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Healthcare fraud

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…
New Haven Psychiatrist to Pay $455K For Over-Prescribing 'Holy Trinity' Of Dangerous Drugs: DA New Haven Psychiatrist to Pay $455K For Over-Prescribing 'Holy Trinity' Of Dangerous Drugs: DA
New Haven Psychiatrist to Pay $455K For Over-Prescribing 'Holy Trinity' Of Dangerous Drugs: DA A Connecticut psychiatrist has agreed to pay $455,439 to resolve allegations that he issued large amounts of medically unnecessary prescriptions and submitted false claims to Medicare and Medicaid, federal and state officials announced. Dr. Naimetulla Ahmed Syed, formerly practicing in Danbury and New Haven, was accused of prescribing dangerously high amounts of controlled substances without a legitimate medical purpose between 2016 and 2021, the US Attorney for Connecticut said. Investigators alleged that Syed’s prescriptions often included benzodiazepines and other high-risk drug combinat…
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 …
PA Doctor Illegally Prescribes Suboxone In Basement Office: DA PA Doctor Illegally Prescribes Suboxone In Basement Office: DA
PA Doctor Illegally Prescribes Suboxone In Basement Office: DA 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…
Manville Man Sentenced After Defrauding $4 Mil From Brain Injury Fund: Feds Manville Man Sentenced After Defrauding $4 Mil From Brain Injury Fund: Feds
Manville 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…
Margate Doctor Who Wrote $5M In Fraudulent Prescriptions Sentenced, Feds Say Margate Doctor Who Wrote $5M In Fraudulent Prescriptions Sentenced, Feds Say
Margate 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…
Manalapan Couple Failed To Report $4.5 Million In Income: Prosecutor Manalapan Couple Failed To Report $4.5 Million In Income: Prosecutor
Manalapan 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…
Bensalem Lab Must Pay $7.3M To NJ After Charging $1,000 For $3 For Drug Tests: Comptroller Bensalem Lab Must Pay $7.3M To NJ After Charging $1,000 For $3 For Drug Tests: Comptroller
Bensalem 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 …
Nurse With Suspended License In MD Charged With Fraud, Theft From Assisted Living Facility Nurse With Suspended License In MD Charged With Fraud, Theft From Assisted Living Facility
Nurse With Suspended License In MD Charged With Fraud, Theft From Assisted Living Facility A multi-agency investigation into the theft of medication from a Maryland assisted living facility led to dozens of charges for a 45-year-old Prince George's County woman whose license had been suspended in the DMV, according to investigators in St. Mary's. Temple Hills resident Stephanie Marie Murphy was arrested in connection to reported thefts at the Charlotte Hall Veterans home months after a probe was launched by local, county, and state police. Investigators say that it was determined that Murphy had misrepresented her identity while using an online platform designed to assist wi…
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…
Shore Memorial Health System To Pay $3.15M For Improperly Taking Pandemic Loan: Feds Shore Memorial Health System To Pay $3.15M For Improperly Taking Pandemic Loan: Feds
Shore Memorial Health System 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…
Ex-NY Nurse May Dodge Jail After Making $1M Selling Fake Vaccine Cards, Prescriptions Ex-NY Nurse May Dodge Jail After Making $1M Selling Fake Vaccine Cards, Prescriptions
Ex-NY Nurse May Dodge Jail After Making $1M Selling Fake Vaccine Cards, Prescriptions A former pediatric nurse from Long Island could avoid jail time after confessing that she raked in over $1 million selling forged COVID-19 vaccine cards and opioid prescriptions. Julie DeVuono, age 51, of Amityville, pleaded guilty to filing forged vaccination record cards, laundering the criminal proceeds from selling the cards, and filing false prescriptions for opioids in Suffolk County Court in September 2023. According to prosecutors, DeVuono charged her customers $220 or $350, depending on the year, between June 2021 and September 2022 for entering their false vaccine information into…
Multi-Million Dollar Scheme: 8 NYers Accused Of Scamming Government For Services Never Provided Multi-Million Dollar Scheme: 8 NYers Accused Of Scamming Government For Services Never Provided
Multi-Million Dollar Scheme: 8 NYers Accused Of Scamming Government For Services Never Provided Eight New Yorkers who owned, operated, or were employees of several transportation companies have been accused of scamming the government out of millions of dollars for services never provided. The indictments were unsealed on Long Island at federal court in Central Islip on Tuesday, June 11. Seven of the eight are from Long Island and the other from New York City: Noman Ahmed, age 37, Port Jefferson Station; Adnan Arshad, also known as “Eddie,” age 45, Mount Sinai; Rehman Diwan, age 24, Hicksville; Jessica Hendrickson, age 36, Patchogue; Jose Marte, age 33, …
$50M Scheme: Pelham Manor Man Charged By Feds $50M Scheme: Pelham Manor Man Charged By Feds
$50M Scheme: Pelham Manor Man Charged By Feds 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 …
Kickbacks Convinced Doc To Scam Medicare Out Of Nearly $21 Million: NJ Feds Kickbacks Convinced Doc To Scam Medicare Out Of Nearly $21 Million: NJ Feds
Kickbacks Convinced Doc To Scam Medicare Out Of Nearly $21 Million: NJ Feds A doctor pocketed cash kickbacks from lab companies and others for filing more than $20.7 million in bogus Medicare claims for medically unnecessary -- and often expensive -- COVID and cancer genetic tests, among other scams, a federal grand jury in Newark has charged. Alexander Baldonado, 68, of Queens already was awaiting trial dating back to charges brought a few years ago when grand jurors in Newark this week returned a superseding indictment that digs deeper into the allegations. Baldonado approved lab tests billed to Medicare in exchange for cash payoffs "from a laboratory representat…
$1.6M Scheme: CT Psychologist Admits Submitting Fraudulent Medicaid Claims $1.6M Scheme: CT Psychologist Admits Submitting Fraudulent Medicaid Claims
$1.6M Scheme: CT Psychologist Admits Submitting Fraudulent Medicaid Claims A 75-year-old psychologist from Connecticut has admitted to submitting false Medicaid claims as part of a more than $1.6 million scheme, federal officials announced.  Hartford County resident Michael Pines of Avon, a Glastonbury-based psychologist, pleaded guilty to healthcare fraud charges on Wednesday, Jan. 31, the US Attorney's Office for the District of Connecticut announced.  According to federal officials, Pines, who owned and operated Michael B. Pines, Ph.D., P.C., provided psychotherapy to young children, adolescents, and adults and had been individually enrolled…
NY Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims NY Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims
NY Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims A New York doctor has been indicted for his alleged involvement in a kickback scheme that involved him defrauding Medicaid and giving patients unnecessary tests, officials announced. New York Attorney General Letitia James announced on Wednesday, Nov. 22 the indictment of Long Island resident Payam Toobian, M.D., alongside his company, America’s Imaging Center, Inc., for over 10 years of alleged Medicaid fraud. Through his corporation, Toobian, age 51, of King's Point, ran Empire’s Imaging, a diagnostic radiology center based in Queens. From January 2006 to August 2017, the AG’s Office …
Worcester Doc Who Prescribed Highly Addictive Drugs 'Like Candy' Convicted: Feds Worcester Doc Who Prescribed Highly Addictive Drugs 'Like Candy' Convicted: Feds
Worcester Doc Who Prescribed Highly Addictive Drugs 'Like Candy' Convicted: Feds A Worcester psychiatrist was convicted of illegally prescribing highly addictive drugs like Xanax, Klonopin, and Adderall, federal authorities announced. One FBI agent said the doctor gave out these prescriptions "as casually as Halloween candy." Mohamad Och, age 67, was found guilty of illegally prescribing a Schedule II drug and one count of illegally prescribing a Schedule IV narcotic following an 11-day trial, the US Attorney for Massachusetts said. He potentially faces decades in jail when he is sentenced in February.  Och owned and ran Island Counseling Center…
$10M Scheme: Pelham Manor Man Nabbed For Selling Fraudulent Prescriptions, Feds Say $10M Scheme: Pelham Manor Man Nabbed For Selling Fraudulent Prescriptions, Feds Say
$10M Scheme: Pelham Manor 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…
$695K Scheme: Former CT Counselor Convicted Of Submitting False Medicaid Claims $695K Scheme: Former CT Counselor Convicted Of Submitting False Medicaid Claims
$695K Scheme: Former CT Counselor Convicted Of Submitting False Medicaid Claims A former New London County counselor has admitted to submitting thousands of dollars of fraudulent claims to Medicaid for therapy services he never provided, officials said.  Former East Lyme resident Jeffrey Slocum, age 55, pleaded guilty to healthcare fraud and kickback charges on Wednesday, Aug. 16, the US Attorney's Office for the District of Connecticut announced.  According to federal officials, between 2017 and 2022, Slocum, who now lives in Johnstown, Pennsylvania, was a licensed professional counselor with a New London office located at 300 State St.  …
$70K Fraud Scheme Racks Up Charges For Hudson County Woman: Prosecutor $70K Fraud Scheme Racks Up Charges For Hudson County Woman: Prosecutor
$70K Fraud Scheme Racks Up Charges For Hudson County Woman: Prosecutor A 47-year-old Hudson County woman was arrested in a $70,000 healthcare fraud scheme, authorities said. Nicole Saunders, of Union City, failed to report income from a business she owns, resulting in an unlawful payment of more than $70,000 in medical benefits from NJ FamilyCare between 2017 and 2021, Hudson County Prosecutor Esther Suarez said. Saunders was arrested Tuesday, July 25, by members of the Hudson County Prosecutor’s Office Insurance Fraud Unit. She was charged with theft by deception and false reporting to Medicaid. Saunders was released on a summons pending her&n…
Ex-Nurse Avoids Jailtime For Stealing Boston Patients' Opioids: Feds Ex-Nurse Avoids Jailtime For Stealing Boston Patients' Opioids: Feds
Ex-Nurse Avoids Jailtime For Stealing Boston Patients' Opioids: Feds A former nurse who admitted to stealing opioids from her patients and a locked medicine cabinet at two Boston-area hospitals will not serve any jail time, federal authorities announced.  Lisa Tarr, 33, of St. Petersburg, Fla., was sentenced to five years of probation, with the first year being spent in home detention, the US Attorney for Massachusetts said. Tarr pleaded guilty last year to four counts of unlawfully obtaining controlled substances by fraud, deception, and subterfuge. Tarr was a student nurse at a Boston-area hospital in August 2018, where she told investigators she…
$8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims $8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims
$8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims A Westchester man will spend years in prison after billing more than $8 million in false transportation service claims as part of a multi-million-dollar Medicaid fraud scheme.  Yonkers resident Julio Alvarado, age 63, was sentenced to 95 months in prison on Wednesday, March 29 for leading the scheme which ended up defrauding Medicaid out of millions of dollars, according to the US Attorney's Office for the Southern District of New York.  According to federal officials, Alvarado was responsible for billing more than $8 million in fraudulent transportation services for Medicaid…
'Cheated': Recovery Centers Across Mass Close, Operators Charged With Millions In Fraud: Feds 'Cheated': Recovery Centers Across Mass Close, Operators Charged With Millions In Fraud: Feds
'Cheated': Recovery Centers Across Mass Close, Operators Charged With Millions In Fraud: Feds Instead of fostering recovery, the operator of a chain of addiction treatment centers used his position to launder money, steal millions of dollars, and write prescriptions under doctors' names without permission, said the US attorney's office.  Michael Brier, of Newton, used his position as operator of Recovery Connections Centers of America to rake in millions of dollars from Medicare, Medicaid, and other such organizations by falsifying healthcare claims, back-dating documents, and writing prescriptions using the names of doctors without their permission, according to Unite…
Stealing From Critical Ill Patient: Pittsfield Nurse Who Took Fentanyl Going To Jail, Feds Say Stealing From Critical Ill Patient: Pittsfield Nurse Who Took Fentanyl Going To Jail, Feds Say
Stealing From Critical Ill Patient: Pittsfield Nurse Who Took Fentanyl Going To Jail, Feds Say A 37-year-old Pittsfield nurse who admitted she stole fentanyl from a critically ill patient's IV using a syringe will spend the next three months in federal prison, authorities said.  Jessica Lotto pleaded guilty in May to one count of acquiring a controlled substance by fraud, deceit, or subterfuge, the US Attorney's Office said. A judge sentenced her to three months behind bars on Friday, Feb. 17.  Investigators said Lotto was caring for a critically ill patient at Berkshire Medical Center in 2019 when she siphoned off some of the powerful painkiller. The patient was sedat…
Passaic Woman Conspired To Obstruct Federal Investigation Into Fraudster Dentist Bros: Feds Passaic Woman Conspired To Obstruct Federal Investigation Into Fraudster Dentist Bros: Feds
Passaic Woman Conspired To Obstruct Federal Investigation Into Fraudster Dentist Bros: Feds A 26-year-old Passaic County woman was charged in a federal indictment with conspiring to obstruct a grand jury investigation into a pair of Pennsylvania brothers accused of running a multi-million criminal enterprise, authorities said. Susan Malpartida was named in the 42-count indictment against Bhaskar and Arun Savani, who were charged with racketeering, money laundering, healthcare fraud, and a litany of other felony offenses that could see them locked up for hundreds of years each if convicted, the Justice Department announced. A multi-year investigation into the brother…
Long Island Doctor Sentenced For Million-Dollar Medicare Fraud Scheme Long Island Doctor Sentenced For Million-Dollar Medicare Fraud Scheme
Long Island Doctor Sentenced For Million-Dollar Medicare Fraud Scheme A Long Island doctor is heading to federal prison after admitting that he bilked the Medicare system out of more than a million dollars as part of an elaborate fraud scheme. Morris Barnard, age 59, of Great Neck, was sentenced to 2 ½ years behind bars in federal court in Central Islip on Thursday, Jan. 5. It followed his March 2022 guilty plea to healthcare fraud. Earlier Report: New Details: Nassau Doctor Admits To Million-Dollar Medicare Scheme Prosecutors said between October 2015 and February 2020, Barnard, a gastroenterologist practicing in Great Neck, submitted over $3 million i…
Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG
Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG A 28-year-old man from Lowell was sentenced to two years in jail for cheating MassHealth out of more than $100,000 as an employee, Attorney General Maura Healy announced on Thursday, Sept. 22.  Investigators determined that Abdinafa Maow, who worked as a Personal Care Attendant for MassHealth, got paid for services that he never performed between 2015 and 2020, Healy said. He along with his relative, Abdikadir Maow, were previously indicted on one count of false Medicaid claims and larceny over $1,200.  Overall, the duo received more than $112,000 for these fa…
Lowell Nurse Pleads Guilty To $100M Medicare, MassHealth Fraud, Kickback Scheme: Feds Lowell Nurse Pleads Guilty To $100M Medicare, MassHealth Fraud, Kickback Scheme: Feds
Lowell Nurse Pleads Guilty To $100M Medicare, MassHealth Fraud, Kickback Scheme: Feds A 42-year-old Lowell nurse pleaded guilty in federal court earlier this month to a scheme that prosecutors say defrauded at least $100 million from Medicare and MassHealth.  Winnie Waruru admitted in court on Sept. 8 to conspiracy to commit healthcare fraud, aiding and abetting healthcare fraud, conspiracy to pay and receive kickbacks, and multiple counts of lying to federal investigators, the U.S. Attorney's Office.  Waruru worked as a licensed practical nurse for Arbor Homecare Services LLC, where investigators said she and a co-owner of the business, Faith Newton, failed to train staff,…
CT Doctor Admits To Getting Kickbacks In Exchange For Ordering Unnecessary Procedures CT Doctor Admits To Getting Kickbacks In Exchange For Ordering Unnecessary Procedures
CT Doctor Admits To Getting Kickbacks In Exchange For Ordering Unnecessary Procedures A Connecticut eye doctor was paid handsomely from a five-year fraudulent medical billing scheme that netted millions of dollars. Hartford County resident Donald Salzberg, age 67, of Avon, pleaded guilty Thursday, July 14, to one count of conspiracy to commit health care fraud and one count of conspiracy to receive kickbacks in federal court in Boston. Prosecutors said that between 2014 and 2019 Salzberg, who owned and operated an ophthalmology practice in West Hartford, conspired with a principal for a medical diagnostics company to order hundreds of unnecessary brain scans. Salzburg and h…