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Multi-Million Dollar Health Care Fraud Scheme Involving Sober Homes and Alcohol and Drug Addiction Treatment Centers

Drug use and prostitution encouraged at substance abuse treatment centers accused of fraudulent insurance claims.  FL – April 26, 2017 – In one of the most blatant fraudulent insurance claims schemes, four defendants, including two sober home owners, the clinical director of a substance abuse treatment center, and a sales representative for multiple diagnostic laboratories…

Medicare Bilked for $100 Million in New Jersey Test-Referral Scheme

Newark, N.J. – April 18, 2017 – The HHS OIG, FBI, IRS, and U.S. Postal Inspection Service have collaborated in what could be the largest number of medical professionals prosecuted in a bribery case. With some $100 million in false payments by Medicare, this test-referral scheme involved physicians taking bribes for referring blood samples to…

Hospice Companies To Pay $12.2 Million To Settle False Kickbacks

DALLAS – April 18, 2017 – In a massive kickback scheme, International Tutoring Services, LLC, f/k/a International Tutoring Services, Inc., and d/b/a Hospice Plus; Goodwin Hospice, LLC; Phoenix Hospice, LP; Hospice Plus, L.P.; and Curo Health Services, LLC f/k/a Curo Health Services, Inc. have agreed to pay $12.21 million to resolve allegations that they violated…

A Tool for Practical Compliance: The HCCA – OIG Compliance Resource Guide

Data quality is the most important element of a compliance practice. FACIS ® is the gold standard of health care data. The result of a Compliance Effectiveness Roundtable held January 17, 2017 in Washington DC is the, “Measuring Compliance Program Effectiveness – A Resource Guide” (https://oig.hhs.gov/compliance/101/files/HCCA-OIG-Resource-Guide.pdf). Participants of the round table included compliance professionals and…

Pharmacist Pleads Guilty To Conspiracy To Pay Healthcare Kickbacks

Tampa, FL – April 12, 2017 – Acting United States Attorney W. Stephen Muldrow announces that Carlos Mazariegos (40, St. Petersburg) has pleaded guilty to conspiracy to commit healthcare fraud. He faces a maximum penalty of five years in federal prison. According to court documents, Mazariegos was a licensed pharmacist who co-owned Lifecare Pharmacy in…

Another $2 Million Incontinence Supply Scheme

Owner of durable medical equipment company indicted for health care fraud and related offenses. Defendant Accused of Billing D.C. Medicaid for Supplies That Were Not Provided WASHINGTON – Emeka H. Chijioke, 40, formerly of Atlanta, Ga., and Nigeria, has been indicted on charges alleging that he schemed to defraud the District of Columbia’s Medicaid program…

$1.6 Million Settlement for Submitting False Claims for Medicare Services

Oklahoma City, Oklahoma –NORMAN REGIONAL HOSPITAL AUTHORITY d/b/a NORMAN REGIONAL HEALTH SYSTEM; GREG TERRELL; CHADWICK WEBBER, M.D.; MERL KARDOKUS, M.D.; RICK WEDEL, M.D.; GAUTHAM DEHADRAI, M.D.; BARBARA LANDAAL, M.D.; and SANJAY NAROTAM, M.D., have agreed to pay $1,618,750 to the United States to settle civil claims stemming from allegations that the hospital submitted false claims…

Physician Pleads Guilty to One Count of Conspiracy to Pay and Receive Illegal Kickbacks

Acting U.S. Attorney Duane A. Evans announced that JOBIE CREAR, M.D., age 70, of New Orleans, pled guilty today to one count of conspiracy to pay and receive illegal kickbacks. John Benson, CEO of Verisys believes that proper screening and verifications using robust and current data is the answer to what typically results in a…

McAllen Area Durable Medical Equipment Company Owner Convicted of Defrauding Medicaid

McALLEN, Texas ‐ The owner of a durable medical equipment company has entered a guilty plea to defrauding Medicaid of more than $3 million, announced Acting U.S. Attorney Abe Martinez. Anna Ramirez-Ambriz, 55, of McAllen, owned Compassionate Medical Supply located in Edinburg. As part of her plea today, she admitted she submitted false and fraudulent…

Federal Jury Convicts Doctor of $40 Million Medicare Fraud

In another case of a federal jury conviction of medicare fraud, the home health care sector provided ample opportunity to defraud the federal government out of $40 million and after expenses towards investigation, $4 million is ordered in restitution, nearly $2 million in fines and jail time. Following a five-day trial before U.S. District Judge…