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Healthcare fraud

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U.S. Attorney for Middle District of Pennsylvania Announces Resignation U.S. Attorney for Middle District of Pennsylvania Announces Resignation
U.S. Attorney for Middle District of Pennsylvania Announces Resignation Gerard M. Karam, the United States Attorney for the Middle District of Pennsylvania, has announced his resignation, effective January 10, 2025. Appointed by President Biden in 2022, Karam described the role as "an honor of a lifetime" and expressed gratitude to federal and local law enforcement partners for their dedication to public safety and justice. During his tenure, Karam prioritized public safety, healthcare fraud, civil rights enforcement, and tackling fraud and theft. His office prosecuted numerous high-profile cases, including: A life sentence for a man convicted in the murder …

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by Jillian Pikora
News
Jenkinstown Doctor Accused Of Illegally Prescribing Suboxone In Basement Office Jenkinstown Doctor Accused Of Illegally Prescribing Suboxone In Basement Office
Jenkinstown Doctor Accused Of Illegally Prescribing Suboxone In Basement Office A Bucks County doctor has been charged with improperly and illegally prescribing Suboxone to patients in a basement office, authorities announced on Thursday, Dec. 12. Dr. Kenneth Fox, 55, of Jenkintown, Montgomery County, faces 12 counts each of administration of any controlled substance by a practitioner and furnishing false or fraudulent records and three counts of possession with intent to deliver a controlled substance, according to Bucks County District Attorney’s Office. Fox, a Doctor of Osteopathic Medicine, operated out of a basement office on Frosty Hollow Road in Middletown Towns…

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by Jillian Pikora
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
Fake Urine Tests By Married PA Doctors Lead To Millions In Restitution: USDOJ Fake Urine Tests By Married PA Doctors Lead To Millions In Restitution: USDOJ
Fake Urine Tests By Married PA Doctors Lead To Millions In Restitution: Usdoj A husband and wife team of Pennsylvania doctors have been sentenced for a urine drug test fraud, the US Department of Justice and Federal Bureau of Investigation announced on Tuesday, Sept. 24. Physician with specialized training in anesthesiology, John H. Johnson and his physician wife, Paula Z. Johnson, both age 62, of Hollidaysburg, were sentenced for committing fraud by U.S. District Court Judge Christopher C. Conner on Tuesday, Sept. 17, as detailed in the USDOJ release.  Dr. John Johnson received a sentence of 97 months in prison, followed by three years of supervised release. D…

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by Jillian Pikora