heal Brooklyn Resident Pleads Guilty in Connection with $13 Million Kickback and Health Care Fraud Scheme By www.justice.gov Published On :: Fri, 6 Sep 2013 17:11:56 EDT A Brooklyn, N.Y., resident pleaded guilty today for his role as a patient recruiter in a $13 million kickback and health care fraud scheme, the fourth defendant to plead guilty in the scheme based at the Cropsey Medical Care PLLC clinic in Brooklyn. Full Article OPA Press Releases
heal Obama Administration Announces a Coordinated Effort to Protect Consumers by Preventing and Detecting Potential Fraud in the Health Insurance Marketplace By www.justice.gov Published On :: Wed, 18 Sep 2013 12:10:18 EDT Attorney General Eric Holder, Health and Human Services (HHS) Secretary Kathleen Sebelius, and Federal Trade Commission (FTC) Chairwoman Edith Ramirez met at the White House to kick off a comprehensive interagency initiative to prevent, protect against, and where necessary prosecute consumer fraud and privacy violations in the Health Insurance Marketplace. Full Article OPA Press Releases
heal Justice Department Reaches Settlement with Piedmont Regional Jail to Reform Medical and Mental Health Care at the Facility By www.justice.gov Published On :: Fri, 20 Sep 2013 18:28:05 EDT Today the Department of Justice filed a complaint and a simultaneous settlement agreement in the District Court for the Eastern District of Virginia to ensure that prisoners at the Piedmont Regional Jail in Farmville, Va., receive appropriate medical and mental health care. Full Article OPA Press Releases
heal Five Miami Residents Arrested for Alleged Roles in $48 Million Home Health Care Fraud Scheme By www.justice.gov Published On :: Wed, 25 Sep 2013 15:28:39 EDT Five Miami residents have been charged for their alleged roles in a $48 million home health Medicare fraud scheme. Full Article OPA Press Releases
heal Miami Home Health Company Recruiter Pleads Guilty in $48 Million Health Care Fraud Scheme By www.justice.gov Published On :: Thu, 26 Sep 2013 15:48:17 EDT A patient recruiter of a Miami health care company pleaded guilty today for his participation in a $48 million home health Medicare fraud scheme. Full Article OPA Press Releases
heal Medical Clinic Owners and Patient Recruiters Charged in Miami for Role in $8 Million Health Care Fraud Scheme By www.justice.gov Published On :: Thu, 26 Sep 2013 16:58:28 EDT Several patient recruiters, including two medical clinic owners, have been arrested in connection with a health care fraud scheme involving defunct home health care company Flores Home Health Care Inc. (Flores Home Health). Full Article OPA Press Releases
heal Administrator and Employee of Two Miami Home Health Companies Sentenced for Role in $74 Million Health Care Fraud Scheme By www.justice.gov Published On :: Wed, 23 Oct 2013 17:06:35 EDT The administrator and employee of two Miami health care companies was sentenced today to serve 60 months in prison for her participation in a $74 million home health Medicare fraud scheme. Full Article OPA Press Releases
heal Illinois Man Arrested for Alleged Role in $12 Million Health Care Fraud Scheme By www.justice.gov Published On :: Tue, 29 Oct 2013 15:11:28 EDT A Rockford, Ill., man was arrested today in connection with an indictment charging three Chicago-area residents for their roles in an alleged $12 million health care fraud scheme. Full Article OPA Press Releases
heal Owner of Texas-based Ambulance Service Convicted of Health Care Fraud By www.justice.gov Published On :: Thu, 31 Oct 2013 16:24:43 EDT A federal jury in Houston has convicted Gwendolyn Climmons-Johnson, 53, of multiple counts of health care fraud for submitting false and fraudulent claims to Medicare for ambulance services. Full Article OPA Press Releases
heal Patient Broker of South Florida Psychiatric Hospital Sentenced for Role in $67 Million Health Care Fraud Scheme By www.justice.gov Published On :: Wed, 6 Nov 2013 15:26:09 EST A patient broker of a South Florida psychiatric hospital was sentenced today to serve 24 months in prison followed by three years of supervised release for her participation in a $67 million Medicare fraud scheme. Full Article OPA Press Releases
heal Former Mental-Health Clinic Therapist Sentenced for Role in $55 Million Medicare Fraud Scheme By www.justice.gov Published On :: Wed, 6 Nov 2013 18:31:31 EST A former therapist for Biscayne Milieu, a Miami-based mental-health clinic, was sentenced today to serve 120 in prison for his participation in a $55 million Medicare fraud scheme. Full Article OPA Press Releases
heal Detroit-Area Home Health Care Agency Owner Sentenced for Role in $2.2 Million Medicare Fraud Scheme By www.justice.gov Published On :: Thu, 7 Nov 2013 11:53:44 EST The owner of a Detroit-area home health care agency was sentenced today to serve 65 months in prison for her leading role in a $2.2 million Medicare fraud scheme. Full Article OPA Press Releases
heal Home Health Agency Owner Sentenced for Role in $13.8 Million Medicare Fraud Scheme By www.justice.gov Published On :: Thu, 7 Nov 2013 15:42:38 EST Detroit-area resident Javed Rehman was sentenced to serve 60 months in prison today for his role in a $13.8 million Medicare fraud scheme. Full Article OPA Press Releases
heal Durable Medical Equipment Clinic Owner Pleads Guilty in Miami for Role in $11 Million Health Care Fraud Scheme By www.justice.gov Published On :: Thu, 21 Nov 2013 13:21:13 EST The former owner of a defunct durable medical equipment (DME) clinic based in Miami pleaded guilty today for his role in an $11 million Medicare fraud scheme. Full Article OPA Press Releases
heal Owner of Home Health Companies Sentenced for Role in $20 Million Health Care Fraud Scheme By www.justice.gov Published On :: Thu, 21 Nov 2013 17:14:16 EST The owner and operator of several Miami health care agencies was sentenced today to serve 120 months in prison for his role in a health care fraud scheme involving defunct home health care company Trust Care Health Services Inc. Full Article OPA Press Releases
heal Health Care Clinic Owners Sentenced for Role in $8 Million Health Care Fraud Scheme By www.justice.gov Published On :: Mon, 2 Dec 2013 15:27:47 EST Two health care clinic owners were sentenced today in connection with an $8 million health care fraud scheme involving the now-defunct home health care company Flores Home Health Care Inc. Full Article OPA Press Releases
heal Three Patient Recruiters for Miami Home Health Company Plead Guilty for Roles in $48 Million Fraud Scheme By www.justice.gov Published On :: Tue, 3 Dec 2013 17:59:26 EST Three patient recruiters for a Miami health care company pleaded guilty today for their participation in a $48 million home health Medicare fraud scheme. Full Article OPA Press Releases
heal Miami Home Health Company Owner and Recruiter Sentenced for Role in $48 Million Health Care Fraud Scheme By www.justice.gov Published On :: Wed, 4 Dec 2013 15:25:21 EST A patient recruiter of a Miami health care company was sentenced to serve 108 months in prison today for his participation in a $48 million home health Medicare fraud scheme. Full Article OPA Press Releases
heal Two Patient Recruiters for Miami Home Health Companies Sentenced for Roles in $48 Million Health Care Fraud Scheme By www.justice.gov Published On :: Thu, 12 Dec 2013 13:40:57 EST Two patient recruiters for Miami health care companies were sentenced today for their participation in a $48 million home health Medicare fraud scheme Full Article OPA Press Releases
heal Therapist Pleads Guilty in Miami for His Role in $63 Million Health Care Fraud Scheme By www.justice.gov Published On :: Thu, 12 Dec 2013 16:51:18 EST A former licensed mental health counselor at the defunct health provider Health Care Solutions Network Inc. (HCSN) pleaded guilty today in Fort Lauderdale, Fla., for his role in a $63 million health care fraud scheme Full Article OPA Press Releases
heal Health Care Clinic Owner Sentenced for Role in $7 Million Medicare Fraud Scheme By www.justice.gov Published On :: Thu, 19 Dec 2013 16:12:03 EST The owner of a Miami home health care company was sentenced to serve 235 months in prison today for her participation in a $7 million health care fraud scheme involving defunct home health care company Anna Nursing Services Corp. Full Article OPA Press Releases
heal Justice Department Reaches Settlement with State of New Hampshire to Expand Community Mental Health Services and Prevent Unnecessary Institutionalization By www.justice.gov Published On :: Thu, 19 Dec 2013 19:08:58 EST The Justice Department announced today that the United States and a coalition of mental health advocacy organizations have entered into a comprehensive settlement agreement with the state of New Hampshire that will transform New Hampshire’s mental health system by significantly expanding and enhancing mental health service capacity in integrated community settings. Full Article OPA Press Releases
heal Patient Recruiter and Therapy Staffing Company Owner Sentenced for Roles in $7 Million Health Care Fraud Scheme By www.justice.gov Published On :: Fri, 20 Dec 2013 13:29:10 EST A patient recruiter and a therapy staffing company owner were sentenced today to serve 50 months and 46 months in prison, respectively, for their participation in a $7 million health care fraud scheme. Full Article OPA Press Releases
heal Colorado Health Care Organization and One of Its Montana Hospitals to Pay $3.85 Million for Allegedly Providing Financial Benefits to Referring Physicians and Physician Groups By www.justice.gov Published On :: Tue, 31 Dec 2013 13:47:22 EST St. James Healthcare (St. James), a hospital located in Butte, Mont., and its parent company, Sisters of Charity of Leavenworth Health System (Sisters of Charity), a health care organization based in Denver, Colo., have agreed to pay $3.85 million to resolve allegations that they violated the Anti-Kickback Statute, the Stark Law and the False Claims Act by improperly providing financial benefits to physicians and physician groups that made referrals to the hospital. Full Article OPA Press Releases
heal Medical Clinic Owner Pleads Guilty in Miami for Role in Multiple Health Care Fraud Schemes Totaling Over $20 Million By www.justice.gov Published On :: Tue, 7 Jan 2014 13:48:35 EST The owner and operator of a Miami medical clinic pleaded guilty today in connection with multiple health care fraud schemes involving the defunct clinic Merfi Corp. Full Article OPA Press Releases
heal Medical Clinic Owner and Other Patient Recruiters Plead Guilty in Miami for Roles in $8 Million Health Care Fraud Scheme By www.justice.gov Published On :: Tue, 7 Jan 2014 13:55:45 EST Several patient recruiters, including a medical clinic owner, pleaded guilty today in connection with a health care fraud scheme involving Flores Home Health Care Inc., a defunct home health care company. Full Article OPA Press Releases
heal Former HealthEssentials Solutions Inc. Executives to Pay More Than $1 Million to Resolve Allegations of Submitting False Claims to Federal Health Care Program By www.justice.gov Published On :: Fri, 10 Jan 2014 11:14:43 EST Michael R. Barr, former chief executive officer of Louisville, Kentucky-based HealthEssentials Solutions Inc., has agreed to pay $1 million to resolve allegations that he knowingly caused HealthEssentials to submit false claims to Medicare between 1999 and 2004. Full Article OPA Press Releases
heal Government Intervenes in Lawsuits Against Health Management Associates Inc. Hospital Chain Alleging Unnecessary Inpatient Admissions and Payment of Kickbacks By www.justice.gov Published On :: Mon, 13 Jan 2014 15:56:21 EST The government has intervened in eight False Claims Act lawsuits against Health Management Associates Inc. (HMA) alleging that HMA billed federal health care programs for medically unnecessary inpatient admissions from the emergency departments at HMA hospitals and paid remuneration to physicians in exchange for patient referrals. Full Article OPA Press Releases
heal Home Health Agency Owner and Director of Nursing Indicted By www.justice.gov Published On :: Thu, 23 Jan 2014 15:04:39 EST The operator and director of nursing of a home health agency based in Richmond, Texas, was arrested yesterday for her alleged role in a Medicare fraud scheme and a conspiracy to structure bank withdrawals. Full Article OPA Press Releases
heal Home Health Agency Owner Sentenced for Role in $11 Million Detroit Medicare Fraud Scheme By www.justice.gov Published On :: Fri, 24 Jan 2014 16:28:47 EST A home health agency owner who participated in a Medicare fraud scheme that totaled almost $11 million was sentenced in Detroit today to serve 120 months in prison. Full Article OPA Press Releases
heal Medicare Fraud Strike Force Set Record Numbers for Health Care Fraud Prosecutions By www.justice.gov Published On :: Mon, 27 Jan 2014 17:01:53 EST The Justice Department’s Medicare Fraud Strike Force has set record numbers for health care prosecutions in Fiscal Year 2013, demonstrating the targeted and coordinated approach remains strong as the strike force enters its eighth year of fighting fraud against the government’s health care programs. Full Article OPA Press Releases
heal Patient Recruiter Pleads Guilty in Connection With $13 Million Health Care Fraud Scheme By www.justice.gov Published On :: Tue, 28 Jan 2014 14:42:18 EST Pavel Zborovskiy, 57, of Brooklyn, N.Y., pleaded guilty today to conspiracy to pay and receive illegal health care kickbacks in connection with a $13 million health care fraud and money laundering scheme. Full Article OPA Press Releases
heal Durable Medical Equipment Clinic Owner Sentenced for His Role in $11 Million Health Care Fraud Scheme By www.justice.gov Published On :: Tue, 11 Feb 2014 15:21:44 EST The former owner of a defunct durable medical equipment (DME) clinic was sentenced today in Miami to serve 70 months in prison for his role in an $11 million health care fraud scheme involving World Class Medical Clinic Corp. Full Article OPA Press Releases
heal Washington-Based Medical Device Manufacturer to Pay up to $5.25 Million to Settle Allegations of Causing False Billing of Federal Health Care Programs By www.justice.gov Published On :: Wed, 19 Feb 2014 12:08:18 EST Medical device manufacturer EndoGastric Solutions Inc. has agreed to pay the government up to $5.25 million to resolve allegations that it violated the False Claims Act by misleading health care providers about how to bill federal health care programs for a procedure using a device manufactured by the company and by paying kickbacks. Full Article OPA Press Releases
heal Government Intervenes in Lawsuit Against Tenet Healthcare Corp. and Georgia Hospital Owned by Health Management Associates Inc. Alleging Payment of Kickbacks By www.justice.gov Published On :: Wed, 19 Feb 2014 16:07:49 EST The government has intervened in a False Claims Act lawsuit against Tenet Healthcare Corp. (Tenet) and four of its hospitals in Georgia and South Carolina, as well as a hospital in Monroe, Ga., owned by Health Management Associates Inc. (HMA), alleging that the hospitals paid kickbacks to obstetric clinics serving primarily undocumented Hispanic women in return for referral of those patients for labor and delivery at the hospitals. Full Article OPA Press Releases
heal Endo Pharmaceuticals and Endo Health Solutions to Pay $192.7 Million to Resolve Criminal and Civil Liability Relating to Marketing of Prescription Drug Lidoderm for Unapproved Uses By www.justice.gov Published On :: Fri, 21 Feb 2014 12:15:15 EST Pharmaceutical company Endo Health Solutions Inc. and its subsidiary Endo Pharmaceuticals Inc. (Endo) have agreed to pay $192.7 million to resolve criminal and civil liability arising from Endo’s marketing of the prescription drug Lidoderm for uses not approved as safe and effective by the Food and Drug Administration. Full Article OPA Press Releases
heal Diagnostic Imaging Group to Pay $15.5 Million for Allegedly Submitting False Claims to Federal and State Health Care Programs By www.justice.gov Published On :: Tue, 25 Feb 2014 14:35:57 EST Diagnostic Imaging Group (DIG) has agreed to pay a total of $15.5 million to resolve allegations that its diagnostic testing facility falsely billed federal and state health care programs for tests that were not performed or not medically necessary and by paying kickbacks to physicians. Full Article OPA Press Releases
heal Departments of Justice and Health and Human Services Announce Record-Breaking Recoveries Resulting from Joint Efforts to Combat Health Care Fraud By www.justice.gov Published On :: Wed, 26 Feb 2014 09:13:31 EST Attorney General Eric Holder and HHS Secretary Kathleen Sebelius today released the annual Health Care Fraud and Abuse Control (HCFAC) Program report showing that for every dollar spent on health care-related fraud and abuse investigations through this and other programs in the last three years, the government recovered $8.10. This is the highest three-year average return on investment in the 17-year history of the HCFAC Program. Full Article OPA Press Releases
heal Attorney General Holder, Calling Rise in Heroin Overdoses ‘Urgent Public Health Crisis,’ Vows Mix of Enforcement, Treatment By www.justice.gov Published On :: Mon, 10 Mar 2014 09:24:44 EDT Calling the rise in overdose deaths from heroin and other prescription pain-killers an “urgent public health crisis,” Attorney General Eric Holder vowed Monday that the Justice Department would combat the epidemic through a mix of enforcement and treatment efforts. As an added step, the Attorney General is also encouraging law enforcement agencies to train and equip their personnel with the life-saving, overdose-reversal drug known as naloxone. Full Article OPA Press Releases
heal Pharmaceutical Company to Pay $27.6 Million to Settle Allegations Involving False Billings to Federal Health Care Programs By www.justice.gov Published On :: Tue, 11 Mar 2014 11:06:10 EDT Pharmaceutical manufacturer Teva Pharmaceuticals USA Inc. and a subsidiary, IVAX LLC, have agreed to pay the government and the state of Illinois $27.6 million for allegedly violating the False Claims Act by making payments to induce prescriptions of an anti-psychotic drug for Medicare and Medicaid beneficiaries. Full Article OPA Press Releases
heal Justice Department Seeks Temporary Restraining Order to Stop Ohio Department of Youth Services from Excessively Secluding Boys with Mental Health Needs By www.justice.gov Published On :: Wed, 12 Mar 2014 20:28:24 EDT Today, the Justice Department sought a federal court order temporarily restraining the Ohio Department of Youth Services (DYS) from unlawfully secluding boys with mental health needs in its juvenile correctional facilities. Full Article OPA Press Releases
heal Medical Clinic Owner and Other Patient Recruiters Sentenced for Roles in $8 Million Health Care Fraud Scheme By www.justice.gov Published On :: Fri, 14 Mar 2014 16:42:20 EDT Several patient recruiters, including a medical clinic owner, were sentenced today for their participation in a health care fraud scheme involving Flores Home Health Care Inc., a defunct home health care company. Full Article OPA Press Releases
heal Medical Clinic Owner Sentenced for Role in Multiple Health Care Fraud Schemes Totaling Over $20 Million By www.justice.gov Published On :: Fri, 14 Mar 2014 16:48:34 EDT The owner and operator of a Miami medical clinic, Merfi Corp., was sentenced today to serve 108 months in prison for her participation in multiple health care fraud schemes. Full Article OPA Press Releases
heal Southern California Man Found Guilty of Health Care Fraud and Aggravated Identity Theft for Role in $1.5 Million Medicare Fraud Scheme By www.justice.gov Published On :: Mon, 24 Mar 2014 17:17:28 EDT A Southern California man who ran a durable medical equipment (DME) supply company has been found guilty by a federal jury in Los Angeles for his role in a $1.5 million Medicare fraud scheme. Full Article OPA Press Releases
heal Detroit Home Health Agency Office Manager Sentenced for Her Role in $5.8 Million Medicare Fraud Scheme By www.justice.gov Published On :: Tue, 8 Apr 2014 17:02:23 EDT The office manager of a Detroit-area home health agency was sentenced today to serve 46 months in prison for her role in a $5.8 million Medicare fraud scheme. Full Article OPA Press Releases
heal Owner of Tax Return Preparation Franchise and Health Provider Business Pleads Guilty to Tax Fraud, Healthcare Fraud and Money Laundering By www.justice.gov Published On :: Thu, 10 Apr 2014 18:52:20 EDT Claude Arthur Verbal II, formerly of Raleigh, N.C., and now of Miami, pleaded guilty to tax fraud, healthcare fraud and money laundering in two separate cases in federal court. Full Article OPA Press Releases
heal Amedisys Home Health Companies Agree to Pay $150 Million to Resolve False Claims Act Allegations By www.justice.gov Published On :: Wed, 23 Apr 2014 13:05:53 EDT Amedisys Inc. and its affiliates (Amedisys) have agreed to pay $150 million to the federal government to resolve allegations that they violated the False Claims Act by submitting false home healthcare billings to the Medicare program. Full Article OPA Press Releases
heal Owner of Baton Rouge Pharmacy Pleads Guilty for Directing $2.2 Million Health Care Fraud Scheme By www.justice.gov Published On :: Thu, 24 Apr 2014 16:05:25 EDT The owner of a Louisiana pharmacy pleaded guilty today for directing a $2.2 million Medicare fraud scheme to repackage and redistribute prescription medications. Mona Patrice Carter, 47, pleaded guilty before U.S. District Judge James J. Brady of the Middle District of Louisiana to one count of health care fraud. Full Article OPA Press Releases
heal Government Settles False Claims Act Allegations Against Florida-Based Baptist Health System for $2.5 Million By www.justice.gov Published On :: Tue, 6 May 2014 10:43:36 EDT Baptist Health System Inc. (Baptist Health), the parent company for a network of affiliated hospitals and medical providers in the Jacksonville, Florida, area, has agreed to pay $2.5 million to settle allegations that its subsidiaries violated the False Claims Act by submitting claims to federal health care programs for medically unnecessary services and drugs. Full Article OPA Press Releases
heal Justice Department, Health and Human Services and Other Law Enforcement Officials to Announce Significant Medicare Fraud Strike Force Actions By www.justice.gov Published On :: Tue, 13 May 2014 09:57:08 EDT Officials from the Justice Department, Health and Human Services and other law enforcement partners will hold a press conference today, Tuesday, May 13, 2014, at 2:00 p.m. EDT, to announce Medicare Fraud Strike Force law enforcement actions in Miami and throughout the nation. Full Article OPA Press Releases