August 2013
August 28, 2013; U.S. Attorney; District of New Mexico
Former Non-Native Employee of Indian Health Services Pleads Guilty to Fraudulent Acquisition of Controlled Substances
Albuquerque - Jason Lucas, 30, of Albuquerque, N.M., pleaded guilty this morning to the acquisition of a controlled substance through fraud and deception under a plea agreement with the U.S. Attorney's Office. Lucas was indicted in Jan. 2013, and charged with five counts of acquiring controlled substances through fraud and deception and three counts of defrauding a health care benefit program by having the program pay for fraudulently acquired controlled substances.
August 28, 2013; U.S. Attorney; Northern District of Georgia
Emory University to Pay $1.5 Million to Settle False Claims Act Investigation
ATLANTA - The United States Attorney's Office for the Northern District of Georgia and Attorney General Sam Olens announced today they have reached a settlement with Emory University, which agreed to pay $1.5 million to settle claims that it violated the False Claims Act by billing Medicare and Medicaid for clinical trial services that were not permitted by the Medicare and Medicaid rules.
August 28, 2013; U.S. Attorney; Middle District of North Carolina
Alamance County Residents Sentenced For Health Care Fraud
Greensboro, N.C. - United States Attorney Ripley Rand of the Middle District of North Carolina announced today that two Alamance County residents have been sentenced to prison for defrauding the Medicaid program. Evelyn Fuller, 61, and Michael McLean, 57, were sentenced by United States District Judge Catherine Eagles in federal court in Greensboro, North Carolina, on Tuesday, August 27, 2013. FULLER was sentenced to 26 months imprisonment. Her co-defendant, McLean, was sentenced to 36 months imprisonment. Fuller and McLean were also ordered to pay restitution to the Medicaid program in the amount of $399,811.44. Both Fuller and Mclean will serve three years of supervised release after serving their prison sentences.
August 27, 2013; U.S. Department of Justice
MRI Diagnostic Testing Company, Imagimed LLC, and Its Former Owners and Chief Radiologist to Pay $3.57 Million to Resolve False Claims Act Allegations
New York-based Imagimed LLC, the company's former owners, William B. Wolf III and Dr. Timothy J. Greenan, and the company's former chief radiologist, Dr. Steven Winter, will pay $3.57 million to resolve allegations that they submitted to federal healthcare programs false claims for magnetic resonance imaging (MRI) services, the Justice Department announced today. Imagimed owns and operates fifteen MRI facilities, located primarily in New York state, under the name "Open MRI."
August 27, 2013; U.S. Attorney; Northern District of Illinois
Mobile Doctors' Chicago CEO and Doctor Arrested on Federal Health Care Fraud Charges; Offices Searched in Three Cities
CHICAGO - The chief executive officer of Chicago-based Mobile Doctors, which manages physicians who make house calls in six states, and one of its physicians in Chicago were arrested today on federal health care fraud charges. At the same time, federal agents executed search warrants at Mobile Doctors' offices in Chicago, Detroit, and Indianapolis, as well as warrants to seize up to $2.568 million in alleged fraud proceeds from various bank accounts. The charges allege a scheme to fraudulently increase (also known as "upcoding") Medicare bills for in-home patient visits that Mobile Doctors falsely claimed were more complicated and longer than they actually were. The charges also allege that Mobile Doctors' physicians falsely certified that patients were confined to their homes, enabling home health care agencies to claim fees for additional services for patients who were not actually qualified to receive them.
August 27, 2013; U.S. Attorney; Northern District of Texas
Abilene, Texas, Dentist Pleads Guilty in Medicaid Fraud Scheme
ABILENE, Texas - A dentist who practiced pediatric dentistry at Kool Smiles in Abilene, Texas, has admitted that he made false and fraudulent statements and entries on patient records, which caused Medicaid to be billed for, and pay, at least $120,000 for services falsely claimed to have been performed, announced U.S. Attorney Sarah R. Saldaña of the Northern District of Texas.
August 26, 2013; U.S. Attorney; District of Colorado
Craig Doctor Arrested For Prescribing Drugs Resulting In Patient Deaths and Heath Care
Fraud Scheme
DENVER - Joel E. Miller, age 55, of Craig, Colorado, was arrested without incident today on charges of health care fraud, money laundering and distributing/dispensing controlled substances, federal and state authorities announced.
August 26, 2013; U.S. Department of Justice
Former Owner of Los Angeles Medical Equipment Supply Company Pleads Guilty to $2.6 Million Medicare Fraud Scheme
A former owner of a Los Angeles-area medical equipment supply company pleaded guilty today to a $2.6 million Medicare fraud scheme. .Akinola Afolabi, 54, of Long Beach, Calif., pleaded guilty before U.S. District Judge Philip S. Gutierrez in the Central District of California to one count of health care fraud.
August 26, 2013; U.S. Attorney; Central District of California
Los Angeles Man Who Recruited 'Patients' from Los Angeles' 'Skid Row' as Part of $10 Million Health Care Scam Sentenced to Federal Prison
LOS ANGELES-A Los Angeles man who recruited homeless people from the "Skid Row" section of Los Angeles as part of a widespread scheme to defraud Medicare and Medi-Cal by providing unnecessary health services was sentenced this morning to 18 months in federal prison.
August 23, 2013; U.S. Attorney; Eastern District of Pennsylvania
California Man Sentenced For Running Fraudulent Clinic
Philadelphia - George Baginyan, 33, of Glendale, California, was sentenced to two years in prison for operating a fraudulent clinic and defrauding Medicare. Baginyan was the owner of New Era Health Center Inc. ("New Era"), a purported clinic that was located near the Einstein Medical Center in Philadelphia. Between December 2008 and October 2009, Baginyan used the National Provider Identification number (NPI) of an elderly and frail doctor of osteopathy to bill Medicare for medical services and tests, making it appear that the doctor had provided those services and tests when he had not.
August 22, 2013; U.S. Attorney; District of Maryland
Hagerstown Pharmacist Sentenced To 30 Months in Prison for Health Care Fraud for Improperly Billing Medicare and Medicaid
Baltimore, Maryland - U.S. District Judge George L. Russell III sentenced David Russo, age 62, of Hagerstown, Maryland today to 30 months in prison, followed by one year of supervised release, for health care fraud in connection with a scheme to defraud Medicare and Medicaid by billing for prescriptions that Russo knew were not written for a legitimate medical purpose.
August 21, 2013; U.S. Department of Justice
Therapy Staffing Company Owner and Patient Recruiter Plead Guilty in $7 Million Health Care Fraud Scheme
A patient recruiter and a therapy staffing company owner pleaded guilty today in connection with a $7 million health care fraud scheme involving the now defunct home health care company Anna Nursing Services Corp.
August 21, 2013; U.S. Department of Justice
Long Island Physician to Pay U.S. $388,000 to Settle False Claims Act Allegations Related to Overbilling Medicare
WASHINGTON - Richard S. Obedian, a Long Island, N.Y., orthopedic surgeon, will pay the government $388,000 to settle allegations that he violated the False Claims Act by submitting false claims to Medicare for minimally invasive spine procedures, the Justice Department announced today.
August 20, 2103; U.S. Attorney; Eastern District of New York
Bostwick Laboratories, Inc. Pays $503,668 to Resolve Civil Fraud Allegations That Its Sales Representatives Used a Clinical Study to Induce Physicians to Utilize Its Services
Bostwick Laboratories, Inc. ("Bostwick") has entered into a civil settlement agreement in which it agreed to pay the United States $503,668.00 to resolve allegations that the company made illegal payments to induce certain physicians to utilize Bostwick's laboratory testing services - some of which were not medically necessary under the circumstances.
August 19, 2013; U.S. Attorney; Southern District of California
Physician Sentenced to Prison in $1 Million Power Wheelchair Scam
United States Attorney Laura E. Duffy announced that Irving J. Schwartz, M.D. was sentenced today to five months in prison, followed by five months in a halfway house, for his involvement in a scheme to defraud the Medicare trust fund by writing hundreds of false and fraudulent prescriptions for costly medical equipment that was not medically necessary. Dr. Schwartz was also ordered to pay restitution of $593,429.81 to the Medicare trust fund and to forfeit $55,800 in kickbacks that he received for his role in the fraudulent scheme.
August 19, 2013; U.S. Department of Justice
Shands Healthcare to Pay $26 Million to Resolve Allegations Related to Inpatient Stays at Six Florida Hospitals
Shands Teaching Hospital & Clinics Inc., Shands Jacksonville Medical Center Inc. and Shands Jacksonville Healthcare Inc., which operates a network of health care providers in Florida, will pay the government and the state of Florida a total of $26 million to settle allegations that six of its health care facilities submitted false claims to Medicare, Medicaid and other federal health care programs for inpatient procedures that should have been billed as outpatient services.
August 16, 2013; U.S. Attorney; Eastern District of Texas
Planned Parenthood Pays $4.3 Million to Settle Allegations of Unnecessary Medical Care
LUFKIN, Texas - Houston-based Planned Parenthood Gulf Coast has paid $4.3 million to resolve civil allegations under the False Claims Act in the Eastern District of Texas, announced U.S. Attorney John M. Bales.
August 16, 2013; U.S. Attorney; Southern District of New York
High-Ranking Member of Enterprise Involved in Massive Medicare Fraud Sentenced in Manhattan Federal Court to 125 Months in Prison
Preet Bharara, the United States Attorney for the Southern District of New York, announced today that Robert Terdjanian was sentenced yesterday to 125 months in prison for his role in a multi-million dollar Medicare fraud scheme, among other offenses including extortion and immigration fraud. Terdjanian pled guilty to racketeering in December 2011 before U.S. District Judge Paul G. Gardephe, who also imposed yesterday's sentence.
August 15, 2013; U.S. Attorney; District of Wyoming
Evanston Woman Sentenced for Health Care Fraud
United States Attorney Christopher A. Crofts announced today that on August 14, 2013, Brenda Murray, 52, of Evanston, Wyoming, was sentenced by Chief District Court Judge Nancy D. Freudenthal for Health Care Fraud. Murray was sentenced to five months of home confinement, two years of probation and ordered to pay restitution in the amount of $56,496.15.
August 15, 2013; U.S. Department of Justice
Michigan Physical Therapist and Home Health Agency Owner Pleads Guilty for Role in Medicare Fraud Scheme
A greater Detroit-area physical therapist who was also an owner of a home health agency pleaded guilty yesterday for his role in a $22 million home health care fraud scheme.
August 15, 2013; U.S. Department of Justice
Operators of Louisiana Home Health Company Sentenced for $17.1 Million Health Care Fraud Scheme
The owner of South Louisiana Home Health Care Inc. and the director of nursing for the Louisiana home health agency were sentenced today for their roles in a Medicare fraud scheme involving the payment of kickbacks and the falsification of documents.
August 14, 2013; U.S. Attorney; District of New Hampshire
Former Employee of Exeter Hospital Pleads Guilty To Charges Related To Multi-State
Hepatitis C Outbreak
Concord, N.H. -David M. Kwiatkowski, 34, a former employee of Exeter Hospital, pleaded guilty today to eight counts of obtaining controlled substances by fraud and eight counts of tampering with a consumer product, announced United States Attorney John P. Kacavas.
August 13, 2013; U.S. Department of Justice
Health Care Clinic Owners Plead Guilty in Miami for Roles in $8 Million Health Care Fraud Scheme
WASHINGTON - Two health care clinic owners pleaded guilty today in connection with an $8 million health care fraud scheme involving the now-defunct home health care company Flores Home Health Care Inc.
August 13, 2013; U.S. Attorney; Western District of Michigan
Health Care Business Owner Sentenced To Four Years in Prison, Pays A Million Dollar Civil Settlement, and Agrees To 20-Year Exclusion from Medicare and Medicaid In Connection With Illegal Kickback Scheme
Grand Rapids, Michigan - U.S. Attorney Patrick Miles announced today that Babubhai Rathod, age 44, of Okemos, Michigan, was sentenced to four years in prison and two years of supervised release for his lead role in a conspiracy to pay illegal kickbacks to health care practitioners and others to induce the referral of patients to medical clinics, physical therapy clinics, and a home health care agency.
August 13, 2013; U.S. Attorney; Northern District of Ohio
Seven Oncologists Charged with Importing Unapproved Drugs
Seven Ohio oncologists were charged with importing cancer medications that had not been approved by the Federal Drug Administration, said Steven M. Dettelbach, United States Attorney for the Northern District of Ohio.
August 12, 2013; U.S. Attorney; District of Maryland
Maryland General Hospital Agrees To Pay $750,000 to Resolve False Claims Act Allegations in Connection with Overbilling for Cardiac Testing
Baltimore, Maryland - Maryland General Hospital ("MGH"), an acute care hospital in Baltimore, Maryland that is part of the University of Maryland Medical Systems Corporation, agreed to pay $750,000 to settle allegations under the False Claims Act. The government alleged that MGH overbilled in connection with cardiac testing and failed to repay the overpayments after senior financial managers learned of them.
August 12, 2013; U.S. Attorney; District of New Jersey
Salesman Admits Role in Bribes-For-Test-Referrals Scheme Involving New Jersey Clinical Laboratory
NEWARK, N.J. - A Monmouth County, N.J. man pleaded guilty today to his role in a long-running bribes-for-test-referrals scheme operated by Biodiagnostic Laboratory Services LLC (BLS), of Parsippany, N.J., its president, and numerous associates, U.S. Attorney Paul J. Fishman announced.
August 9, 2013; U.S. Department of Justice
United States Files Lawsuit against PharMerica Corporation for Violations of the False Claims Act and the Controlled Substances Act; Government Alleges That Long-term Care Pharmacy Billed Medicare for Schedule II Controlled Substances That Were Dispensed Without a Valid Prescription
The United States has filed suit against PharMerica Corp. in the U.S. District Court for the Eastern District of Wisconsin, the Justice Department announced today. The lawsuit alleges that PharMerica violated the False Claims Act and the Controlled Substances Act by dispensing controlled drugs without valid prescriptions and causing claims for illegally dispensed drugs to be submitted to the Medicare program.
August 8, 2013; U.S. Attorney; Western District of North Carolina
Mental Health Counselor Receives Six-Year Prison Sentence for Defrauding Medicaid of $6.1 Million
CHARLOTTE, N.C. - A mental health counselor who admitted overseeing a health care scheme that defrauded Medicaid of at least $6.1 million for sham mental and behavioral health services was sentenced to 72 months in prison today, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina. Linda Smoot Radeker, 72, of Shelby, N.C. was also sentenced to serve two years under court supervision and to pay $6,156,674.68 as restitution to Medicaid.
August 7, 2013; U.S. Attorney; Southern District of Ohio
Grand Jury Returns 10-Count Indictment against Spine Surgeon Alleging Health Care Fraud
A federal grand jury returned a ten-count indictment against Abubakar Atiq Durrani, 44, Mason, Ohio alleging that, beginning in 2009, he convinced patients to undergo medically unnecessary spinal surgeries then billed private and public healthcare benefit programs millions of dollars for the fraudulent services.
August 6, 2013; U.S. Attorney; Western District of Tennessee
Contract Counselor for Shelby County Juvenile Court Sentenced to Three Years for Health Care Fraud Scheme
Memphis, TN - Mechell D. Toles, 44, of Collierville, TN, was sentenced today by United States District Court Chief Judge Jon Phipps McCalla to three years in prison following her guilty plea to one count of health care fraud, announced U.S. Attorney Edward L. Stanton III.
August 6, 2013; U.S. Department of Justice
Oakland County Doctor and Owner of Michigan Hemotology and Oncology Centers Charged in $35 Million Medicare Fraud Scheme
Dr. Farid Fata, 48, of Oakland Township, Michigan, was arrested this morning and charged in a criminal complaint for his role in a health care fraud scheme which involved submitting false claims to Medicare for services that were medically unnecessary, including chemotherapy treatments.
August 6, 2013; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney and FBI Assistant Director in Charge Announce Charges against New York City Comptroller Candidate Kristin Davis for Illegally Distributing Prescription Pills
Preet Bharara, the United States Attorney for the Southern District of New York, and George Venizelos, the Assistant Director in Charge of the New York Field Office of the Federal Bureau of Investigation (FBI), announced today the arrest of KRISTIN DAVIS, a candidate for New York City comptroller, on charges of selling prescription pills containing controlled substances, including oxycodone, for cash. DAVIS was arrested yesterday in Manhattan and is expected to be presented this afternoon in Manhattan federal court before U.S. Magistrate Judge Sarah Netburn.
August 6, 2013; U.S. Attorney; District of New Jersey
Twin Brother Pharmacists Admit To Defrauding Patients and Insurance Companies of $1.5 Million
NEWARK, N.J. - Two pharmacists - twin brothers who previously owned the West Orange Pharmacy - today admitted reaping at least $1.5 million in illicit gains by defrauding patients, Medicaid and insurance companies over the past 15 years, U.S. Attorney Paul J. Fishman announced.
August 5, 2013; U.S. Attorney; Eastern District of Texas
Former Shelby County Residents Indicted in Health Care Fraud Scheme
Tyler, Texas - U.S. Attorney John M. Bales announced that a Center, Texas couple, now living in Elgin, Texas, and a Center, Texas man have been indicted on charges of conspiracy and health care fraud in the Eastern District of Texas.
August 1, 2013; U.S. Attorney, Southern District of Florida
Loxahatchee Pair Indicted in Conspiracy to Defraud Banks and Federal Benefit Programs
Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Lester Fernandez, Special Agent in Charge, United States Department of Housing and Urban Development (HUD), Office of Inspector General, Ric L. Bradshaw, Sheriff, Palm Beach County Sheriff's Office, Thomas Caul, Acting Special Agent in Charge, Social Security Administration (SSA), Office of Inspector General, Karen Citizen-Wilcox, Special Agent in Charge, United States Department of Agriculture (USDA), Office of Inspector General, and Christopher B. Dennis, Special Agent in Charge, United States Department of Health and Human Services (HHS), Office of Inspector General, Miami Region, announced the indictment of defendants Gloria Nereida Valle-Clas, 48, and Alexander Gonzalez, 40, of Loxahatchee, Florida.
August 1, 2013; U.S. Attorney, Middle District of Georgia
Christine Rahl Sentenced For Health Care Fraud And Money Laundering
Michael J. Moore, United States Attorney for the Middle District of Georgia, announced that Christine Rahl, 46, a resident of Social Circle, Georgia, was sentenced July 31, 2013 before the Honorable C. Ashley Royal, United States District Judge in Macon, Georgia, to fifty-seven (57) months imprisonment, to be followed by three (3) years supervised release, and a $500.00 mandatory assessment. Additionally, Judge Royal ordered Ms. Rahl to pay $1,586.847.14 in restitution.
August 1, 2013; U.S. Attorney, Southern District of Georgia
Victims Of Largest Fraud Case Prosecuted In Southern District of Georgia Receive Over $27 Million In Restitution
SAVANNAH, GA - United States Attorney Edward J. Tarver announced today the payment of over $27 million in restitution to the victims of the largest fraud case ever prosecuted in the Southern District of Georgia, United States v. Martin J. Bradley III, et al., Case No. 405-059 (S.D. Ga.).
July 2013
July 31, 2013; U.S. Attorney, District of Columbia
Former CEO/Owner of Home Health Care Provider Sentenced To Prison For Falsifying Records Involving a Federal Audit
WASHINGTON - Jeannette N. Awasum, the former owner of a health care provider, was sentenced today to eight months of incarceration on a federal charge stemming from falsifying records in connection with a U.S. Department of Health and Human Services audit.
July 30, 2013; U.S. Department of Justice
Wyeth Pharmaceuticals Agrees to Pay $490.9 Million for Marketing the Prescription Drug Rapamune for Unapproved Uses
Wyeth Pharmaceuticals Inc., a pharmaceutical company acquired by Pfizer, Inc. in 2009, has agreed to pay $490.9 million to resolve its criminal and civil liability arising from the unlawful marketing of the prescription drug Rapamune for uses not approved as safe and effective by the U.S. Food and Drug Administration (FDA), the Justice Department announced today. Rapamune is an "immunosuppressive" drug that prevents the body's immune system from rejecting a transplanted organ.
July 30, 2013; U.S. Department of Justice
Brooklyn Clinic Employee Sentenced to Eight Years in Prison in Connection with $77 Million Medicare Fraud Scheme
Yuri Khandrius, 50, of Brooklyn, N.Y., was sentenced today to eight years in prison for his role in a $77 million Medicare fraud scheme.
July 30, 2013; U.S. Department of Justice
False Claims Act Judgment Entered Against Washington, DC, Health Care Provider for More Than $17 Million
The U.S. District Court for the District of Columbia has entered judgment for more than $17 million against Dr. Ishtiaq Malik and his two companies, Ishtiaq Malik M.D., P.C. and Advanced Nuclear Diagnostics, for submitting false nuclear cardiology claims to federal and state health care programs, the Justice Department announced today. Ishtiaq Malik, a nuclear cardiologist, has practiced in the District of Columbia metropolitan area since 2002.
July 30, 2013; U.S. Department of Justice
Former Owner of Los Angeles Medical Equipment Supply Company Sentenced for Conspiring to Defraud Medicare
The owner and operator of a durable medical equipment (DME) supply company was sentenced today to serve 24 months in prison for conspiring to submit nearly $1 million in fraudulent claims to Medicare.
July 30, 2013; U.S. Attorney, Northern District of Illinois
Northwestern University to Pay Nearly $3 Million to the United States to Settle Cancer Research Grant Fraud Claims
CHICAGO - Northwestern University will pay the United States $2.93 million to settle claims of cancer research grant fraud by a former researcher and physician at the university's Robert H. Lurie Comprehensive Center for Cancer in Chicago. Northwestern agreed to the settlement in a federal False Claims Act lawsuit that was unsealed today after the government investigated the claims made by a former employee and whistleblower who will receive a portion of the settlement.
July 30, 2013; U.S. Attorney, Northern District of Texas
North Texas Men, Who Owned Hyperbaric Oxygen Therapy Companies, Plead Guilty to Conspiracy to Commit Health Care Fraud; Third Defendant Admits Conspiring to Make False Statements to a Financial Institution
DALLAS - This morning, two businessmen, Stanley Thaw, of Frisco, Texas, and Michael Kincaid, of Plano, Texas, who owned and operated hyperbaric oxygen therapy companies located in Plano, Denton, Hurst, Houston, and San Antonio, Texas, appeared before U.S. District Judge Jorge A. Solis and pleaded guilty to their roles in a conspiracy to commit health care fraud. Kernell Thaw also appeared in court this morning and pleaded guilty to one count of conspiracy to make false statements to a financial institution regarding properties in Dallas that she purchased from a local home builder. Today's announcement was made by U.S. Attorney Sarah R. Saldaña of the Northern District of Texas.
July 29, 2013; U.S. Attorney, Southern District of Florida
Hospital Employee and Accomplice Sentenced for Tax Refund Fraud Using Stolen Patient Information
Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Michael J. DePalma, Acting Special Agent in Charge, Internal Revenue Service, Criminal Investigation (IRS-CI), Miami Field Office, Ronald Verrochio, Inspector in Charge, U.S. Postal Inspection Service (USPIS), and Scott J. Israel, Sheriff, Broward Sheriff's Office, announce that defendant Shalamar Major, 32, of Deerfield Beach, Florida, was sentenced today before U.S. District Judge Robin S. Rosenbaum, in connection with her previous conviction for unauthorized HIPAA disclosures, in violation of Title 42, United States Code, Section 1320d-6, and conspiracy to commit false claims, in violation of Title 18, United States Code, Section 286, in connection with a tax refund scheme that used stolen social security and other personal identifying information to file on-line tax returns claiming fraudulent tax refunds from the IRS.
July 29, 2013; U.S. Attorney, District of Maryland
Pharmacy Store Owner and Two Employees Charged With Health Care Fraud and Identity Theft
Baltimore, Maryland - A federal grand jury has indicted Reddy Vijay Annappareddy, age 45, of Fallston, Maryland; Vipinkumar Patel (V. Patel), age 30, of Edgewood, Maryland; and Jigar Patel (J. Patel), age 27, of Columbia, Maryland, on charges of health care fraud and aggravated identity theft in connection with a scheme to defraud Medicaid and Medicare by submitting false claims for prescription refills. The indictment was returned on July 23, 2013, and unsealed on July 25, 2013, upon the arrest of the Patels and the execution of search warrants at six locations, including three pharmacies and a storage space. The Patels had detention hearings today in federal court in Baltimore and were released under the supervision of U.S. Pretrial Services. No court appearance has been scheduled yet for Annappareddy.
July 29, 2013; U.S. Attorney, District of Massachusetts
Beth Israel Deaconess Medical Center to Pay $5.3 Million to Resolve Improper Medicare Claims
BOSTON - United States Attorney Carmen M. Ortiz and Susan J. Waddell, Special Agent in Charge of the Department of Health & Human Services, Office of Inspector General announced today that Beth Israel Deaconess Medical Center (BIDMC), a teaching hospital located in Boston, has agreed to pay the United States $5.315 million to settle allegations that it violated the False Claims Act by billing Medicare for inpatient admissions that should have been billed as lower reimbursed outpatient or observation services. The improper claims were submitted from June 1, 2004, through March 31, 2008.
July 26, 2013; U.S. Attorney, Southern District of Texas
Professional Medicare Beneficiary Turned Patient Recruiter Sentenced to Federal Prison
HOUSTON -- Robert Glenn Baker, 57, of Houston, has been sentenced for conspiracy to violate the anti-kickback statute, United States Attorney Kenneth Magidson announced today. Baker pleaded guilty to the charge on Aug. 15, 2012.
July 26, 2013; U.S. Attorney, District of Maryland
Leader of Baltimore Area Oxycodone Ring Sentenced to Prison
Baltimore, Maryland - U.S. District Judge Ellen L. Hollander sentenced Joseph Church, age 41, of Baltimore, Maryland, today to 51 months in prison, followed by three years of supervised release, for conspiracy to distribute and possess with intent to distribute oxycodone.
July 26, 2013; U.S. Department of Justice
Dubuis Health System and Southern Crescent Hospital for Specialty Care, Inc. to Pay U.S. $8 Million to Resolve False Claims Act Allegations
Dubuis Health System and Southern Crescent Hospital for Specialty Care, Inc. (Southern Crescent) have agreed to pay the United States $8,000,000 to settle allegations that they submitted false claims to Medicare, the Justice Department announced today. Dubuis Health System manages long-term acute care hospitals in multiple states, including Southern Crescent. Southern Crescent is a long-term acute care hospital located in Riverdale, GA and is part of the CHRISTUS Health System.
July 25, 2013; U.S. Attorney, Southern District of Ohio
Spine Surgeon Arrested on Charges He Performed Unnecessary Surgeries and Billed Health Insurance Programs
CINCINNATI - Federal and state health care fraud investigators arrested Abubakar Atiq Durrani, 44, Mason, Ohio today based on a federal complaint alleging that he convinced patients to undergo medically unnecessary spinal surgeries then billed private and public healthcare benefit programs millions of dollars for the fraudulent services.
July 25, 2013; U.S. Department of Justice
Health Care Clinic Director Sentenced for Role in $63 Million Health Care Fraud Scheme
A former health care clinic director and licensed clinical psychologist at defunct health provider Health Care Solutions Network Inc. (HCSN) was sentenced today in Miami to serve 135 months in prison for her central role in a fraud scheme that resulted in more than $63 million in fraudulent claims to Medicare and Florida Medicaid.
July 24, 2013; U.S. Department of Justice
Michigan Physical Therapist Assistant/home Health Agency Owner Pleads Guilty for Role in Medicare Fraud Scheme
A greater Detroit-area physical therapist assistant - who was also an owner of a home health agency and a patient recruiter - pleaded guilty today for his role in a $22 million home health care fraud scheme.
July 24, 2013; U.S. Department of Justice
Owner of California Medical Equipment Supply Company Found Guilty of $11 Million Medicare Fraud Scheme
The daughter of a church pastor and owner of a California-based durable medical equipment (DME) supply company was found guilty by a jury of Medicare fraud charges for her role in a Medicare fraud scheme that resulted in over $11 million in fraudulent billings to Medicare.
July 24, 2013; U.S. Department of Justice
Philadelphia Money Launderer Pleads Guilty in Connection with Brooklyn Medicare Fraud Scheme
A Philadelphia resident pleaded guilty today for his role as a money launderer in a $13 million health care fraud scheme.
July 24, 2013; U.S. Attorney; District of Nevada
Two Women Sentenced for Nevada Medicaid Fraud Scheme
RENO, Nev. - Two women were sentenced today for their guilty pleas to federal health care fraud charges after they defrauded the Nevada Medicaid program of approximately $1 million, announced Daniel G. Bogden, United States Attorney for the District of Nevada.
July 22, 2013; U.S. Attorney; Western District of New York
Physician Pleads Guilty To Health Care Fraud Charges
BUFFALO, N.Y. - U.S. Attorney William J. Hochul, Jr. announced that Daniel C. Gillick, 63, a physician residing in Youngstown, N.Y., pleaded guilty to obtaining controlled substances by fraud and health care fraud. The charges carry a maximum sentence of 10 years in prison, a $500,000 fine or both.
July 22, 2013; U.S. Department of Justice
Home Health Agency Owner Pleads Guilty for Role in $13.8 Million Medicare Fraud Scheme
Detroit-area resident Javed Rehman pleaded guilty today for his role in a $13.8 million Medicare fraud scheme, announced Acting Assistant Attorney General Mythili Raman of the Justice Department's Criminal Division; U.S. Attorney for the Eastern District of Michigan Barbara L. McQuade; Special Agent in Charge Robert D. Foley III of the FBI's Detroit Field Office and Special Agent in Charge Lamont Pugh III of the Chicago Regional Office for the U.S. Department of Health and Human Service's Office of Inspector General.
July 22, 2013; U.S. Attorney; Middle District of Florida
HPH Hospice to Pay $1 Million to Resolve False Claims Act Allegations
TAMPA - The United States Attorney's Office for the Middle District of Florida announced today that Hernando-Pasco Hospice, Inc., d/b/a HPH Hospice, has agreed to pay $1 million to resolve allegations that it violated the False Claims Act by submitting false claims for hospice services to the Medicare and Medicaid programs. HPH Hospice is a Florida not-for-profit corporation that provides hospice services in various locations throughout Hernando, Pasco, and Citrus counties in Florida.
July 22, 2013; U.S. Attorney; Southern District of Illinois
Doctor Sentenced In Health Care Fraud Obstruction Case
Dr. Mahmoud Yassin, 61, of Robinson, IL, was sentenced in federal district court in Benton for Obstructing a Criminal Health Care Fraud Investigator, the United States Attorney for the Southern District of Illinois, Stephen R. Wigginton, announced today. Dr. Yassin was sentenced to serve 3 years of probation, a fine of $10,000, a special assessment of $100, and ordered to pay restitution to BCBS of Illinois in the amount of $19,615.17. As a condition of probation, Dr. Yassin must also serve 30 days in prison.
July 19, 2013; U.S. Department of Justice
U.S. Intervenes in False Claims Act Lawsuit against Fla. Home Health Care Company and Its Owner
The government has intervened in a whistleblower lawsuit against A Plus Home Health Care, Inc., a home health care company in Fort Lauderdale, Fla., and its owner, Tracy Nemerofsky, the Justice Department announced today. The government alleges that A Plus offered referring physicians' spouses sham marketing positions with the company to induce the physicians to refer Medicare patients for home health care services.
July 19, 2013; U.S. Attorney; Northern District of Ohio
Orange Village Man Sentenced To Two Years in Prison, Ordered To Pay $1.9 Million for Health
Care Fraud
A man who lives in Orange, Ohio and admitted to overbilling Medicaid and Medicare was sentenced to two years in prison and ordered to pay more than $1.9 million, said Steven M. Dettelbach, United States Attorney for the Northern District of Ohio. Divyesh "David" C. Patel, 40, pleaded guilty last year to one count of conspiracy to commit health care fraud and four counts of health care fraud.
July 18, 2013; U.S. Attorney; Northern District of California
Pharmaceutical Company Agrees To Pay $3.5 Million to Settle False Claims Act Allegations
SAN FRANCISCO - Mallinckrodt LLC, a pharmaceutical manufacturer, has agreed to pay $3.5 million to settle allegations that it made improper payments to physicians and, as a result, caused the submission of false claims to Medicare and Medicaid between January 2005 and June 2010, United States Attorney Melinda Haag announced.
July 18, 2013; U.S. Department of Justice
Owner of Los Angeles-area DME Company Pleads Guilty to Conspiring to Defraud Medicare and
Medi-Cal
The owner of a Los Angeles-area durable medical equipment (DME) supply company has pleaded guilty to conspiring to defraud Medicare and Medi-Cal of more than $650,000.
July 18, 2013; U.S. Attorney; Southern District of New York
United States Settles Medicare Billing Fraud Lawsuit with Multi-Specialty Health Care Provider for $1 Million
Preet Bharara, the United States Attorney for the Southern District of New York, and Thomas O'Donnell, Special Agent-in-Charge of the Department of Health and Human Services, Office of Inspector General (HHS-OIG), New York region, announced today that the United States has settled for $1 million a civil health care False Claims Act lawsuit it filed on March 5, 2013 in Manhattan federal court against Park Avenue Medical Associates, P.C., Park Avenue Health Care Management, LLC, and Park Avenue Health Care Management, INC. (collectively "PAMA"), affiliated companies in the business of providing multi-specialty medical services in New York.
July 18, 2013; U.S. Attorney; District of New Jersey
South Jersey Doctor Sentenced To Two Years in Prison for Fraud Scheme Involving Home Health Care for Elderly Patients
TRENTON, N.J. - A doctor who was the owner and founder of Visiting Physicians of South Jersey (VPA) - a Hammonton, N.J., provider of home-based physician services for seniors - was sentenced today to 24 months in prison for charging lengthy visits to elderly patients that they did not receive, U.S. Attorney Paul J. Fishman announced.
July 18, 2013; U.S. Attorney; District of Maryland
16 Defendants Charged In a Commercial Burglary Ring and Drug Conspiracy
Baltimore, Maryland - A federal grand jury has returned three indictments charging 16 defendants - eight in a conspiracy to distribute prescription drugs, heroin and cocaine around the Baltimore metropolitan area and the remaining defendants in conspiracies to commit armed home invasions, residential burglaries and commercial burglaries. The indictments were returned on July 16, 2013 and unsealed today upon the arrests of the defendants and execution of search warrants at 21 locations in Baltimore, Baltimore County and Anne Arundel County.
July 18, 2013; U.S. Attorney; Eastern District of Missouri
Local Physician, Clinic and Nurse Practitioner Indicted On Health Care Fraud Charges
St. Louis, MO - Dr. Mel Lucas, Patterson Medical Clinic, Inc. and nurse practitioner, Robyn Levy, were indicted on multiple health care fraud related charges for their alleged false billing for services never rendered and false statements in patients' medical records.
July 17, 2013; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Announces Charges against Eight Individuals in Connection with $2.3 Million Bribery and Kickback Scheme to Secure Business from a Medical Cost-Management Company
Preet Bharara, the United States Attorney for the Southern District of New York, Thomas O'Donnell, the Special Agent-in-Charge of the New York Office of the U.S. Department of Health and Human Services, Office of Inspector General, and Steven G. Hughes, the Special Agent-in-Charge of the New York Office of the U.S. Secret Service today announced charges against eight individuals for their alleged involvement in a lucrative scheme in which information technology vendors paid over $2.3 million in bribes and kickbacks to secure business from executives of a Manhattan-based medical cost management company.
July 17, 2013; U.S. Attorney; Middle District of Pennsylvania
Williamsport Resident Sentenced To 70 Months on Federal Tax Charges
The United States Attorney's Office for the Middle District of Pennsylvania announced today that Cheryl Cobia, age 27, of Williamsport, Pennsylvania was sentenced to 70 months' imprisonment by U.S. District Court Judge Matthew W. Brann on July 9, 2013, in U.S. District Court in Williamsport. Cobia pleaded guilty earlier this year to charges of conspiracy and false statements in connection with a scheme to file false federal income tax returns in 2009-2011. Cobia was also charged with making false statements in applications for food stamps and medical assistance benefits.
July 17, 2013; Drug Enforcement Administration; New York Division
Rx Trafficking Ring Controlled Brooklyn Medical Practices: Nearly $3.4 Million in Pills Diverted
Manhattan, NY - Brian R. Crowell, Special Agent in Charge, Drug Enforcement Administration (DEA), New York Division, Bridget G. Brennan, New York City's Special Narcotics Prosecutor, New York City Police Commissioner Raymond W. Kelly, Tom F. O'Donnell, Special Agent in Charge of the U.S. Department of Health and Human Services Office of Inspector General New York Region (HHS-OIG), and New York State Commissioner of Health Nirav R. Shah, M.D., M.P.H., announced today the indictment and arrest of five members of a prescription drug trafficking ring that illegally collected and distributed over $3.4 million in oxycodone and other prescription drugs through medical offices they controlled in Brooklyn.
July 17, 2013; U.S. Attorney; District of New Jersey
Three Doctors Admit Accepting Bribes for Test Referrals to New Jersey Clinical Laboratory
NEWARK, N.J. - Three New Jersey doctors admitted today they accepted tens of thousands of dollars in bribes from Parsippany, N.J.-based Biodiagnostic Laboratory Services LLC (BLS) as part of a long-running scheme operated by the lab, its president, and numerous associates, U.S. Attorney Paul J. Fishman announced.
July 17, 2013; Office of the District Attorney; Richmond County, NY
D.A. Donovan, NYPD Take down Ring of ID Scammers Who Targeted More Than 80 Patients from a South Shore Doctor's Office
Staten Island, NY - Richmond County District Attorney Daniel M. Donovan, Jr. and NYPD Commissioner Raymond Kelly today announced the indictments and arrests of one Staten Islander and four Bronx residents on charges that include enterprise corruption, identity theft, falsifying business records, criminal possession of stolen property, grand larceny and grand larceny as a hate crime, among other charges, for stealing patient information from a Staten Island doctor's office and using the stolen data to create new debit cards and make cash withdrawals against the victim's accounts, as well as filing false income tax returns in order to steal refunds from the victims and the Internal Revenue Service.
July 16, 2013; U.S. Department of Justice
Florida Health Care Medical Director and Six Therapists Arrested for Alleged Roles in $63 Million Fraud Scheme
The former medical director at defunct health provider Health Care Solutions Network (HCSN) and six therapists were arrested today, accused of conspiring to fraudulently bill Medicare and Florida Medicaid more than $63 million.
July 16, 2013; U.S. Attorney; Eastern District of New York
Brooklyn Money Launderer Sentenced to 37 Months in Prison in Connection with $77 Million Medicare Fraud Scheme
BROOKLYN, NY - Earlier today, Anatoly Kraiter, 35, of Brooklyn, New York, was sentenced today to 37 months in prison for his role as a money launderer for a $77 million Medicare fraud scheme. In addition to the prison term, U.S. District Judge Nina Gershon of the Eastern District of New York sentenced Kraiter to three years of supervised release and ordered him to forfeit $100,000. Kraiter's surrender date is September 16, 2013.
July 16, 2013; U.S. Attorney; Middle District of Tennessee
Behavioral Analyst Pleads Guilty To Health Care Fraud
NASHVILLE, Tenn. - July 16, 2013 - Jenny Lynn Hall, formerly known as Jenny Lynn Unterstein, 37, of Smithville, Tenn., pleaded guilty yesterday in U.S. District Court, to health care fraud, announced David Rivera, Acting U.S. Attorney for the Middle District of Tennessee.
July 15, 2013; U.S. Attorney; Eastern District of Tennessee
Morristown Dentist Indicted For TennCare Fraud
GREENEVILLE, Tenn. - On Jul. 9, 2013, a federal grand jury in Greeneville returned an indictment against Gary Dean Stump, D.M.D., 57, of Bean Station, Tenn., charging him with health care fraud for submitting false claims to TennCare's program for dental services to children, TennDent.
July 15, 2013; U.S. Attorney; District of South Dakota
Kadoka Man Indicted For Burglary, Destruction of Government Property and Theft
United States Attorney Brendan V. Johnson announced that a Kadoka, South Dakota, man has been indicted by a federal grand jury for allegedly unlawfully entering the Indian Health Service Clinic at Wanblee and stealing prescription pills on July 5, 2013.
July 12, 2013; U.S. Attorney; Western District of North Carolina
Owner of Charlotte Behavioral Health Company Sentenced To Two Years in Prison for $400,000 Medicaid Fraud Scheme
CHARLOTTE, N.C. - A Charlotte man and owner of a behavioral health company was sentenced on Thursday, July 11, 2013, to serve 24 months in prison for attempting to obtain nearly $400,000 in fraudulent reimbursement claims from North Carolina Medicaid, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina. Gregory Benny Lassiter, Jr., 32, of Charlotte, was also ordered to remain under court supervision for two years, following his prison term.
July 11, 2013; U.S. Attorney; Eastern District of Missouri
University City Doctor Sentenced For Overbilling Medicare And Medicaid
St. Louis, MO - DR. WIT A. JAMRY was sentenced to one year and a day and ordered to pay restitution of $119,000 and a fine of $30,000 for billing Medicare and Medicaid for services he had not performed. His company Dr. Wit-Internal Medicine Professional Geriatric, P.C. was ordered to pay $119,000 in restitution.
July 11, 2013; U.S. Attorney; Southern District of Illinois
Program Fraud Indictments Announced
Stephen R. Wigginton, United States Attorney for the Southern District of Illinois, and Gerald Roy, Special Agent in Charge, United States Department of Health and Human Services, Office of Inspector General, Office of Investigations for Region 7 (Kansas City office), announced today a second wave of indictments arising out of the abuse of a Medicaid program in Illinois that pays personal assistants to assist Medicaid recipients with general household activities and personal care. The program is intended for recipients under 60 years of age and is ostensibly designed to reduce Medicaid expenditures by avoiding more expensive institutional care, including nursing home care.
July 11, 2013; U.S. Attorney; Central District of California
Ventura County-based Amgen Inc. Pays Over $15 Million to Resolve Allegations that it Illegally Marketed Cancer Drug with Kickbacks
LOS ANGELES - Biopharmaceutical company Amgen Inc. today paid the United States more than $15 million to resolve allegations that the Ventura County company provided illegal financial incentives to physicians and physician groups to induce them to prescribe the cancer drug Xgeva.
July 11, 2013; U.S. Attorney; Southern District of Texas
RGV DME Owner Gets 12 Years in Federal Prison for $11 Million Health Care Fraud Scheme
McALLEN, Texas - The owner of a now defunct McAllen area durable medical equipment (DME) business has been ordered to prison for his role in a conspiracy and scheme to defraud Medicare and Medicaid through fraudulent billings, United States Attorney Kenneth Magidson and Texas Attorney General Greg Abbott announced today. The scheme involved approximately $11.1 million in false claims to Medicare and Medicaid.
July 11, 2013; U.S. Attorney; District of New Jersey
Cardiologist sentenced to prison for taking cash kickbacks for patient referrals
NEWARK, N.J. - An Edison, N.J., cardiologist was sentenced today to 30 months in prison for referring patients for diagnostic testing in exchange for cash kickbacks as part of a cash-for-patients scheme with a diagnostic facility in Orange, N.J., U.S. Attorney Paul J. Fishman announced.
July 11, 2013; U.S. Attorney; Southern District of New York
Former Chief Executive Officer Of Hospital For Special Surgery Pleads Guilty In Manhattan Federal Court To Fraudulent Kickback Scheme
Preet Bharara, the United States Attorney for the Southern District of New York, announced that JOHN R. REYNOLDS, the former Chief Executive Officer ("CEO") of the Hospital for Special Surgery (the "Hospital"), pled guilty today in Manhattan federal court to participating in a fraudulent scheme in which he was paid nearly $300,000 in undisclosed kickbacks from a subordinate Hospital employee. REYNOLDS, who was arrested in September 2012, also pled guilty to making false statements to a law enforcement agent. U.S. Magistrate Judge Debra Freeman presided over today's plea proceeding.
July 11, 2013; U.S. Attorney; Middle District of Alabama
Wetumpka Woman Pleads Guilty to Health Care Fraud
Montgomery, Alabama - LaShawn Denise Anthony, 42, of Wetumpka, entered a guilty plea today to one count of health care fraud, admitting that she and her business had falsely billed Alabama Medicaid, announced George L. Beck, Jr., U.S. Attorney for the Middle District of Alabama. Anthony had been scheduled to go to trial on July 22, 2013, on the indictment returned against her in December 2012.
July 10, 2013; U.S. Attorney; Eastern District of Michigan
United States Intervenes in Health Care Fraud Action and Obtains $4 Million in Settlement
The United States will receive $4 million in settlement of a lawsuit brought under the False Claims Act against a cardiology practice and a hospital in Jackson, Michigan, United States Attorney Barbara L. McQuade announced today. McQuade was joined in the announcement by Lamont Pugh,III, Special Agent in Charge, Department of Health and Human Services Office of Inspector General ("HHS-OIG") and Robert D. Foley, III, Special Agent in Charge, FBI Detroit Field Division.
July 10, 2013; U.S. Attorney; Eastern District of Michigan
Jury Convicts Podiatrist, Psychologist And Pharmacist In Health Care Fraud Case
A podiatrist, a psychologist and a pharmacist were convicted today in federal court in Detroit, Michigan for health care fraud and controlled substance distribution, United States Attorney Barbara L. McQuade announced today.
July 9, 2013; U.S. Attorney; South Carolina
Federal Grand Jury Indictments: Andrews Woman Indicted for Health Care Fraud
Queen Edwards Nesmith, age 53, of Andrews, South Carolina, was charged in a two count Indictment with Health Care Fraud in violation of Title 18, United States Code, Section 1347, and Aggravated Identity Theft in violation of Title 18, United States Code, Section 1028A. The maximum penalty for the Health Care Fraud is 10 years imprisonment and a fine of $250,000, and the Aggravated Identity Theft carries a mandatory two-year prison term.
July 9, 2013; U.S. Attorney; Eastern District of Pennsylvania
Philadelphia Doctor Pleads Guilty to Running Pill Mill
PHILADELPHIA - Kermit Gosnell, 72, of Philadelphia, pleaded guilty today to 12 counts in connection with running a pill mill out of his clinic located at 3801-3805 Lancaster Avenue in Philadelphia. Gosnell pleaded guilty to conspiracy to distribute controlled substances, including oxycodone, alprazolam, and codeine; distribution and aiding and abetting the distribution of oxycodone; and maintaining a place for the illegal distribution of controlled substances. U.S. District Court Judge Cynthia M. Rufe scheduled a sentencing hearing for October 4, 2013. He faces an advisory sentencing guideline range of 292 to 365 months in prison.
July 8, 2013; U.S. Department of Justice
US Joins False Claims Act Lawsuit Alleging Illegal Physician Compensation by Mobile, Ala., Health Firm
The government has intervened in a False Claims Act lawsuit against Infirmary Health System Inc. and its related entities: IMC-Diagnostic and Medical Clinic P.C., Diagnostic Physicians Group P.C. and Infirmary Medical Clinics P.C., the Department of Justice announced today. The lawsuit alleges that IMC-Diagnostic and Medical Clinic, in Mobile, Ala., billed Medicare for services referred by Diagnostic Physicians Group physicians, in violation of the Stark Law and Anti-Kickback Statute. IMC-Diagnostic and Medical Clinic is owned by Infirmary Medical Clinics, a subsidiary of Infirmary Health System, also based in Mobile.
July 8, 2013; U.S. Department of Justice
Supervisor of $63 Million Health Care Fraud Scheme Sentenced in Florida to 10 Years in Prison
A former supervisor at defunct health provider Health Care Solutions Network Inc. (HCSN) was sentenced today in Miami to serve 10 years in prison for her central role in a fraud scheme that resulted in more than $63 million in fraudulent claims to Medicare and Florida Medicaid.
July 3, 2013; U.S. Department of Justice
Tacoma, Wash., Medical Firm to Pay $14.5 Million to Settle Overbilling Allegations
WASHINGTON - Sound Inpatient Physicians Inc. will pay $14.5 million to settle allegations that it overbilled Medicare and other federal health care programs, the Justice Department announced today. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. It employs more than 700 hospitalists and post-acute physicians, who provide services at 70 hospitals and a growing network of post-acute facilities in 22 states.
July 3, 2013; U.S. Department of Justice
North Carolina-Based Trans1 to Pay U.S. $6 Million to Settle False Claims Act Allegations
Medical device manufacturer TranS1 Inc., now known as Baxano Surgical Inc., has agreed to pay the United States $6 million to resolve allegations under the False Claims Act that the company caused health care providers to submit false claims to Medicare and other federal health care programs for minimally-invasive spine surgeries, the Justice Department announced today.
July 2, 2013; U.S. Attorney; Southern District of Florida
Defendant Pleads Guilty to Health Care Fraud in Connection with HIV Infusion Clinic
Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Michael B. Steinbach, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office and Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), announced that defendant Jorge Alipio Perez Villa pleaded guilty yesterday to one count of healthcare fraud for his participation in a healthcare fraud scheme involving a purported HIV infusion clinic. Sentencing is scheduled for September 9, 2013 before U.S. District Judge Joan A. Lenard
July 2, 2013; U.S. Department of Justice
Fifty-Five Hospitals to Pay U.S. More Than $34 Million to Resolve False Claims Act Allegations Related to Kyphoplasty
Fifty-five hospitals located throughout twenty-one states have agreed to pay the United States a total of more than $34 million to settle allegations that the health care facilities submitted false claims to Medicare for kyphoplasty procedures, the Justice Department announced today. Kyphoplasty is a minimally-invasive procedure used to treat certain spinal fractures that often are due to osteoporosis.
July 2, 2013; U.S. Attorney; Eastern District of Tennessee
Johnson City Physicians to Pay $4.25 Million to Resolve Civil False Claims Allegations Re Unapproved Foreign Drugs
GREENEVILLE, Tenn.- William R. Kincaid, M.D., Millard R. Lamb, M.D., and Charles O. Famoyin, M.D., former partners in East Tennessee Hematology-Oncology Associates, P.C., d/b/a McLeod Cancer and Blood Center (McLeod Cancer) in Johnson City, Tenn., have agreed to pay via separate settlement agreements $4.25 million, plus interest, to resolve allegations that they violated the False Claims Act by knowingly submitting or causing the submission to the Medicare and TennCare/Medicaid programs of false claims for misbranded, unapproved chemotherapy drugs that were administered through the McLeod Cancer clinic.
July 1, 2013; U.S. Department of Justice
Los Angeles Medical Supply Company Owner Sentenced to Five Years in Prison for $8.4 Million Medicare Fraud Scheme
The owner and operator of a durable medical equipment (DME) supply company was sentenced today to serve five years in prison in connection with a health care fraud scheme involving Latay Medical Services, a DME company based in Gardena, Calif.
July 1, 2013; U.S. Department of Justice
Los Angeles-Area Doctor and Patient Recruiter Plead Guilty to Participating in a Power Wheelchair Scheme That Defrauded Medicare of Over $10.1 Million
A Los Angeles-area doctor and a patient recruiter pleaded guilty today for their roles in a power wheelchair fraud scheme that defrauded Medicare of over $10.1 million.
July 1, 2013; U.S. Attorney; Western District of Kentucky
Operators of University of Louisville Hospital to Pay $2,833,408.60 to Settle False Medicare Billings
LOUISVILLE, Ky. - University Medical Center, doing business as University of Louisville Hospital, has voluntarily entered into a settlement agreement with the United States to pay $2,833,408.60 to settle allegations that it submitted or caused to be submitted false claims for payment to the Medicare program in violation of the Federal False Claims Act, announced David J. Hale, United States Attorney for the Western District of Kentucky, and the Office of Inspector General of the Department of Health and Human Services.
June 2013
June 28, 2013; U.S. Attorney; Central District of California
Owner of Rehabilitation Facility Pleads Guilty to Mail Fraud Charge
SANTA ANA, California - The owner and chief executive officer of a comprehensive outpatient rehabilitation facility pleaded guilty today to mail fraud for submitting claims to Medicare for services that were not prescribed by treating doctors.
June 28, 2013; U.S. Attorney; Southern District of California
Local Oncology Practice Sentenced To Pay Millions for Medicare Fraud
The La Jolla oncology practice known as Joel I. Bernstein, M.D., Inc. was sentenced today to pay a $500,000 fine, forfeit $1.2 million and make restitution to Medicare in the amount of $1.7 million for purchasing unapproved foreign cancer drugs and billing Medicare as if the drugs were legitimate.
June 28, 2013; U.S. Department of Justice
Executives from Miami-Area Mental Health Care Hospital Convicted for Participating in $70 Million Medicare Fraud Scheme
WASHINGTON - A federal jury today convicted four individuals for their participation in a Medicare fraud scheme involving nearly $70 million in fraudulent billings by Hollywood Pavilion (HP), a mental health care hospital.
June 27, 2013; US Department of Justice
Former Department of Health and Human Services Employee Sentenced to Prison for Wire Fraud Scheme
A former employee of the Department of Health and Human Services' Office of the Assistant Secretary for Preparedness and Response (HHS-ASPR) was sentenced today to serve six months in prison for his role in a scheme to defraud the United States by submitting fraudulent employment offers in order to claim retention bonuses totaling $138,875, announced Acting Assistant Attorney General Mythili Raman of the Justice Department's Criminal Division.
June 26, 2013; U.S. Attorney; Northern District of Texas
Former Owner of Local Durable Medical Equipment Company is Sentenced to 35 Months in Federal Prison for Defrauding Medicare and Medicaid
Dallas - Philip Odoemena, 60, the former owner/operator of Kingsway Medical Systems, Inc., (Kingsway) was sentenced today by U.S. District Judge Barbara M. G. Lynn to 35 months in federal prison and ordered to pay $483,995 in restitution, following his guilty plea in September 2012 to one count of health care fraud. Odoemena has been in custody since his arrest in early May 2012. Today's announcement was made by U.S. Attorney Sarah R. Salda�a of the Northern District of Texas.
June 26, 2013; U.S. Attorney; Southern District of Ohio
Owners of Lawrence County Medical Clinics Charged With Health Care Fraud
Cincinnati - A federal grand jury has charged four people with health care fraud, alleging that they improperly charged government insurance programs for medically unnecessary procedures in connection with two medical clinics they owned and operated in Coal Grove, Ohio.
June 26, 2013; U.S. Attorney; District of Connecticut
Guilford Podiatrist Pleads Guilty To Medicare Fraud
Deirdre M. Daly, Acting United States Attorney for the District of Connecticut, announced that Richard Sokoloff, 70, of Guilford, waived his right to indictment and pleaded guilty today before United States District Judge Janet Bond Arterton in New Haven to one count of health care fraud.
June 25, 2013; U.S. Attorney; Northern District of West Virginia
West Virginia Doctor Convicted of Health Care Fraud
Wheeling, West Virginia - A North Central West Virginia doctor was convicted today of twenty-two felony charges related to health care fraud, bankruptcy fraud, and the filing of false tax returns.
June 25, 2013; U.S. Attorney; Southern District of Texas
Austin Doctor Charged with Defrauding Medicare of $2 Million in Less than Two Months
HOUSTON - Dr. Dennis B. Barson Jr., 40, and his medical clinic administrator, Dario Juarez, 53, have been charged in a 20-count indictment alleging a conspiracy to defraud Medicare of $2.1 million in less than two months, United States Attorney Kenneth Magidson announced today.
June 24, 2013; U.S. Attorney; Southern District of California
Owner of Medical Supply Company Sentenced To Prison for His Role in Million-Dollar Power Wheelchair Scams
United States Attorney Laura E. Duffy announced that Jose Melendez, the owner and operator of Oceanside Medical Services, was sentenced to 18 months in prison today for his involvement in a health care fraud conspiracy that resulted in over $1 million in false claims to the Medicare trust fund. Melendez was also ordered to pay $593,429.81 in restitution, and will be on supervised release for three years after completing his custodial sentence.
June 24, 2013; U.S. Attorney; Northern District of Georgia
Atlanta Doctor Convicted For Health Care Fraud, Tax Evasion and Money Laundering
ATLANTA - After a two-week trial, a federal jury has convicted Lawrence Eppelbaum, 54, of Roswell, Georgia on health care fraud, tax fraud and money laundering in relation to a scheme in which he illegally induced patients from all over the country to be treated at his medical clinic in Atlanta by providing free travel accommodations through a purported charitable entity that he controlled.
June 21, 2013; U.S. Attorney; District of Maine
Former Portland Podiatrist Sentenced on Drug and Health Care Fraud Charges
Portland, Maine: United States Attorney Thomas E. Delahanty II announced that Dr. John B. Perry, 52, of Cumberland, was sentenced today in United States District Court by Judge George Singal to 8 years in prison for conspiracy, unlawful distribution of oxycodone and health care fraud. Perry pled guilty to the charges on December 4, 2012.
June 21, 2013; U.S. Attorney; Eastern District of Michigan
Detroit-Area Doctors Charged with Illegal Distribution of Prescription Drugs and Health Care Fraud
An indictment was unsealed today charging Dr. Hussein "Sam" Awada, 43, and Dr. Luis Collazo, 53, with the illegal distribution of prescription drugs and health care fraud, United States Attorney Barbara L. McQuade announced today.
June 20, 2013; U.S. Attorney; Western District of Washington
Lakewood Oncologist to Pay $3.1 Million to Settle Health Care Fraud Claims
Dr. Alfred H. Chan, an oncologist in Lakewood, Washington, and his family, have agreed to pay the United States $3.1 million to settle allegations that he and his wife defrauded federal health care programs by significantly and repeatedly overbilling for cancer treatment medications. From at least April 2006 through April 2009, the government contends that Dr. Chan and his wife Judy Chan intentionally inflated claims to Medicare, TRICARE, and other federal health care programs, resulting in a loss to the government estimated at over $1 million. Today's settlement represents a recovery of almost three times the estimated loss to federal health care programs.
June 20, 2013; U.S. Attorney; Southern District of Texas
Houston Man Arrested in Health Care Fraud Scheme
HOUSTON - Mathew U. Okorocha, 63, has been indicted on charges of conspiracy to commit health care fraud, United States Attorney Kenneth Magidson announced today. Okorocha, of Houston, joins Lawrence T. Tyler, 41, also of Houston, in a 10-count superseding indictment, returned June 12, 2013.
June 20, 2013; U.S. Attorney; Middle District of Florida
Straw Owner of Venice Physical Therapy Clinic Pleads Guilty to Conspiracy to Commit Health Care Fraud
TAMPA-United States Attorney Robert E. O'Neill announces that Roberto Fernandez Gonzalez (63, Naples) pleaded guilty today to conspiracy to commit health care fraud. Gonzalez faces a maximum penalty of 10 years in federal prison.
June 20, 2013; U.S. Attorney; District of Maryland
Employee Pleads Guilty To Theft of Government Property
Greenbelt, Maryland - Mary Michelle Thompson, age 42, of Glen Burnie, Maryland, pleaded guilty today to theft of government property in connection with her misuse of her government credit card. The guilty plea was announced by United States Attorney for the District of Maryland Rod J. Rosenstein and Elton Malone, Special Agent in Charge of the Department of Health and Human Services, Office of the Inspector General (HHS-OIG), Office of Investigations, Special Investigations Branch.
June 19, 2013; U.S. Attorney; Western District of North Carolina
Charlotte Woman Sentenced To 5 Years in Prison for $650,000 Medicaid Fraud Scheme
CHARLOTTE, N.C. - Chief U.S. District Court Judge Frank D. Whitney sentenced a Charlotte woman on Tuesday, June 18, 2103, to serve 60 months in prison and two years under court supervision for defrauding Medicaid of $650,000, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina. Charlotte Elizabeth Garnes, 39, of Charlotte, was also ordered to pay $792,184.52 in restitution.
June 18, 2013; U.S. Attorney; Eastern District of New York
Brooklyn Licensed Home Health Care Services Agency Pays One Million Dollars to Settle Civil Fraud Claims That it Provided Unqualified Home Health Aides to Medicaid Recipients
The United States and New York State have entered into settlement agreements with Parkshore Home Health Care, LLC, d/b/a Renaissance Home Health Care, Inc. ("Renaissance"), a Brooklyn-based licensed home health care services agency. These settlements resolve allegations that Renaissance provided unqualified home health aides to home health agencies, who in turn sent these unqualified aides into the homes of Medicaid recipients throughout New York City and then billed the Medicaid program for their services. Under the terms of the agreements, Renaissance will pay a total of $1,000,000.
June 18, 2013; U.S. Attorney; Eastern District of Texas
Beaumont Orthodontist Guilty of Health Care Fraud Violations
BEAUMONT, Texas - A 70-year-old Beaumont orthodontist has pleaded guilty to health care fraud violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales today.
June 18, 2013; U.S. Attorney; Southern District of Texas
Ambulance Company Owner and Operator Heads to Federal Prison
HOUSTON - Julian Kimble, 48, has been handed a federal prison sentence following his convictions for conspiracy to commit health care fraud, conspiracy to commit money laundering and tax evasion, United States Attorney Kenneth Magidson announced today. Kimble pleaded guilty to these federal crimes on Nov. 29, 2011.
June 18, 2013; U.S. Attorney; Northern District of Georgia
Medical Business Owner Indicted for Medicaid Fraud
ATLANTA - Jennifer C. Alsdorf has been indicted on charges of health care fraud and wire fraud for filing over $500,000 in fraudulent claims with the Georgia Medicaid program.
June 17, 2013; U.S. Attorney; Eastern of Texas
Former Shelby County Couple Indicted for Health Care Fraud Violations
BEAUMONT, Texas - A Center, Texas, couple now living in Elgin, Texas, has been indicted and charged with health care fraud violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales today. Bill Harvill, 59, and his wife, Cathy Harvill, 56, were indicted by a federal grand jury on Mar. 27, 2013, and charged with theft of government money. They were arrested on June 7, 2013, in Elgin, Texas, and appeared before U.S. Magistrate Zachary J. Hawthorn today for an initial appearance. According to the indictment, from January 2007 to June 2010, the Harvills submitted false and fraudulent claims to Medicare and Medicaid in order to receive more than $624,000 from the Department of Health and Human Services.
June 17, 2013; U.S. Department of Justice
Owner of Louisiana-based Health Care Company Sentenced in Texas to 97 Months in Prison in Connection with $6.7 Million Medicare Fraud Scheme
The owner and operator of a Louisiana-based durable medical equipment (DME) company was sentenced today to serve 97 months in prison for his role in a $6.7 million Medicare fraud scheme, announced Acting Assistant Attorney General Mythili Raman of the Justice Department's Criminal Division; U.S. Attorney Kenneth Magidson of the Southern District of Texas; and Special Agent in Charge Mike Fields of the Dallas Regional Office of the U.S. Department of Health and Human Service's Office of the Inspector General
June 14, 2013; U.S. Attorney; Eastern District of New York
Former New York State Senate Majority Leader Pedro Espada, Jr. Sentenced To Five Years'
Imprisonment
Earlier today, Pedro Espada, Jr. was sentenced before Judge Frederic Block in U.S. District Court in Brooklyn, New York, to five years' imprisonment, to be followed by three years of supervised release, for theft of federal funds from Bronx-based non-profit healthcare clinics, and lying on his 2005 personal tax return. As part of that sentence, Judge Block ordered Espada to serve 100 hours of community service, restitution to the Internal Revenue Service in the amount of $118,531, restitution to the victims of his thefts in an amount to be determined, and forfeiture of $368,088. The court remanded Espada to the custody of the Bureau of Prisons. Espada is a former New York State Senator for the 33rd Senate District in the Bronx, who served as the New York State Senate Majority Leader from 2009 to 2010.
June 14, 2013; U.S. Attorney; District of Connecticut
Federal Jury Finds Brookfield Podiatrist Guilty of Medicare Fraud
Deirdre M. Daly, Acting United States Attorney for the District of Connecticut; Susan J. Waddell, Special Agent in Charge of U.S. Health and Human Services, Office of Inspector General for New England; and Kimberly K. Mertz, Special Agent in Charge of the Federal Bureau of Investigation, today announced that a federal jury in Hartford has found Samir Zaky, 38, of Brookfield, guilty of 14 counts of health care fraud and 14 counts of making false statements relating to health care matters.
June 14, 2013; U.S. Attorney; District of Maryland
Hagerstown Pharmacist Pleads Guilty To Health Care Fraud for Improperly Billing Medicare and
Medicaid
Baltimore, Maryland - David Russo, age 62, of Hagerstown, Maryland pleaded guilty today to health care fraud in connection with a scheme to defraud Medicare and Medicaid by billing for prescriptions that Russo knew were not written for a legitimate medical purpose.
June 13, 2013; U.S. Attorney; Southern District of Florida
Former CEO of Miami Beach Community Health Center Sentenced in Six Million Dollar Scam
Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Michael B. Steinbach, Special Agent in Charge, Federal Bureau of Investigation, Miami Field Office, and Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General, announced the sentencing of defendant Kathryn Abbate, 64, of Hollywood, FL, to 42 months in prison, to be followed by 3 years of supervised release.
June 12, 2013; U.S. Attorney; District of Massachusetts
Virginia Doctor Indicted for Perjury in Orthofix Investigation
BOSTON - A Virginia woman was charged today with making a false declaration to a grand jury. Ilene Terrell, 65, of Fredericksburg, Va., was indicted with making a false declaration to a grand jury. The indictment alleges that Terrell, a podiatrist, and representatives of Orthofix, Inc., manipulated patient medical records to induce Medicare to pay for claims for Orthofix bone growth stimulator medical devices that did not meet Medicare's payment guidelines. When Terrell was asked about these matters before the grand jury, she lied, claiming that she was not aware that any records had been manipulated.
June 12, 2013; U.S. Attorney; District of New Jersey
Internist Admits Taking Cash Kickbacks for Patient Referrals
NEWARK, N.J. - A Somerset County doctor practicing internal medicine at Newark Community Health Center, where she is the clinical director, today admitted receiving cash kickbacks for diagnostic testing referrals of her patients, U.S. Attorney Paul J. Fishman announced.
June 12, 2013; U.S. Attorney; Western District of Louisiana
Shreveport Doctor Sentenced For Health Care Fraud
SHREVEPORT, La. - United States Attorney Stephanie A. Finley announced that Edozie Chukwudinma Okereke, 57, of Shreveport, was sentenced Monday by U.S. District Judge S. Maurice Hicks Jr. to 21 months in federal prison with three years' supervised release for health care fraud. Okereke was also ordered to pay $679,836 in restitution to Medicare.
June 12, 2013; U.S. Attorney; District of Minnesota
Apple Valley Woman Sentenced for Defrauding a Home Health Care Company and Medica
MINNEAPOLIS-Earlier today in federal court, an Apple Valley woman was sentenced for defrauding both her employer and Medica. United States District Court Judge David S. Doty sentenced Lori Jo Mueller, age 48, to 51 months on one count of wire fraud and one count of health care fraud in connection to the crime. Mueller was charged on January 9, 2013, and pleaded guilty on February 4, 2013. In her plea agreement, Mueller admitted that from June of 2006 through June of 2012, she embezzled approximately $840,000 from Edelweiss Home Health Care, using the funds for her personal use.
June 11, 2013; U.S. Attorney; Eastern District of Pennsylvania
Doctor Convicted of Running Pill Mill and Contributing to a Death
Philadelphia - A federal jury, today, found Dr. Norman Werther, 74, of Ft. Washington, PA, guilty of more than 300 counts, including distribution of a controlled substance resulting in death. In addition to the charge of distribution resulting in death, the jury found Werther guilty of 184 counts of illegally distributing oxycodone, 116 counts of money laundering, six counts of conspiracy to distribute controlled substances, and one count of maintaining a drug-involved premises.
June 11, 2013; U.S. Attorney; Northern District of Ohio
Cleveland Man Sentenced To 12 Years In Prison For Leading Ring That Obtained Blank Prescriptions, Forged Them And Sold The Painkillers
A Cleveland man was sentenced to 12 years in prison for leading a ring that obtained blank prescription pads that were used to fraudulently obtain thousands of prescription painkiller pills, law enforcement officials announced today. Louis Eppinger, 53, led a conspiracy that forged prescriptions for Oxycontin and Percocet pills, hired people to have them filled at pharmacies throughout the region, then sold the pills on the street, according to court documents. He previously pleaded guilty to conspiracy to possess with intent to distribute Oxycodone, health care fraud and aggravated identity theft.
June 10, 2013; U.S. Department of Justice
Four Former WellCare Executives Found Guilty in Florida
A federal jury in Tampa found four former executives of WellCare Health Plans Inc., a health maintenance organization (HMO) operator, guilty of various charges, including health care fraud, making false statements relating to health care matters and making false statements to a law enforcement officer, announced Acting Assistant Attorney General Mythili Raman of the Justice Department's Criminal Division, U.S. Attorney Robert E. O'Neill of the Middle District of Florida and Special Agent in Charge Christopher B. Dennis of the U.S. Department of Health and Human Services Office of Inspector General, Office of Investigations Miami office.
June 10, 2013; U.S. Attorney; District of New Jersey
President of New Jersey Clinical Laboratory, Six Salesmen Admit Bribing Doctors for More Than $100 Million in Test Referrals
NEWARK, N.J. - The president of Parsippany, N.J.-based Biodiagnostic Laboratory Services LLC (BLS), three BLS employees and three associates admitted today to a conspiracy in which millions of dollars in bribes were paid to physicians over a number of years in exchange for blood sample referrals worth more than $100 million to the company, U.S. Attorney Paul J. Fishman announced.
June 6, 2013; U.S. Attorney; Northern District of Iowa
Cedar Rapids Dentist to Pay $100,000 to Resolve False Claims Act Allegations
Dennis Schuller, D.D.S., a Cedar Rapids dentist, has agreed to pay $100,000 to resolve allegations that he violated the False Claims Act by improperly billing the Medicaid system for certain x-rays and exams, medically unnecessary procedures, and other medically unnecessary items.
June 6, 2013; U.S. Department of Justice
Michigan Doctor Sentenced for Role in Medicare Fraud Scheme
Lansing-area resident Dr. Paul Kelly was sentenced to 18 months in prison today for his role in a $13.8 million Medicare fraud scheme. Acting Assistant Attorney General Mythili Raman of the Criminal Division; U.S. Attorney for the Eastern District of Michigan Barbara L. McQuade; Special Agent in Charge Robert D. Foley III of the FBI's Detroit Field Office; and Special Agent in Charge Lamont Pugh III of the U.S. Department of Health and Human Services, Office of Inspector General's Chicago Regional Office, made the announcement.
June 6, 2013; U.S. Attorney; Southern District of Texas
Stafford DME Owner Heads to Federal Prison for Health Care Fraud and Identity Theft
HOUSTON - Abdul Waheed Alex Shittu, 55, a naturalized United States citizen from the Federal Republic of Nigeria, has been sentenced to 81 months in federal prison following his convictions of conspiracy to commit health care fraud and aggravated identity theft, United States Attorney Kenneth Magidson announced today.
June 5, 2013; U.S. Attorney; Eastern District of Kentucky
London Physician Pleads Guilty to Health Care Fraud Charges in First Case of its Kind in Kentucky
FRANKFORT-A London, Kentucky cardiologist pleaded guilty to charges that he falsely recorded the severity of patients' illnesses in order to receive payment for numerous heart procedures. Sandesh Rajaram Patil, 51, a former cardiologist at St. Joseph's Hospital in London, admitted Tuesday in Frankfort to making false statements regarding the placement of heart stents. Stents are metal tubes surgically inserted into a patient's arteries in order to improve blood flow.
June 5, 2013; U.S. Attorney; District of South Dakota
California Man Sentenced for Failure to Pay Child Support
United States Attorney Brendan V. Johnson announced that a Livermore, California man charged with Failure to Pay Legal Child Support was sentenced on May 31, 2013 by U.S. Magistrate Court Judge John E. Simko.
June 5, 2013; U.S. Attorney; Northern District of California
San Jose Woman Sentenced To 13 Months in Prison for Role in Health Care Fraud Scheme
SAN JOSE - Gurinder Mand was sentenced today to 13 months in prison and ordered to pay $254,906.20 in restitution for her involvement in a health care fraud scheme operated out of a San Jose pharmacy, United States Attorney Melinda Haag announced.
June 5, 2013; U.S. Attorney; District of Connecticut
Substance Abuse Counselor Sentenced To Two Years in Federal Prison for Defrauding
Medicaid Program
Deirdre M. Daly, Acting United States Attorney for the District of Connecticut, announced that Alan Emmett Bradley, 57, formerly of Norwalk, Conn., and Ocoee, Fla., was sentenced today by United States District Judge Vanessa L. Bryant in Hartford to 24 months of imprisonment, followed by two years of supervised release, for defrauding Connecticut's Medicaid program. Bradley also was ordered to pay $151,898.75 in restitution.
June 3, 2013; U.S. Attorney; District of Connecticut
Stealth Dental Clinic Operator Pleads Guilty To Health Care Fraud and Tax Evasion Offenses
Deirdre M. Daly, Acting United States Attorney for the District of Connecticut; Susan J. Waddell, Special Agent in Charge of U.S. Health and Human Services, Office of Inspector General for New England, William P. Offord, Special Agent in Charge of IRS Criminal Investigation in New England, and Kimberly K. Mertz, Special Agent in Charge of the Federal Bureau of Investigation, announced that Gary F. Anusavice, also known as "Gary Andrews," "Gary Andrus" and "Gary Francis," 60, of North Kingstown, R.I., pleaded guilty today before United States Magistrate Judge William I. Garfinkel in Bridgeport to health care fraud and tax evasion offenses stemming from his involvement in a $20 million Medicaid fraud scheme.
June 5, 2013; U.S. Attorney; District of Maryland
Lenny Cain Convicted in Oxycodone Conspiracy
Baltimore, Maryland - A federal jury today convicted Lenny Cain, age 36, of Baltimore, Maryland, for conspiracy to distribute and possess with intent to distribute oxycodone, and for possession with intent to distribute oxycodone. The conviction was announced by United States Attorney for the District of Maryland Rod J. Rosenstein; Special Agent in Charge Karl C. Colder of the Drug Enforcement Administration - Washington Field Division; Special Agent in Charge Nicholas DiGiulio, Office of Investigations, Office of Inspector General of the Department of Health and Human Services; Anne Arundel County Police Acting Chief Lt. Colonel Pamela R. Davis; and Howard County Police Chief William McMahon.
June 3, 2013; U.S. Attorney; Eastern District of Pennsylvania
Doctor Convicted In Kickback Scheme Involving A Philadelphia Hospice
PHILADELPHIA - A federal jury has returned guilty verdicts against Eugene Goldman, M.D., 55, of Philadelphia, on one count of conspiring to violate the anti-kickback statute and four counts of violating the anti-kickback statute in relation to his role in a kickback scheme arising from his employment as the Medical Director at Home Care Hospice Inc. (HCH). U.S. District Court Judge Eduardo Robreno scheduled a sentencing hearing for September 9, 2013.
June 3, 2013; U.S. Attorney; Southern District of Texas
Local Physicians Sentenced Again - Must Pay More than $37 Million in Restitution
HOUSTON - Drs. Arun and Kiran Sharma, two local physicians previously sentenced for defrauding Medicare, Medicaid and more than a dozen private insurers, have appeared in federal court for a resentencing hearing on restitution and forfeiture issues, United States Attorney Kenneth Magidson announced today.
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