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Brooklyn, N.Y., Medicare Fraud Strike Force Charges 12 Individuals for Participating in Health Care Fraud Schemes Totaling More Than $95 Million

Twelve individuals, including three medical doctors, a doctor of osteopathy and a chiropractor, were charged today in the Eastern District of New York for their roles in separate health care fraud schemes that resulted in the submission of more than $95 million in false claims to the Medicare program.



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Detroit-Area Man Arrested in Connection with $30 Million Medicare Home Health Scheme

Zafar Mehmood, 45, allegedly masterminded a $30 million scheme involving the submission of fraudulent claims submitted to Medicare for services that were medically unnecessary and/or never provided through at least four home health agencies.



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Miami-Area Patient Recruiter Pleads Guilty in $25 Million Health Care Fraud Scheme

Beatriz Torres-Cruz, 50, pleaded guilty before U.S. District Judge Joan A. Lenard in Miami to one count of conspiracy to commit health care fraud and one count of solicitation of health care kickbacks.



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Owner of Houston Health Care Company Pleads Guilty to Defrauding Medicare

Akinsunbo Akinbile, 44, pleaded guilty before U.S. District Judge Keith P. Ellison in Houston to eight counts of health care fraud.



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Doctor and Two Nurses Sentenced to Prison for Roles in $25 Million Miami Health Care Fraud Scheme

Jose Nunez, 63, Luisa Morciego, 40, and Eneida Fry, 46, were sentenced yesterday in Miami federal court for their participation in a $25 million home health Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS).



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Owners of Houston Health Care Company Sentenced to Prison for Medicare Fraud

U.S. District Judge David Hittner in the Southern District of Texas sentenced Kemmie Houston to 63 months in prison and Sharon Beal to 51 months in prison.



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Owner of Miami-Area Mental Health Company Sentenced to 35 Years in Prison for Orchestrating $205 Million Medicare Fraud Scheme

Judith Negron, 40, was sentenced by U.S. District Judge James Lawrence King in the Southern District of Florida. Judge King ordered Negron to pay more than $87 million in restitution, jointly and severally with her co-defendants.



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Owners of Houston Mental Health Company and Assisted Living Facility Indicted for Alleged Roles in $90 Million Medicare Fraud Scheme

Mansour Sanjar, 78, Cyrus Sajadi, 64, and Chandra Nunn, 33, all of Houston, were arrested today in Houston and are expected to make their initial appearances in federal court today and tomorrow.



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Three Patient Recruiters for Miami Home Health Companies Sentenced to Prison in $25 Million Health Care Fraud Scheme

U.S. District Judge Joan A. Lenard in Miami sentenced Oscar Martinez, 54, to 18 months in prison, three years of supervised release and ordered Martinez to pay $390,000 in restitution. Judge Lenard sentenced Lesder Casanova, 40, to 12 months in prison, three years of supervised release and ordered Casanova to pay $195,000 in restitution.



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Patient Recruiter Pleads Guilty in Health Care Fraud Conspiracy

Ollie Futrell, 56, of Garland, Texas, pleaded guilty yesterday before U.S. District Judge Jane J. Boyle in the Northern District of Texas to one count of conspiracy to commit health care fraud.



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Department of Justice Files Lawsuit Alleging Employment Discrimination by Florida Home Health Care Company

The Justice Department filed a motion to intervene in a lawsuit yesterday against Home Care Giver Services Inc., a Florida corporation that provides home health aides, certified nursing assistants, licensed practical nurses and registered nurses to customers who seek home-based care givers.



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Nurse, Administrator and Two Recruiters for Miami Home Health Companies Sentenced to Prison in $25 Million Health Care Fraud Scheme

Two patient recruiters, a nurse and an administrator for two Miami home health care companies were sentenced today for their participation in a $25 million home health Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS).



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Three Operators of Miami Home Health Company Plead Guilty in $60 Million Health Care Fraud Scheme

Roberto Gonzalez, 61, Olga Gonzalez, 57, and their son, Fabian Gonzalez, 39, each pleaded guilty before U.S. District Judge Ursula Ungaro in the Southern District of Florida to one count of conspiracy to commit health care fraud.



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Office Manager for Miami Home Health Company Sentenced to 78 Months in Prison for Role in $25 Million Health Care Fraud Scheme

Two of her co-defendants were also sentenced to prison today for their roles in the fraud scheme.



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

Detroit-area resident Tausif Rahman pleaded guilty today for his role in organizing a $14 million Detroit-area home health care fraud and money laundering scheme.



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Louisiana Health Care Company Owner and Recruiter Plead Guilty to Medicare Fraud Scheme

Two Baton Rouge, La., residents have pleaded guilty for their role in a Medicare fraud scheme, which allegedly involved more than $21 million.



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Patient Recruiter Pleads Guilty in Health Care Fraud Scheme

Karen Rayburn, 47, pleaded guilty before U.S. District Judge James J. Brady of the Middle District of Louisiana to one count of conspiracy to commit health care fraud.



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Miami-Area Nurse Pleads Guilty in $25 Million Health Care Fraud Scheme

Jorge Pineiro, 42, pleaded guilty before U.S. District Judge Joan A. Lenard in Miami to one count of conspiracy to commit health care fraud.



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Owner and Employee of Miami Home Health Company Plead Guilty in $22 Million Health Care Fraud Scheme

The owner and an employee of a Miami health care agency pleaded guilty for their participation in a $22 million home health Medicare fraud scheme.



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Patient Recruiter Pleads Guilty in Louisiana Health Care Fraud Scheme

Fred D. Belcher, 61, pleaded guilty before U.S. District Judge James J. Brady of the Middle District of Louisiana to one count of conspiracy to commit health care fraud.



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Justice Department Settles Americans with Disabilities Act Lawsuit with Michigan’s Henry Ford Health System

The Justice Department has reached a settlement with the Henry Ford Health System to ensure effective communication with individuals who are deaf or hard of hearing in the provision of medical services.



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Louisiana Patient Recruiter Pleads Guilty in Health Care Fraud Scheme

Rodney D. Taylor, 45, pleaded guilty before U.S. District Judge James J. Brady of the Middle District of Louisiana to one count of conspiracy to commit health care fraud and one count of conspiracy to defraud the United States and to pay and receive health care kickbacks.



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Co-Owner of Two Los Angeles-Area Health Care Companies Sentenced to 96 Months in Prison for Health Care Fraud

The co-owner of two Los Angeles-area health care companies was sentenced today to 96 months in prison for his conviction stemming from a nine-year scheme to defraud Medicare.



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Health Care Fraud Prevention and Enforcement Efforts Result in Record-breaking Recoveries Totaling Nearly $4.1 Billion

Attorney General Eric Holder and Department of Health and Human Services (HHS) Secretary Kathleen Sebelius today released a new report showing that the government’s health care fraud prevention and enforcement efforts recovered nearly $4.1 billion in taxpayer dollars in Fiscal Year (FY) 2011.



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Attorney General Eric Holder Speaks at Health Care Fraud and Abuse Control Program Report Press Conference

"In the fight against health-care fraud, our Departments have a long history of working collaboratively – and effectively. The “Health Care Fraud and Abuse Control Program Annual Report” that we are submitting to Congress today underscores this fact," said Attorney General Holder.




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Dallas Doctor Arrested for Alleged Role in Nearly $375 Million Health Care Fraud Scheme

A physician and the office manager of his medical practice, along with five owners of home health agencies, were arrested today on charges related to their alleged participation in a nearly $375 million health care fraud scheme involving fraudulent claims for home health services.



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Deputy Attorney General James Cole Speaks at the Dallas Health Care Fraud Enforcement Action Press Conference

"This announcement underscores the bold, innovative and coordinated ways in which we are working alongside authorities at every level to prevent, identify and prosecute health care fraud throughout the country," said Deputy Attorney General Cole.




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Assistant Attorney General Lanny A. Breuer of the Criminal Division Speaks at the Dallas Health Care Fraud Enforcement Action Press Conference

"In Dallas, and the eight other Strike Force cities, the Criminal Division and our partners in the U.S. Attorneys’ Offices will continue to crack down on Medicare fraud and hold accountable those stealing from the public fisc," said Assistant Attorney General Breuer.




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Owner of Houston Health Care Company Sentenced to 30 Months in Prison in Connection with Medicare Fraud Scheme

Akinsunbo Akinbile, 44, of Richmond, Texas, was sentenced by U.S. District Judge Keith P. Ellison in Houston.



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Justice Department Intervenes in Lawsuit Involving New Hampshire’s Mental Health System

The Justice Department today moved to intervene in Lynn E. v. Lynch, a recently-filed lawsuit alleging that the state of New Hampshire fails to provide mental health services to people with disabilities in community settings in violation of the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act of 1973.



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Justice Department Reaches Americans with Disabilities Act Settlement with Trinity Health Systems in Iowa

The Justice Department announced today a settlement under the Americans with Disabilities Act (ADA) with Trinity Health Systems to ensure that Trinity Regional Medical Center in Fort Dodge, Iowa, provides effective communication to individuals who are deaf or hard of hearing.



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Two Owners and Two Employees of Miami Home Health Company Plead Guilty in $20 Million Health Care Fraud Scheme

Ariel Rodriguez, 41, Reynaldo Navarro, 37, and Ysel Salado, 26, each pleaded guilty today before U.S. District Judge Marcia G. Cooke to one count of conspiracy to commit health care fraud, and Melissa Rodriguez, 24, pleaded guilty on March 28, 2012, before Judge Cooke to the same charge.



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Florida-Based Wellcare Health Plans Agrees to Pay $137.5 Million to Resolve False Claims Act Allegations

WellCare Health Plans Inc. will pay $137.5 million to the federal government and nine states to resolve four lawsuits alleging violations of the False Claims Act, the Justice Department announced today.



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Departments of Justice and Health and Human Services Highlight Obama Administration Efforts, Health Reform Tools to Combat Medicare Fraud

At a Chicago summit highlighting a new high-tech war against health care fraud, Health and Human Services (HHS) Secretary Kathleen Sebelius and Attorney General Eric Holder today discussed how the Affordable Care Act and the Obama Administration’s Health Care Fraud Prevention and Enforcement Action Team (HEAT) are helping fight Medicare fraud.



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

"How did we get here? In large part, because – nearly three years ago – the Departments of Justice and Health and Human Services came together in a new way, and made a collective commitment to meeting our shared goals and responsibilities. This commitment inspired Secretary Sebelius and I to launch a landmark joint initiative – the Health Care Fraud Prevention and Enforcement Action Team, known as 'HEAT,'" said Attorney General Holder.




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Statement of the Department of Justice’s Antitrust Division on Its Decision to Close Its Investigation of Highmark’s Affiliation Agreement with West Penn Allegheny Health System

The Department of Justice’s Antitrust Division issued the following statement today after announcing the closing of its investigation into Highmark’s affiliation agreement with West Penn Allegheny Health System (WPAHS).



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Three Operators of Miami Home Health Company Sentenced in $60 Million Health Care Fraud Scheme

U.S. District Judge Ursula Ungaro in Miami sentenced Roberto Gonzalez to 120 months in prison, Olga Gonzalez to 87 months in prison and Fabian Gonzalez to 87 months in prison.



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Attorney General Eric Holder Speaks at the Health Care Fraud Takedown Press Conference

"As of today, as part of a coordinated, nationwide takedown, the Medicare Fraud Strike Force – a joint initiative led by the Departments of Justice and HHS that’s comprised of federal, state, and local investigators and law enforcement officials from across the country – has charged 107 defendants in seven different cities for their alleged participation in Medicare fraud schemes involving approximately $452 million in false billings. This is the highest amount of alleged false Medicare billings involved in a single takedown in the Strike Force’s 5-year history," said Attorney General Holder.




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Assistant Attorney General for the Criminal Division Lanny A. Breuer Speaks at the Health Care Fraud Takedown Press Conference

"From Los Angeles, to Chicago, to Miami, these defendants allegedly submitted over $450 million in fraudulent claims to the Medicare program. This represents the largest Medicare fraud takedown in Department history, as measured by the amount of alleged fraudulent billings," said Assistant Attorney General Breuer.




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Doctor and Home Health Agency Owner Plead Guilty in Connection with Detroit Fraud Scheme

Detroit-area residents Zahir Yousafzai and Dr. Dwight Smith pleaded guilty yesterday for their roles in a $13.8 million home health care fraud and money laundering scheme.



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Attorney General Eric Holder Speaks at the National Children’s Mental Health Awareness Day Event

"As Attorney General – and as the father of three teenagers – protecting the safety, and the potential, of our nation’s young people has long been both a personal and professional priority," said Attorney General Holder.




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Health Care Providers Settle with Justice Department Over Complaints of HIV Discrimination

The Justice Department announced that it has reached two settlements today resolving claims that health care providers refused to serve people with HIV in violation of the Americans with Disabilities Act (ADA).



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Owner of Houston Health Care Company Convicted of Defrauding Medicare

An owner of a Houston health care company was convicted yesterday by a jury in the Southern District of Texas in connection with a $750,000 Medicare fraud scheme.



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Doctors, Therapist and Recruiters from Miami-Area Mental Health Care Corporation Convicted for Participating in $205 Million Medicare Fraud Scheme

A federal jury today convicted two Miami-area doctors, one Miami-area therapist and two others for their participation in a Medicare fraud scheme involving more than $205 million in fraudulent billings by American Therapeutic Corporation (ATC), a mental health care corporation.



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

Detroit-area resident Muhammad “Sib” Ahmad pleaded guilty today for his role in organizing a more than $13 million home health care fraud and money laundering scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services.



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Co-Owner of Houston-Area Home Health Care Agency Sentenced to 108 Months in Prison for Role in $5.2 Million Medicare Fraud

Clifford Ubani, a former co-owner and chief financial officer at Family Healthcare Group, was sentenced by U.S. District Judge Nancy Atlas in the Southern District of Texas.



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Owner and Employee of Miami Home Health Company Sentenced to Prison in $22 Million Medicare Fraud Scheme

U.S. District Judge Patricia A. Seitz in Miami sentenced Marietha Morales, 38, to 108 months in prison and Eduardo Saborit-Dominguez, 48, to 46 months in prison.



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Two Owners of Miami Home Health Company Each Sentenced to More Than Six Years in Prison for $20 Million Health Care Fraud Scheme

U.S. District Judge Marcia G. Cooke in the Southern District of Florida sentenced Ariel Rodriguez to 73 months in prison and three years of supervised release and Reynaldo Navarro to 74 months in prison and three years of supervised release.



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Second Owner of Houston-area Home Health Care Agency Sentenced to 108 Months in Prison for Role in $5.2 Million Medicare Fraud

The former co-owner of a Houston-area home health care company was sentenced in Houston to 108 months in prison for his participation in a $5.2 million Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS).



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Detroit-Area Health Care Clinic Owner Sentenced to Serve 60 Months in Prison for Role in $8.5 Million Diagnostic Testing Fraud Scheme

Miami-area resident Emilio Haber, 53, was sentenced by U.S. District Judge Patrick Duggan in the Eastern District of Michigan in Detroit.



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