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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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Houston-Area Resident Sentenced to 21 Months in Prison for Medicare Fraud Scheme Involving Claims of Hurricane Damage to Power Wheelchairs

Paula Whitfield, a patient recruiter for a Houston durable medical equipment company, was sentenced today to 21 months in prison in connection with a $3 million power wheelchair fraud scheme.



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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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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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Two Brothers Plead Guilty in Miami HIV Infusion Medicare Fraud Scheme

Two brothers pleaded guilty today in U.S. District Court in Miami for participating in a $13.7 million HIV infusion Medicare fraud scheme.



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Justice Department Enters Settlement with Rainbow River Child Development Center on Care for Children with Diabetes

The Department of Justice and the Rainbow River Child Development Center of Hawthorne, Calif., have joined in a settlement agreement to assure that children with diabetes will receive appropriate care so that they may participate fully in the programs and activities at the center.



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Two South Florida Residents Plead Guilty in Medicare Fraud Cases

Two South Florida residents pleaded guilty today in U.S. District Court in Miami for their participation in separate Medicare fraud schemes.



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Operator of Miami HIV Clinic Pleads Guilty for Role in Medicare Fraud Ring

Jose Garcia, 55, who was a fugitive for nearly two years, pleaded guilty today in U.S. District Court in Miami for his participation in a Medicare fraud scheme involving a Miami-area HIV clinic.



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Detroit-Area Doctor Sentenced to 14 Years in Prison for Medicare Fraud Scheme

Farmington Hills, Mich., physician Jose Castro-Ramirez was sentenced today to 14 years in prison for his role in a wide-ranging conspiracy to defraud the Medicare program. Castro-Ramirez was also ordered to pay $9.4 million in restitution and sentenced to a three-year term of supervised release following his prison term.



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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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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 Individuals Plead Guilty for Their Roles in a Houston Medicare Fraud Scheme Involving Claims of Hurricane Damage to Power Wheelchairs

Three individuals pleaded guilty today in connection with a Medicare fraud scheme operated out of a Houston-area durable medical equipment (DME) company.



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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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Owner of Two Houston Health Care Companies Pleads Guilty to Defrauding Medicare $6.3 Million

An owner of two Houston health care companies pleaded guilty today in connection with a $6.3 million Medicare fraud scheme, announced the Departments of Justice and Health and Human Services (HHS).



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New Orleans Doctor and Owner of Medical Equipment Company Each Plead Guilty for Their Roles in Baton Rouge-area Health Care Fraud Scheme

A New Orleans-area medical doctor and the owner and operator of a medical equipment company each pleaded guilty today for their roles in a Baton Rouge-area durable medical equipment (DME) health care fraud scheme.



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Los Angeles Medical Equipment Supplier Sentenced to 46 Months in Prison for Role in Power Wheelchair Scheme to Defraud Medicare

The owner and operator of a Los Angeles durable medical equipment company was sentenced to 46 months in prison in connection with a power wheelchair scheme to defraud Medicare.



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Owner of Two Houston Health Care Companies Pleads Guilty in Connection with Schemes to Defraud Medicare of $6.3 Million

Princewill Njoku, 51, pleaded guilty before U.S. District Court Judge Gray Miller in Houston to conspiracy to commit health care fraud.



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73 Members and Associates of Organized Crime Enterprise, Others Indicted for Health Care Fraud Crimes Involving More Than $163 Million

Seventy-three defendants, including a number of alleged members and associates of an Armenian-American organized crime enterprise, were charged in indictments unsealed today in five judicial districts with various health care fraud-related crimes involving more than $163 million in fraudulent billing.



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

Seven additional Houston-area residents who allegedly served as patient recruiters and a nurse have been charged for their alleged participation in a $5 million Medicare home healthcare fraud scheme.



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Assistant Attorney General Christine Varney Holds Pen-and-Pad Briefing on Antitrust Health Care Matter

"This morning, we filed a civil antitrust lawsuit in U.S. District Court in Michigan against Blue Cross Blue Shield of Michigan alleging that provisions in their agreements with hospitals stifle competition, resulting in higher health insurance prices for consumers in Michigan," said Assistant Attorney General Varney.




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Justice Department Settles Allegations of Immigration-related Employment Discrimination Against Catholic Healthcare West

The Justice Department today announced that it has reached a settlement agreement with Catholic Healthcare West (CHW) to resolve allegations that CHW engaged in a pattern or practice of citizenship status discrimination by imposing unnecessary and discriminatory hurdles to employment for work-authorized individuals.



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Two Miami Corporations and Four Individuals Indicted for Health Care Fraud Scheme Involving Approximately $200 Million in Medicare Billing

Two Miami health care companies and four owners and senior managers of the companies were indicted today for their alleged participation in a fraud scheme involving approximately $200 million in Medicare billing for purported mental health services.



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Houston-area Patient Recruiter Pleads Guilty in a $5.2 Million Medicare Fraud Scheme

Cynthia Garza-Williams, 49, pleaded guilty to conspiracy to commit health care fraud before U.S. District Court Judge Nancy Atlas in Houston.



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Assistant Attorney General Criminal Division Lanny A. Breuer Speaks at the Medicare Fraud Strike Force Press Conference

"Today’s charges mark the first time that HEAT’s Medicare Fraud Strike Force has indicted a corporate entity for Medicare fraud," said Assistant Attorney General Breuer.




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Assistant Attorney General for the Civil Division Tony West Speaks at the Medicare Fraud Strike Force Press Conference

"In addition to the arrests and criminal charges that Assistant Attorney General Breuer announced, we are also announcing that we have obtained a Temporary Restraining Order freezing the assets of four corporate entities," said Assistant Attorney General West.




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Brooklyn-area Patient Pleads Guilty in Medicare Fraud Kick-back Scheme

Brooklyn-area resident Yefim Drakhler pleaded guilty today in U.S. District Court in Brooklyn for his participation in a Medicare fraud scheme operated out of the Solstice Wellness Center, a Brooklyn-area clinic purportedly providing physical therapy and various diagnostic services.



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Los Angeles Patient Recruiter Known as the “Red, White & Sentenced to 21 Months in Prison for Medicare Fraud Scheme

A patient recruiter who sold the personal information of Medicare beneficiaries from San Diego and Los Angeles to fraudulent Los Angeles medical clinics and durable medical equipment (DME) companies was sentenced late yesterday to 21 months in prison in connection with a scheme to defraud Medicare.



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Houston-area Patient Recruiter Pleads Guilty in a $5.2 Million Medicare Fraud Scheme

A patient recruiter for a Houston-based home health care company pleaded guilty today in connection with a $5.2 million Medicare fraud scheme.



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Departments of Justice and Health and Human Services Team Up to Crack Down on Health Care Fraud

Today, Department of Justice Attorney General Eric Holder and Department of Health and Human Services (HHS) Secretary Kathleen Sebelius visited Brooklyn, N.Y., where they participated in the third Regional Health Care Fraud Prevention Summit.



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Operator of Miami HIV Clinic Sentenced to 57 Months in Prison for Role in Medicare Fraud Ring

Jose Garcia, 55, was sentenced today in U.S. District Court in Miami to 57 months in prison for his participation in a Medicare fraud scheme involving a Miami-area HIV clinic.



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Jury Convicts Oakland, California, Patient Recruiter for Participating in Wheelchair Scam to Defraud Medicare

On Monday, after a one-week trial in federal court in Los Angeles, a jury found Donna K. Wells, 52, guilty of one count of health care fraud.



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Florida-based Medicare Advantage Plan Owners & Primary Care Provider Agree to Pay $22.6 Million to Settle Claims of Falsifying Diagnoses

Dr. Walter Janke, his wife, Lalita Janke, and Vero Beach, Fla.-based Medical Resources L.L.C. have agreed to pay $22.6 million to resolve allegations that they caused Medicare to pay inflated amounts based upon the submission of false diagnosis codes.



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Nigerian Woman Sentenced to 15 Months in Prison for Her Role in Medicare Fraud Scheme

On March 1, 2010, Linda Eteimo Ere Kendabie, 29, of Nigeria, pleaded guilty to conspiring to commit health care fraud.



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Houston Medical Equipment Company Manager Sentenced to 120 Months in Prison and Delivery Driver Sentenced to 41 Months in Prison for Roles in Medicare Fraud Scheme

Houston-area residents Oliver Nkuku and Callistus Edozie were sentenced to 120 months in prison and 41 months in prison, respectively, for their roles in a durable medical equipment (DME) Medicare fraud scheme.



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Four Detroit-Area Residents Arrested in Connection with $14.5 Million Home Health Care Fraud Scheme

Four 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 as part of an ongoing investigation into a $14.5 million home health care fraud scheme, announced the Departments of Justice and HHS.



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Owner of Detroit-area Medical Clinic Sentenced to 151 Months in Prison for $23 Million Medicare Fraud Scheme

The owner and the vice president of a Detroit-area physical therapy clinic were sentenced to 151 months and 108 months in prison, respectively, for their leading roles in a $23 million Medicare fraud scheme.



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Attorney General Holder and Secretary Sebelius Team up at Health Care Fraud Prevention Summit in Boston

Attorney General Eric Holder and U.S. Department of Health and Human Services Secretary Kathleen Sebelius visited Boston today, where they participated in the fourth Regional Health Care Fraud Prevention Summit.



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Miami-area Clinic Owner Sentenced to 60 Months in Prison for Role in Medicare Fraud Scheme Involving Miami-area Home Health Agencies

Yudel Cayro, owner and operator of Courtesy Medical Group Inc., a medical clinic in Miami, was sentenced to 60 months in prison for his role in a wide-ranging Medicare fraud scheme involving Miami-area home health agencies.



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Houston Doctor Sentenced to 41 Months in Prison for Role in Medicare Fraud Scheme

Houston-area residents Dr. Howard Grant, Obisike Nwankwo and John Lachman were sentenced today to 41 months in prison, 21 months in prison, and 26 months in prison, respectively, for their roles in a multi-million dollar durable medical equipment Medicare fraud scheme.



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New Orleans Doctor and Owner of Medical Equipment Company Sentenced to Prison for Their Roles in Baton Rouge-area Medicare Fraud Scheme

A New Orleans-area medical doctor and the owner and operator of a medical equipment company were sentenced today to 48 and 30 months in prison.



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Two Owners of Houston Health Care Company Plead Guilty to Alleged $5.2 Million Medicare Fraud Scheme

Two owners of a Houston health care company pleaded guilty today in connection with an alleged $5.2 million Medicare fraud scheme.



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Health Care Fraud Prevention and Enforcement Efforts Recover Record $4 Billion; New Affordable Care Act Tools Will Help Fight Fraud

Associate Attorney General Tom Perrelli and Department of Health and Human Services Secretary Kathleen Sebelius today released a new report showing that the government’s health care fraud prevention and enforcement efforts recovered more than $4 billion in taxpayer dollars in Fiscal Year 2010.



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Associate Attorney General Tom Perrelli Speaks at the Department of Justice – Health and Human Services Health Care Fraud Press Conference

"The Departments of Justice and HHS have a long history of working together in this fight against health care fraud. While we know that most health care dollars are spent on healing sick Americans and most companies and providers work hard to play by the rules, we also know that too much money is lost to fraud and abuse. So, we have been fighting back together, on behalf of American taxpayers and patients."




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United States Files Suit Against Guidant and Boston Scientific for Selling Defective Heart Devices That Were Implanted in Medicare Patients

The United States has filed a complaint against Boston Scientific Corp. and related Guidant entities under the False Claims Act for conduct relating to certain of its cardiac devices.



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Ohio-Based Managed Care Plan Contractor CareSource & Entities to Pay $26 Million to Resolve False Claims Allegations

CareSource, CareSource Management Group Co. and CareSource USA Holding Co. have agreed to pay the United States and the state of Ohio $26 million to resolve allegations that they caused Medicaid to make payments for assessments and case managements they failed to provide to children and adults.



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Eight Miami-Area Nurses Sentenced to Prison for $18.7 Million Medicare Fraud Scheme Involving Home Health Care

Eight Miami-area nurses were sentenced to prison today for their roles in an $18.7 million Medicare fraud scheme involving home health care.



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