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Healthcare fraud

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 …
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…
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…
Philadelphia Nurse Admits Failing To Provide Care That Could've Saved Patient's Life: AG Philadelphia Nurse Admits Failing To Provide Care That Could've Saved Patient's Life: AG
Philadelphia Nurse Admits Failing To Provide Care That Could've Saved Patient's Life: AG A 34-year-old Philadelphia nurse admitted failing to provide checks on a nursing home resident who died hours after suffering a fall and serious head injury, and then trying to hide it, authorities announced. Christann Gainey, 34, pleaded guilty to neglect of a care-dependent person and tampering with records in connection with the death of 84-year-old Herbert R. McMaster Sr., State Attorney General Josh Shapiro said. Gainey failed to administer a total of eight required neurological checks on McMaster, a resident of Cathedral Village, after he suffered an unwitnessed fall at…
Bucks Man Claiming To Be Navy SEAL Scams VA Out Of $300K Bucks Man Claiming To Be Navy SEAL Scams VA Out Of $300K
Bucks Man Claiming To Be Navy SEAL Scams VA Out Of $300K A Bucks County man was sentenced to three years and four months in prison for falsely identifying as a military hero in order to receive federal government benefits, authorities said. In July 2020, Richard Meleski, 58, pleaded guilty to one count of healthcare fraud, two counts of mail fraud, one count of stolen valor, and related charges, according to the U.S. Department of Justice. The Chalfont resident was accused of fraudulently claiming to have served as an elite Navy SEAL and falsely saying that he had been captured by the enemy in order to secure healthcare benefits from the Vet…
Philadelphia 'Pill Mill' Doc Who Exchanged Opioids For Sex Gets 5 Years Philadelphia 'Pill Mill' Doc Who Exchanged Opioids For Sex Gets 5 Years
Philadelphia 'Pill Mill' Doc Who Exchanged Opioids For Sex Gets 5 Years An 80-year-old Philadelphia doctor was sentenced to five years behind bars for illegally distributing opioids to patients for cash, and often in exchange for sex, authorities announced. Myron Rodos, of Ambler, pleaded guilty in November 2019, admitting that he illegally gave an additional 6,130 oxycodone (30 mg) pills and 3,670 methadone (10 mg) pills to patients in exchange for sex and money at his North Philadelphia "pill mill," Acting United States Attorney Jennifer Arbittier Williams said. The charges resulted from a lengthy FBI investigation that produced audio and video recording…