits To Healthcare Fraud, NJ Attorney General Says Former Wildwood Mayor Admits To Healthcare Fraud, NJ Attorney General Says
Former Wildwood Mayor Admits To Healthcare Fraud, NJ Attorney General Says A former mayor of Wildwood admitted to his role in a healthcare fraud scheme that stole more than $600,000 in government funds, authorities said. Peter Byron, 68, pleaded guilty to three charges on Friday, Sept. 27, Attorney General Matthew Platkin said in a news release on Monday, Sept. 30. Byron resigned as mayor in September 2023 after he was indicted in the case. According to court documents and statements, Byron, current Mayor Ernie Troiano Jr., and Deputy Mayor Steve Mikulski enrolled in the State Health Benefits Program (SHBP) despite being ineligible. The SHBP is only open…

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by Chris Spiker
News
Jersey Shore Healthcare Company To Pay $3.15M For Improperly Taking Pandemic Loan: Feds Jersey Shore Healthcare Company To Pay $3.15M For Improperly Taking Pandemic Loan: Feds
Jersey Shore Healthcare Company To Pay $3.15M For Improperly Taking Pandemic Loan: Feds An Atlantic County healthcare system will pay more than $3 million for improperly receiving a loan from a COVID-19 pandemic program, authorities said. Shore Memorial Health System has agreed to pay the federal government $3.15 million, New Jersey's U.S. Attorney Philip Sellinger said in a news release on Wednesday, Aug. 14. The settlement comes from Shore Memorial Physicians’ Group receiving $2.78 million in a Paycheck Protection Program (PPP) loan. The physicians' group wasn't eligible for a PPP loan because it isn't a small business since it's an affiliate of Shore Mem…

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by Chris Spiker