#healthcare-fraud

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#identity-theft

Jamestown Pharmacist Arrested and Charged with Health Care Fraud and Aggravated Identity Theft in a Multi-Million Dollar Health Care Fraud Scheme

Pharmacist Philip Hall charged with healthcare fraud and identity theft for submitting over $6 million in false claims to Medicare and Medicaid.

So-called nurse was a serial impersonator hired by at least two SoCal hospitals, officials say

A woman was arrested for impersonating a registered nurse and caring for 60 patients at a Burbank hospital while on probation for similar offenses.

Jamestown Pharmacist Arrested and Charged with Health Care Fraud and Aggravated Identity Theft in a Multi-Million Dollar Health Care Fraud Scheme

Pharmacist Philip Hall charged with healthcare fraud and identity theft for submitting over $6 million in false claims to Medicare and Medicaid.

So-called nurse was a serial impersonator hired by at least two SoCal hospitals, officials say

A woman was arrested for impersonating a registered nurse and caring for 60 patients at a Burbank hospital while on probation for similar offenses.
moreidentity-theft
#medicare-fraud

$2.7 billion in healthcare fraud is revealed in DOJ's nationwide crackdown

Healthcare fraud crackdown charges 200 people with $2.7 billion in false claims, including exploiting dying patients.

See what South Florida real estate got seized after a $54 million Medicare fraud plot

A gang orchestrated a Medicare fraud scheme costing over $54 million, resulting in prison sentences and asset forfeiture for the offenders.

Brooklyn-based eye doctor must pay $2.4M plus to resolve false-billing claims

Ophthalmologist and practice fined $2.4M for falsely billing Medicare and Medicaid.

Healthcare exec Philip Esformes pleads guilty to Medicare fraud, but spared prison time

Philip Esformes had his 20-year sentence for Medicare fraud scheme commuted by President Trump.
Esformes agreed to financial penalties after pleading guilty to healthcare fraud.

Healthcare exec Philip Esformes pleads guilty to Medicare fraud, but is spared prison time

Philip Esformes pleaded guilty to Medicare fraud after initially receiving a 20-year sentence commuted by President Trump.
Esformes admitted to engaging in criminal activity as a healthcare operator, paying and receiving bribes in exchange for Medicare patients.

$2.7 billion in healthcare fraud is revealed in DOJ's nationwide crackdown

Healthcare fraud crackdown charges 200 people with $2.7 billion in false claims, including exploiting dying patients.

See what South Florida real estate got seized after a $54 million Medicare fraud plot

A gang orchestrated a Medicare fraud scheme costing over $54 million, resulting in prison sentences and asset forfeiture for the offenders.

Brooklyn-based eye doctor must pay $2.4M plus to resolve false-billing claims

Ophthalmologist and practice fined $2.4M for falsely billing Medicare and Medicaid.

Healthcare exec Philip Esformes pleads guilty to Medicare fraud, but spared prison time

Philip Esformes had his 20-year sentence for Medicare fraud scheme commuted by President Trump.
Esformes agreed to financial penalties after pleading guilty to healthcare fraud.

Healthcare exec Philip Esformes pleads guilty to Medicare fraud, but is spared prison time

Philip Esformes pleaded guilty to Medicare fraud after initially receiving a 20-year sentence commuted by President Trump.
Esformes admitted to engaging in criminal activity as a healthcare operator, paying and receiving bribes in exchange for Medicare patients.
moremedicare-fraud
#hospice-care

Southern California doctor sentenced to prison in multimillion-dollar hospice fraud scheme

Dr. Victor Contreras defrauded Medicare of nearly $4 million through fraudulent hospice care claims and was sentenced to 24 months in prison.

John Oliver on US for-profit hospice care: too important to just hope the free market fixes it'

Hospice care in the US, initially beneficial, is now marred by for-profit practices leading to potential abuse and poor patient care.

Southern California doctor sentenced to prison in multimillion-dollar hospice fraud scheme

Dr. Victor Contreras defrauded Medicare of nearly $4 million through fraudulent hospice care claims and was sentenced to 24 months in prison.

John Oliver on US for-profit hospice care: too important to just hope the free market fixes it'

Hospice care in the US, initially beneficial, is now marred by for-profit practices leading to potential abuse and poor patient care.
morehospice-care

Who are Turkiye's Newborn Gang' and why are they on trial?

Turkiye's trial of medical professionals accused of killing newborns reveals a disturbing healthcare scam involving misdiagnosis and unnecessary treatments for profit.

State drops domestic violence case against Esformes, previously freed by Trump for fraud

Prosecutors dropped domestic violence charges against Philip Esformes, a healthcare mogul with a criminal past, without explanation.
#patient-safety

An Aventura doctor accused of bad penile and breast injections and a $1.3 million fraud

Dr. Muhammad Mirza surrendered his Florida medical license after being sentenced to federal prison for healthcare fraud and questionable medical practices.

13 Entitled Customers Who Tried Scamming Retail Stores And Should Honestly Be Banned From Them

The ADHD telehealth company is identified as a scam for not providing prescribed medication despite charging patients.
Consultations that do not lead to a medication prescription can lead to legal consequences for the original treating physician.

An Aventura doctor accused of bad penile and breast injections and a $1.3 million fraud

Dr. Muhammad Mirza surrendered his Florida medical license after being sentenced to federal prison for healthcare fraud and questionable medical practices.

13 Entitled Customers Who Tried Scamming Retail Stores And Should Honestly Be Banned From Them

The ADHD telehealth company is identified as a scam for not providing prescribed medication despite charging patients.
Consultations that do not lead to a medication prescription can lead to legal consequences for the original treating physician.
morepatient-safety
#cosmetic-procedures

Owner of South Shore spas accused of injecting clients with counterfeit Botox

Rebecca Fadanelli faces federal charges for injecting clients with counterfeit Botox and fillers, allegedly earning nearly $1 million.

Fake plastic surgeon causes 'great' injury to woman, CA officials say. He's charged

A man faces multiple charges for performing unlicensed cosmetic surgery, resulting in injury.

Owner of South Shore spas accused of injecting clients with counterfeit Botox

Rebecca Fadanelli faces federal charges for injecting clients with counterfeit Botox and fillers, allegedly earning nearly $1 million.

Fake plastic surgeon causes 'great' injury to woman, CA officials say. He's charged

A man faces multiple charges for performing unlicensed cosmetic surgery, resulting in injury.
morecosmetic-procedures
#medicaid

NYC Eye Doctor Ordered To Pay $2.4M, Billed Numerous False Claims

A New York City eye doctor settled a civil lawsuit for $2.4 million after submitting false claims to Medicare and Medicaid, taking advantage of vulnerable patients.

Cuban immigrant joins Medicaid racket in Miami but flees back to island with loot, feds say

A Cuban immigrant became a millionaire by falsely owning a Miami mental health clinic that defrauded Medicaid of millions.

NYC Eye Doctor Ordered To Pay $2.4M, Billed Numerous False Claims

A New York City eye doctor settled a civil lawsuit for $2.4 million after submitting false claims to Medicare and Medicaid, taking advantage of vulnerable patients.

Cuban immigrant joins Medicaid racket in Miami but flees back to island with loot, feds say

A Cuban immigrant became a millionaire by falsely owning a Miami mental health clinic that defrauded Medicaid of millions.
moremedicaid

Veterans Dept. Investigating Acadia Healthcare for Insurance Fraud

Acadia Healthcare is under investigation for allegedly holding patients longer than necessary, raising concerns about potential fraud against government health programs.
#medicaid-fraud

Eight Brooklyn Residents Charged in $68M Medicaid Fraud Scheme

Eight Brooklyn residents indicted for a $68 million Medicaid fraud scheme involving non-existent services at adult day care centers.

Eight charged in $68M medicaid fraud scheme involving Brooklyn adult day cares

A $68 million Medicaid fraud scheme exploited vulnerable populations through fake services and bribery, as detailed in a recent federal indictment.

Eight Brooklyn Residents Charged in $68M Medicaid Fraud Scheme

Eight Brooklyn residents indicted for a $68 million Medicaid fraud scheme involving non-existent services at adult day care centers.

Eight charged in $68M medicaid fraud scheme involving Brooklyn adult day cares

A $68 million Medicaid fraud scheme exploited vulnerable populations through fake services and bribery, as detailed in a recent federal indictment.
moremedicaid-fraud

O.C. man charged with workers' comp fraud involving $100 million of billings

A major fraud scheme involving nearly $100 million in fraudulent workers' comp billing has resulted in charges against several individuals, including a convicted fraudster.
#medicare-advantage

The Medicare Advantage influence machine

Medicare Advantage plans have successfully evaded stringent regulatory oversight, leading to billions in potential overpayments and growing political influence over time.

How Medicare Advantage insurers gain influence and keep billions in overcharges

CMS has failed to recover taxpayer funds from overpayments to Medicare Advantage despite longstanding concerns and industry pressure.

Feds killed plan to curb Medicare Advantage overbilling after industry opposition

Federal officials backed off plan to curb Medicare Advantage overcharges due to industry pressure, leading to ongoing fraud allegations against insurers.

The Medicare Advantage influence machine

Medicare Advantage plans have successfully evaded stringent regulatory oversight, leading to billions in potential overpayments and growing political influence over time.

How Medicare Advantage insurers gain influence and keep billions in overcharges

CMS has failed to recover taxpayer funds from overpayments to Medicare Advantage despite longstanding concerns and industry pressure.

Feds killed plan to curb Medicare Advantage overbilling after industry opposition

Federal officials backed off plan to curb Medicare Advantage overcharges due to industry pressure, leading to ongoing fraud allegations against insurers.
moremedicare-advantage

Disguised GP injected mother's partner with flesh-eating chemical, court hears

A GP disguised as a nurse allegedly attempted to murder his mother's partner by injecting him with poison, not a Covid booster.
#illegal-kickbacks

California Drug Clinic Operator Convicted in $3 Million Kickback Scheme

Casey Mahoney was convicted for paying illegal kickbacks totaling $3 million for patient referrals to addiction treatment centers he operated.

California pharmacist accused of submitting more than $300 million in fraudulent claims

A pharmacist in the Inland Empire charged with health care fraud for submitting over $300 million in fraudulent Medi-Cal claims.

California Drug Clinic Operator Convicted in $3 Million Kickback Scheme

Casey Mahoney was convicted for paying illegal kickbacks totaling $3 million for patient referrals to addiction treatment centers he operated.

California pharmacist accused of submitting more than $300 million in fraudulent claims

A pharmacist in the Inland Empire charged with health care fraud for submitting over $300 million in fraudulent Medi-Cal claims.
moreillegal-kickbacks

Before rotting body found, state ripped North Miami nursing home for nasty conditions

The North Dade Nursing and Rehabilitation Center has a history of neglect and poor regulatory compliance, culminating in the recovery of a decomposed body.
Recent criticisms highlight a culture of disrespect and inadequate care for nursing home residents. Especially notable was the mockery directed at residents with feeding difficulties.

Money malpractice: Ex-SUNY physician charged with grand larceny for million-dollar theft to support 'lavish lifestyle' * Brooklyn Paper

A former chair of emergency medicine at SUNY Downstate Medical Center is facing criminal charges for allegedly using company credit card for personal expenses.
#legal-accountability

US charges 193 people in $2.7bn healthcare fraud crackdown

Healthcare fraud crackdown in the US resulted in charges against nearly 200 people for false claims exceeding $2.7 billion, including a $900m scheme in Arizona.

Bay Area psychiatrist arrested in $100 million drug fraud investigation

A psychiatrist executive was arrested for alleged involvement in a $100 million medication fraud scheme.

US charges 193 people in $2.7bn healthcare fraud crackdown

Healthcare fraud crackdown in the US resulted in charges against nearly 200 people for false claims exceeding $2.7 billion, including a $900m scheme in Arizona.

Bay Area psychiatrist arrested in $100 million drug fraud investigation

A psychiatrist executive was arrested for alleged involvement in a $100 million medication fraud scheme.
morelegal-accountability
#legal-charges

Ex-doctor at Hialeah councilwoman's clinic was convicted of similar healthcare fraud

Hialeah Councilwoman Angelica Pacheco faces criminal charges for healthcare fraud conspiracy involving a former doctor, Jose Santeiro.

Read the indictment against Hialeah Councilwoman Angelica Pacheco in healthcare fraud case

Councilwoman Angelica Pacheco pleaded not guilty to healthcare fraud charges, involving millions of dollars in false billing for unnecessary services.

Ex-doctor at Hialeah councilwoman's clinic was convicted of similar healthcare fraud

Hialeah Councilwoman Angelica Pacheco faces criminal charges for healthcare fraud conspiracy involving a former doctor, Jose Santeiro.

Read the indictment against Hialeah Councilwoman Angelica Pacheco in healthcare fraud case

Councilwoman Angelica Pacheco pleaded not guilty to healthcare fraud charges, involving millions of dollars in false billing for unnecessary services.
morelegal-charges
#telehealth

Telehealth Startup Executives Charged With Fraud Over Adderall Prescriptions

Patients may face disruptions in ADHD care due to fraudulent distribution of stimulants by a telehealth company.

CDC warns access to ADHD meds may be disrupted after arrests of health-care startup executives

People with ADHD may face access disruptions to medication due to the indictment of telehealth executives.

Feds arrest Adderall telehealth CEO under Controlled Substances Act

Exploitation of telehealth for illegal drug distribution.

Telehealth Startup Executives Charged With Fraud Over Adderall Prescriptions

Patients may face disruptions in ADHD care due to fraudulent distribution of stimulants by a telehealth company.

CDC warns access to ADHD meds may be disrupted after arrests of health-care startup executives

People with ADHD may face access disruptions to medication due to the indictment of telehealth executives.

Feds arrest Adderall telehealth CEO under Controlled Substances Act

Exploitation of telehealth for illegal drug distribution.
moretelehealth

California telehealth execs charged in ADHD prescription scheme amid nationwide med shortage

50,000 U.S. ADHD patients affected by telehealth company fraud.
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