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Justice Department Announces Largest Health Care Fraud Settlement in Its History

American pharmaceutical giant Pfizer Inc. and its subsidiary Pharmacia &Pfizer”) have agreed to pay $2.3 billion, the largest health care fraud settlement in the history of the Department of Justice, to resolve criminal and civil liability arising from the illegal promotion of certain pharmaceutical products.



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Five Detroit Residents Plead Guilty to Health Care Fraud Charges

Detroit residents Dierdre Teagen, Robert Wynn, Ernest Neal, James Harris and Steve Sherman pleaded guilty for their roles in various Medicare fraud schemes.



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Harborside Healthcare to Pay U.S. $1.375 Million to Resolve Allegations of Kickbacks and Sham Durable Medical Services

“It is critical that Medicare providers base their DME purchasing decisions on what is in the best interests of their patients,” stated Tony West, Assistant Attorney General for the Civil Division.



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Indiana Home Health Agency Pays Nearly $2 Million to Settle False Claims Act Allegations

“With the nation’s focus on health care, this settlement demonstrates the Justice Department’s commitment to ensuring that federal health care dollars are spent appropriately,” said Tony West, Assistant Attorney General for the Civil Division.



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Los Angeles Medicare Fraud Strike Force Charges 20 in Health Care Fraud Cases Involving Durable Medical Equipment

Twenty defendants have been charged in seven cases for allegedly participating in Medicare fraud schemes that resulted in more than $26 million in fraudulent bills to the Medicare program.



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Tewksbury, Mass., Health Care Provider and Its CEO Permanently Enjoined Relating to Failure to Comply with Federal Employment Tax Requirements

A federal court in Boston issued a judgment against Excel Home Care Inc. in the amount of $473,510.76 for unpaid federal employment and unemployment taxes after its owner Diane E. Porter consented to the entry of an order of permanent injunction that prohibits her or anyone else from operating this Tewksbury, Mass., home health care provider.



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Physical Therapist, Money Launderer and Patient Recruiter Plead Guilty in Connection with Multiple Detroit Health Care Fraud Schemes

Detroit-area residents Baskaran Thangarasan, Sandeep Aggarwal and Wayne Smith pleaded guilty this week for their roles in connection with several Detroit-area health care fraud schemes.



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Three New York City Home Health Agencies Pay $9.7 Million to the United States to Settle False Claims Act Claims

The United States and the state of New York have entered into settlement agreements with three home health agencies to resolve allegations that they submitted false claims to the New York Medicaid and Medicare programs.



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Three Detroit-Area Residents Plead Guilty to Health Care Fraud

Jackson, Mich., resident Terrence Hicks and Detroit residents Muhammed Al Mahdi and John Saunders pleaded guilty in U.S. District Court in the Eastern District of Michigan this week for their roles in a $4.2 million Medicare fraud scheme.



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Michigan Health Care Provider to Pay United States $669,413 to Settle False Claims Allegations

“As this case demonstrates, we are committed to vigorously pursuing those who defraud Medicare.”



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General Manager of Houston Medical Supply Company Pleads Guilty to Conspiracy to Commit Health Care Fraud

Manual Deluna has pleaded guilty to one count of conspiracy to commit health care fraud in connection with his role in Memorial Medical Supply, a Houston durable medical equipment company.



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Jury Convicts Detroit Area Doctor of Health Care Fraud Conspiracy

Troy, Mich., physician Toe Myint was convicted today by a Detroit jury of conspiracy to commit health care fraud in a $4.2 million Medicare Fraud scheme.



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Physical Therapist Pleads Guilty in Connection with Detroit Home Health Care Fraud Scheme

Detroit-area resident Jessica Vigil pleaded guilty today for her role in a Detroit-area home health care fraud scheme.



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Houston-Area Patient Recruiter Convicted of Health Care Fraud

Sylvia Smith, 64, a retired nurse, was convicted today of conspiracy to commit health care fraud and health care fraud.



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Attorney General Holder, Secretary Sebelius Convene National Summit on Health Care Fraud, Unveil Historic Commitment to Fighting Fraud in President’s FY 2011 Budget

“Health care fraud affects all Americans and demands a coordinated, national response,” said Attorney General Holder.



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Attorney General Eric Holder Speaks at the National Summit on Health Care Fraud

"Today’s summit marks a critical step forward in the work being done by HEAT, our Health Care Fraud Prevention and Enforcement Action Team," said Attorney General Holder.




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Home Health Agency Owner Pleads Guilty in Connection with Detroit Fraud Scheme

Detroit-area resident Muhammad Shahab pleaded guilty today for his role in organizing a Detroit-area home health care fraud scheme.



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Blue Cross Blue Shield of Michigan and Physicians Health Plan of Mid-Michigan Abandon Merger Plans

Blue Cross Blue Shield of Michigan abandoned its attempt to purchase Physicians Health Plan of Mid-Michigan after the Department informed the companies that it would file an antitrust lawsuit to block the acquisition.



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Florida Health Care Provider & Individual Physician to Pay $12 Million to Settle False Claims Act Allegations

“The Justice Department is committed to vigorously pursuing those who defraud Medicare,” said Tony West, Assistant Attorney General of the Civil Division of the Department of Justice.



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Six Miami Residents Charged in $13 Million Health Care Fraud Scheme

Six Miami-area residents have been charged for their alleged role in a $13.6 million health care fraud scheme involving a Miami-area HIV infusion clinic, announced the Departments of Justice and Health and Human Services (HHS).



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Houston Medical Equipment Company Owner, Operator and Patient Recruiter Plead Guilty to Health Care Fraud Scheme and Illegal Health Care Kickbacks

Houston-area residents Doris Vinitski and John Lachman pleaded guilty today in connection with their roles in a durable medical equipment Medicare fraud scheme.



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Brooklyn Physical Therapy Clinic Executive and Three Employees Charged in Health Care Fraud Scheme

Solstice executive Dmitry Shteyman, 35, and Solstice employees Aleksey Shteyman, 41; Maxsim Shvedkin, 38; and Sara Kalantarov, 22, were each charged in an indictment unsealed today in U.S. District Court in the Eastern District of New York, with conspiracy to defraud the United States, to submit and cause the submission of false claims and to pay health care kickbacks.



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Patient Recruiters and Employee at Houston Medical Equipment Company Plead Guilty to Health Care Fraud Scheme and Illegal Health Care Kickbacks

Houston-area residents Basil Kalu and Ju-Ying Qian, and Louisiana resident Darnell Willis pleaded guilty today in connection with their roles in a durable medical equipment Medicare fraud scheme.



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Adult Foster Care Facility Owners and Physical Therapist Plead Guilty in Medicare Home Health Fraud Scheme

Detroit-area residents Tariq Chaudhary, Lura Barrett and Stephen Cartier pleaded guilty today for their participation in a fraudulent Medicare home health scheme.



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Sixth Individual Pleads Guilty for Role in $14.5 Million Medicare Home Health Care Fraud Scheme

Detroit-area resident Christopher Collins pleaded guilty today for his participation in a $14.5 million fraudulent Medicare home health care scheme.



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Acting Deputy Attorney General Gary G. Grindler Delivers Remarks at the National Institute on Health Care Fraud

"Every year, hundreds of billions of dollars are spent to provide health care for millions of American seniors, children and the disabled," said Acting Deputy Attorney General Gary G. Grindler.




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Attorney General Eric Holder at the Health Care Fraud Press Conference

"This report shows the success of our collaborative efforts to prevent, identify, and prosecute the most egregious instances of health care fraud," said Attorney General Holder.




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Miami-area Clinic Owner Charged in $23 Million Health Care Fraud Scheme

An indictment unsealed today in U.S. District Court in Miami charges Flor Crisologo, 58, with one count of conspiracy to defraud the United States, to cause the submission of false claims to the Medicare program, and to pay health care kickbacks; one count of conspiracy to commit health care fraud; and three counts of submitting false claims to the Medicare program.



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The Health Alliance of Greater Cincinnati and the Christ Hospital to Pay $108 Million for Violating Anti-Kickback Statute and Defrauding Medicare and Medicaid

The Health Alliance of Greater Cincinnati and one of its former member hospitals, The Christ Hospital, have agreed to pay the United States $108 million to settle claims that they violated the Anti-Kickback Statute and the False Claims Act by paying unlawful remuneration to doctors in exchange for referring cardiac patients to The Christ Hospital in a pay-to-play scheme.



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Intercare Health Systems (Ex-Owner of City of Angels Medical Center) Agrees to $10 Million Consent Judgment for Medicare and Medi-Cal Fraud Scheme in Los Angeles

The United States has obtained a $10 million consent judgment against Intercare Health Systems Inc., formerly doing business as City of Angels Medical Center, for a Medicare and Medi-Cal fraud scheme in Los Angeles.



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Health Alliance of Greater Cincinnati, Two Ohio Hospitals, and Physician Group to Pay $2.6 Million to Resolve Fraud Allegations

The Health Alliance of Greater Cincinnati, two of its member hospitals (The Fort Hamilton Hospital and The University Hospital), and University Internal Medicine Associates Inc. have agreed to pay the United States $2.6 million to settle claims that they violated the Anti-Kickback Statute and the False Claims Act by engaging in a kickback-for-referral scheme.



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Assistant Attorney General Thomas E. Perez Testifies Before the Senate Committee on Health, Education, Labor, and Pensions on the ADA and Olmstead Enforcement

"For the Department of Justice, turning the promise of the Olmstead decision into a reality for individuals with disabilities across the nation has become a major component of ADA enforcement," said Assistant Attorney General Thomas E. Perez.




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Seven Houston-area Residents Charged in $5 Million Health Care Fraud Scheme

– Seven Houston-area residents who worked for a home health agency have been charged for their alleged participation in a $5 million Medicare fraud scheme.



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Detroit-area Physical Therapist and Physician’s Assistant Plead Guilty in Medicare Home Health Fraud Scheme

Detroit-area residents Faisal Chaudry and Guy Ross pleaded guilty today in U.S. District Court in Detroit for their participation in a fraudulent Medicare home health scheme



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Medicare Fraud Strike Force Charges 94 Doctors, Health Care Company Owners, Executives and Others for More Than $251 Million in Alleged False Billing

Ninety-four people have been charged for their alleged participation in schemes to collectively submit more than $251 million in false claims to the Medicare program in the continuing operation of the Medicare Fraud Strike Force in Miami; Baton Rouge, La.; Brooklyn, N.Y.; Detroit and Houston.



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Attorney General Holder and Secretary Sebelius Kick-off First Regional Health Care Fraud Prevention Summit in Miami

Attorney General Eric Holder and U.S. Department of Health and Human Services Secretary Kathleen Sebelius today kicked-off the first in a series of regional health care fraud prevention summits in Miami.



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Attorney General Eric Holder Speaks at the Miami Health Care Fraud Prevention Summit

"This summit is an important opportunity – the chance to build on what was discussed, and achieved, during the first “National Summit on Health Care Fraud” that Secretary Sebelius and I convened in Washington in January," said Attorney General Holder.




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New Health Care Access Guidance Promotes Preventive Medical Care Services for People with Mobility Disabilities

The Department of Justice’s Civil Rights Division and the Department of Health and Human Services’ Office for Civil Rights today issued new technical assistance guidance for medical providers which will help people with mobility disabilities obtain accessible medical care.



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U.S. Files Suit Against Georgia Medical Center and Physician; Allegedly Submitted Claims for Worthless Services to Federal Health Care Programs

The United States has filed a complaint under the False Claims Act against Dr. Najam Azmat and the Satilla Regional Medical Center in Waycross, Ga.



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Court Awards Back Pay to Returning Veteran and Injunctive Relief Against Alabama Department of Mental Health

A U.S. District Court in Montgomery, Ala., granted judgment in favor of the United States yesterday in a lawsuit brought to enforce the Uniformed Services Employment and Reemployment Rights Act against the Alabama Department of Mental Health.



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Spokane, Washington, Man Pleads Guilty to Civil Rights Charges Related to Threats to Reproductive Health Services Clinic

Donald Hertz pleaded guilty today in federal court in Spokane to one count of violating the Freedom of Access to Clinic Entrances Act and one count of transmitting a threat in interstate commerce.



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Miami-area Clinic Owner, Patient Recruiter, Two Nurses and Medicare Beneficiary Plead Guilty in Home Health Care Fraud Scheme

Arturo Fonseca, Isis Torres, Francisco Portillo, Eduardo Romero and William Madrigal pleaded guilty before U.S. District Judge Adalberto Jordan to various health care fraud charges.



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Attorney General Holder and HHS Secretary Sebelius Host Second Regional Health Care Fraud Prevention Summit in Los Angeles

Today Attorney General Eric Holder and U. S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius kicked off the second in a series of daylong summits bringing together a wide array of federal, state and local partners, beneficiaries, providers and other interested parties to discuss innovative ways to eliminate fraud within the U.S. health care system.



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Attorney General Eric Holder Speaks at the Los Angeles Health Care Fraud Prevention Summit

"This summit is an important step forward – an opportunity to build on what has been discussed, and achieved, since Secretary Sebelius and I convened the first “National Summit on Health Care Fraud” in Washington in January," said Attorney General Holder.




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Assistant Attorney General for the Criminal Division Lanny A. Breuer Speaks at the Los Angeles Health Care Fraud Prevention Summit

"These summits offer our agencies the opportunity to share our success stories, explain our innovative investigative approaches, and listen to and learn from your ideas and concerns," said Assistant Attorney General Breuer




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South Florida Doctor, Clinic Owner and Five Nurses Plead Guilty in Home Health Care Fraud Scheme

A medical doctor, a clinic owner and four nurses, all South Florida residents, pleaded guilty today before U.S. District Judge Adalberto Jordan in U.S. District Court in Miami for their participation in a fraudulent Medicare home health care scheme, the Departments of Justice and Health and Human Services (HHS) announced.



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Miami-area Clinic Owner Pleads Guilty in $23 Million Health Care Fraud Scheme

Flor Crisologo, 58, pleaded guilty before Magistrate Judge Barry L. Garber in U.S. District Court in Miami to one count of conspiracy to commit health care fraud.



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Miami Home Health Patient Recruiter Convicted of Conspiracy

Antonio Ochoa, a patient recruiter for Miami home health agencies, was convicted today by a federal jury in Miami of one count of conspiracy to commit health care fraud and of three counts of soliciting and receiving kickbacks and bribes, announced the Departments of Justice and Health and Human Services (HHS)



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Brooklyn Doctor Arrested and Charged with Health Care Fraud

Boris Sachakov, M.D., was arrested today in Brooklyn, N.Y., and charged in connection with a scheme to defraud Medicare and numerous other health care benefit programs of at least $3.5 million.



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Three Miami-area Residents Sentenced to Prison for Participating in $22 Million Medicare Fraud Scheme Involving Home Health Agencies

Three Miami-area residents were sentenced to prison today for their participation in a $22 million Medicare fraud scheme operated through two Miami home health agencies, ABC Home Health Care Inc. and Florida Home Health Care Providers Inc.



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