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Owner of Pharmaceutical Wholesale Company Pleads Guilty to Medicare Fraud

The owner and operator of HME Solutions Inc., dba Lifecare Medical (Lifecare Medical), a licensed pharmaceutical wholesale company in Miami, pleaded guilty today to defrauding the Medicare program in connection with a $5.3 million HIV-infusion fraud scheme.



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Three Miami Physicians and Three Medical Workers Charged with $10 Million Medicare Fraud Scheme

Six Miami-Dade County residents have been indicted in connection with an alleged $10 million Medicare fraud scheme operated out of Midway Medical, a Miami clinic that purported to specialize in treating HIV/AIDS patients.



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Jury Convicts Two Doctors and Two Medical Assistants in $5.3 Million Medicare Fraud Scam

A federal jury in Miami today convicted two physicians and two medical assistants in connection with a $5.3 million Medicare fraud scheme. After a two-week trial in federal court in Miami, a jury found David Rothman, M.D., 66; Keith Russell, M.D., 65; Eda Marietta Milanes, 43; and Jorge Luis Pacheco, 50; guilty on all charged counts, including conspiracy to commit health care fraud and multiple counts of health care fraud for submitting claims to Medicare for unnecessary medications.



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Two Doctors and Two Medical Assistants Plead Guilty in $10 Million Medicare Fraud Scheme

Four Miami-area residents pleaded guilty today in connection with a $10 million Medicare fraud scheme involving HIV infusion clinics. Dr. Roberto Rodriguez, 54; Dr. Carlos Garrido, 69; Gonzalo Nodarse, 38; and Alexis Carrazana, 41; all pleaded guilty before U.S. District Judge Paul C. Huck to one count of conspiracy to commit health care fraud.



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California Couple Plead Guilty in Alien Smuggling Scheme in Which Some Were Forced to Work at Elder Care Homes

The owner of two elder care homes in Long Beach, Calif., has pleaded guilty on March 23, 2009 to bringing undocumented aliens into the United States and forcing two of them to work at her businesses. Evelyn Pelayo, 53, a resident of Long Beach, pleaded guilty on March 23, 2009 to forced labor and unlawful conduct of holding passports to further forced labor.



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Houston’s Methodist Hospital to Pay U.S. More Than $9 Million to Resolve Allegations of Overcharging Medicare

Methodist Hospital in Houston has agreed to pay the United States $9.99 million to settle allegations that it defrauded the federal Medicare program. The settlement resolves allegations that Methodist improperly increased charges to Medicare patients in order to obtain enhanced reimbursement from Medicare.



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Four Miami-Area Residents Sentenced in $10 Million Medicare Fraud Scheme

Four Miami-area residents were sentenced today in connection with a $10 million Medicare fraud scheme involving HIV infusion clinics. Alexis Dagnesses, 44; Gonzalo Nodarse, 38; Alexis Carrazana, 41; and Dr. Carlos Garrido, 69, all pleaded guilty in March 2009 to one count of conspiracy to commit health care fraud before U.S. District Judge Paul C. Huck.



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Medicare Fraud Strike Force Operations Lead to Charges Against 53 Doctors, Health Care Executives and Beneficiaries for More Than $50 Million in Alleged False Billing in Detroit

“As demonstrated by today’s charges and arrests, we will strike back against those whose fraudulent schemes not only undermine a program upon which 45 million aged and disabled Americans depend, but which also contribute directly to rising health care costs that all Americans must bear,” said Attorney General Holder.



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Eight Miami-Area Residents Charged in $22 Million Medicare Fraud Scheme Involving Home Health Care Agencies

Eight Miami-Dade County, Fla., residents have been indicted in connection with an alleged $22 million Medicare fraud scheme operated out of Miami businesses purporting to specialize in home health care services. A temporary restraining order freezing assets of the indicted defendants and their companies was also filed.



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Miami Physician Sentenced to 97 Months in Prison for Role in $10 Million Medicare Fraud Scheme

Miami physician Roberto Rodriguez, 54, was sentenced today to 97 months in prison for his role in a Medicare fraud scheme involving HIV infusion services.



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Jury Convicts Los Angeles Physician Assistant for Stealing Doctor’s Identity and Defrauding Medicare in $7.7 Million Scheme

A federal jury in Los Angeles convicted a physician assistant late yesterday for his role in a $7.7 million Medicare fraud scheme.



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Endoscopic Technologies to Pay U.S. $1.4 Million to Resolve Allegations of Medicare Fraud

Endoscopic Technologies Inc. (Estech), a medical device manufacturer, has agreed to pay the United States $1.4 million to resolve civil claims in connection with the alleged promotion of its surgical ablation devices. Surgical ablation devices use focused energy to create controlled lesions or scar tissue on a patient’s heart or other organs.



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Tampa Bay Doctor Agrees to Pay United States $1.7 Million to Resolve Medicare Fraud Allegations

Dr. Gabriel DeCandido, a physician practicing internal medicine in Largo, Fla., has agreed to pay the United States $1.7 million to settle allegations that he defrauded the Medicare program. In a complaint filed in the United States District Court for the Middle District of Florida, United States ex rel. Michael Flanery v. Dr. Gabriel DeCandido, et al., the United States alleged that Dr. DeCandido violated the False Claims Act by billing the Medicare program for higher levels of service than he actually rendered to patients and by billing for services not provided.



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Los Angeles Jury Convicts Equipment Suppliers of Medicare Fraud

A federal jury in Los Angeles convicted the owners and operators of a Los Angeles-area durable medical equipment company of Medicare fraud. After a one-week trial in federal court in Los Angeles, the jury found Gevork Kartashyan, 45, guilty of conspiracy to commit health care fraud and health care fraud; and Eliza Shurabalyan, 42, guilty of health care fraud. U.S. District Judge Stephen V. Wilson of the Central District of Los Angeles scheduled sentencing for Oct. 5, 2009.



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Federal Judge Sentences Defendants Who Perpetrated $10.9 Million Medicare Fraud HIV Infusion Scheme

Miami physician Keith Russell, 65, and physician’s assistant Jorge Luis Pacheco, 50, were each sentenced to 97 months in prison, and physician’s assistant Eda Marietta Milanes, 43, was sentenced to 63 months in prison, for their roles in fraud schemes that involved billing Medicare for $10,903,509 worth of unnecessary HIV infusion treatments.



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Detroit Area Physical Therapist Pleads Guilty to Causing More Than $1.6 Million in Fraudulent Medicare Billing

Detroit area physical therapist Jay Jha, 45, pleaded guilty today to participating in a conspiracy to defraud the Medicare program of approximately $18.3 million.



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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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Detroit Clinic Manager Pleads Guilty in Medicare Fraud Scheme

Denver resident Lil Vargas-Arias pleaded guilty today in U.S. District Court in Detroit to participating in a conspiracy to defraud the Medicare program.



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Detroit Clinic Owner and Manager Plead Guilty to Medicare Fraud Charges

Clinic owners and operators Jose Martinez and Denisse Martinez pleaded guilty today in U.S. District Court in Detroit to participating in a conspiracy to defraud the Medicare program.



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Detroit-Area Rehabilition Facility Executive Pleads Guilty To $18.2 Million Medicare Fraud Scheme

Suresh Chand pleaded guilty today to participating in multiple conspiracies to defraud the Medicare program and to launder the proceeds of the fraud.



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New Jersey Hospital to Pay $8.3 Million for Alleged Kickbacks and Causing Submission of False Claims to Medicare

“Today’s settlement reflects the Justice Department’s ongoing commitment to protect the integrity of the doctor-patient relationship,” said Tony West, Assistant Attorney General for the Civil Division.



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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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Detroit Clinic Owner, Doctor and Office Manager Indicted in Medicare Infusion Fraud Scheme

Three Miami-Dade County, Fla., residents have been indicted in connection with an alleged $2.3 million Medicare fraud scheme operated out of X-Press Center, a Detroit-area clinic that purported to specialize in providing injection and infusion therapies.



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Justice Department Reaches ADA Settlement with Fort Wayne, Indiana, Day Care Center Regarding Children with Diabetes

Pine Hills Kiddie Garden of Fort Wayne, Ind., will take necessary steps to ensure that a child’s diabetes care is integrated into the usual routine of its day care center and programs as part of a settlement to resolve allegations that it discriminated on the basis of disability.



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Detroit-Area Physical Therapist Pleads Guilty in Medicare Fraud Scheme

Solomon Nathaniel of Sterling Heights, Mich., pleaded guilty today in U.S. District Court in Detroit to participating in a conspiracy to defraud the Medicare program.



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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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Medicare Fraud Strike Force Operations in Houston Lead to Charges Against Six Area Residents

Medicare fraud charges have been filed against six individuals in the continuing operation of the Medicare Fraud Strike Force in Houston.



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Detroit-Area Physical Therapist Pleads Guilty in Medicare Fraud Scheme

Troy, Mich., resident Syed Aziz pleaded guilty today in U.S. District Court in Detroit to participating in a conspiracy to defraud the Medicare program.



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Detroit Clinic Owner Pleads Guilty in Medicare Fraud Scheme

Miami resident Daisy Martinez pleaded guilty today in U.S. District Court in Detroit to participating in a conspiracy to defraud the Medicare program.



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New Jersey Hospital to Pay $3 Million to Resolve Allegations of Medicare Fraud

The United States has entered into a settlement with a New Jersey hospital and filed a motion to intervene in a lawsuit against a New York hospital involving allegations that the hospitals defrauded Medicare.



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Occupational Therapist and Patient Recruiter Plead Guilty in Detroit-Based Medicare Fraud Schemes

Detroit resident Jaquita Lovelace and Miami resident Timothy Pierce have pleaded guilty in U.S. District Court in Detroit to participating in conspiracies to defraud 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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Medicare Fraud Strike Force Expands Operations into Brooklyn, N.Y.; Tampa, Fla.; and Baton Rouge, La.

Thirty people have been charged in three cities for their alleged roles in schemes to submit more than $61 million in false Medicare claims as part of the continuing operation of the Medicare Fraud Strike Force.



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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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Clinic Manager Pleads Guilty in Medicare Fraud Scheme

Miami resident Ingrid Mazorra pleaded guilty today in U.S. District Court in Miami to participating in a conspiracy to defraud the Medicare program.



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Thirteen Detroit-Area Individuals Arrested and Charged for $14.5 Million Medicare Fraud

Thirteen Detroit-area residents were arrested today by federal agents from the Department of Health and Human Services, Office of the Inspector General (HHS-OIG) and FBI in connection with an alleged home health care scheme to defraud the Medicare program of more than $14.5 million.



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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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Former Los Angeles Medical Center Owners Agree to $10 Million Consent Judgment for Medicare and Medi-Cal Fraud Scheme

The United States has obtained a $10 million consent judgment against Los Angeles businessman Robert Bourseau and Dr. Rudra Sabaratnam for a Medicare and Medi-Cal fraud scheme arising from their former ownership of the Los Angeles City of Angels Medical Center.



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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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Los Angeles Business Owner Pleads Guilty to Submitting Nearly $1 Million in False and Fraudulent Claims to Medicare

The owner and operator of a Los Angeles durable medical equipment (DME) company pleaded guilty today to submitting nearly $1 million in false claims to Medicare.



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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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Owners of Los Angeles-area Medical Equipment Company Sentenced to Prison for Medicare Fraud

Gevork Kartashyan, 45, and Eliza Shubaralyan, 42, were each sentenced to serve two years in prison by U.S. District Judge Stephen V. Wilson of the Central District of California.



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Atricure to Pay U.S. $3.76 Million to Resolve Medicare Fraud Allegations

Atricure Inc., a medical device manufacturer, has agreed to pay the United States $3.76 million to resolve civil claims in connection with the alleged promotion of its surgical ablation devices.



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Detroit Clinic Manager Sentenced to 63 Months in Prison for Role in $2.3 Million Medicare Infusion Fraud Scheme

Miami-Dade County resident Dulce Briceño was sentenced today to 63 months in prison for her role in a $2.3 million Medicare fraud scheme.



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