Yelena Galper was charged in 2011 in the U.S. District Court for the Eastern District of New York with engaging in a health care fraud and money laundering conspiracy which allegedly laundered proceeds from Medicare at three medical clinics in the Brooklyn, New York, area, Bay Medical Care, PC; SVS Wellcare Medical PLLC, and SZS… Continue Reading
Category Archives: Health Care Fraud
Subscribe to Health Care Fraud RSS FeedNotorious Nursing Home Operator Found Guilty
Posted in Health Care FraudGeorge Houser of Atlanta was found guilty by Judge Harold Murphy following a month long trial in federal court in Rome, Georgia. Houser was found guilty of health care fraud for billing Medicare and Medicaid more than $32 million related worthless services in the operation of three nursing homes he ran in Rome and Brunswick, Georgia…. Continue Reading
Broward County, FL, Physician Acquitted on Kickback Charges
Posted in Acquittal, Health Care FraudYesterday, a jury in the U.S. District Court for the Southern District of Florida returned not guilty verdicts against 78 year-old Francisco H. Gonzalez, M.D., on charges that Dr. Gonzalez allegedly took thousands in kickbacks from two Miami-area home healthcare agencies, ABC Home Health Care and Florida Home Health Providers (FHHP), according to the Miami Herald. Also… Continue Reading
DOJ Report on Health Care Fraud FY 2011
Posted in Health Care Fraudhealth care fraud, Department of Justice, Health and Human Services, pharmaceutical, fines, forfeiture, restitution, False Claims Act
Who is Dr. Arthur Jordan and Why’s the Government Protecting This Guy
Posted in Appeals, Health Care FraudRoy Black, appeal, Dr. Arthur Jordan, confrontation clause, controlled substances, government expert witness, prescriptions, legitimate medical purpose
Phony Doctor Indicted in Atlanta Federal Court for Fraudulently Billing Medicare
Posted in Health Care FraudMatthew Paul Brown, of Nashville, Tennessee, was indicted late last week in the U.S. District Court for the Northern District of Georgia for allegedly persuading Atlanta area physicians to submit claims to Medicare, Medicaid and private insurers, according to an article in the Atlanta Journal-Constitution. Brown, who is not licensed as a physician in Georgia,… Continue Reading
Prominent Cuban-American Acquitted of Healthcare Fraud in the 1990s, Indicted a Second Time for Submitting False Claims to Medicare
Posted in Fraud, Health Care FraudErnesto Angel Montaner, aged 70, a member of a prominent Miami Cuban family, is facing healthcare fraud charges for the second time, according to the South Florida Sun Sentinel. Montaner was the sole defendant acquitted in a vast healthcare fraud prosecution in the 1990s for an alleged $15 million in false claims to Medicare. The… Continue Reading
HHS/DOJ Report Provides Overview of Government’s Enforcement Efforts in Healthcare Sector
Posted in Health Care FraudThe U.S. Department of Health and Human Services (HHS) and the U.S. Department of Justice (DOJ) released their annual Health Care Fraud and Abuse Control Program (HCFAC) Report for fiscal year 2009 earlier this month, available in full here. DOJ and HHS jointly run HCFAC through the Inspector General of HCFAC. The Report provides a… Continue Reading
Johnson & Johnson Subsidiary Ortho-McNeil Pleads Guilty to Promoting Epilepsy Drug for Unapproved Uses; Settles Civil Suit for $75 Million
Posted in Health Care FraudOrtho-McNeil, a unit of Johnson and Johnson, entered a guilty plea on Tuesday in the U.S. District Court for the District of Massachusetts to a misdemeanor for alleged illegal promoting of Topamax, a drug designed to treat epilepsy, for uses not approved by the Food and Drug Administration, according to PR Newswire. The government alleged that Ortho-McNeil… Continue Reading
Miami Man Receives 41 Months for $8 Million Fraud Against Medicare in South Georgia
Posted in Fraud, Health Care FraudOn Monday, Jose Garcia-Iglesias was sentenced to 41 months imprisonment in the U.S. District Court for the Southern District of Georgia as a result of a scheme to bill Medicare for $8 million in phantom infusion therapy services and cancer and AIDS medications, according to a press release. Garcia-Iglesias, who is from Miami, billed… Continue Reading
Adult Urinary Incontinence Supplies Fraud? DME Owner Pleads Guilty to Healthcare Fraud and Identity Theft
Posted in Fraud, Health Care FraudIn another sign that nothing is sacred and no area safe from crime, even the adult undergarment industry has now been marred by fraud. Benjamin Essien, 34, owner and operator of Logic World Medical, a Houston-based durable medical equipment (DME) company, pled guilty to conspiracy to commit healthcare fraud, five counts of healthcare fraud and… Continue Reading
Defendant Convicted for $1.1 Million Georgia Medicaid Fraud
Posted in Health Care FraudA jury in the U.S. District Court for the Northern District of Georgia convicted Varian Scott of healthcare fraud on Monday, as stated in a press release by the U.S. Attorney’s Office. Between September 2005 and April 2006, Scott and his cousin, Hezron Collie, purchased physicians’ prescription pads from individuals at the Winship Cancer Institute… Continue Reading
Baucus Healthcare Bill Amends Medicare Anti-Kickback Provision
Posted in Health Care FraudWe at FCDB read H.R.3200, “America’s Affordable Health Choices Act of 2009,” earlier this year (well okay, perhaps we didn’t “read” it all, maybe skimmed is a better description) and were surprised to find that it appeared to add nothing to our nation’s ever-growing corpus of criminal provisions. Well, yesterday, Montana Senator Max Baucus released… Continue Reading
Pfizer Enters Largest Healthcare Fraud Settlement in U.S. History
Posted in False Claims, Fraud, Health Care Fraud, Money LaunderingPharmaceutical giant Pfizer, inc., will pay $2.3 billion to the Federal government and 49 States to settle allegations that it violated federal regulations in promoting several drugs, as reported by the Atlanta Journal-Constitution. The settlement is the largest in U.S. history to date in a healthcare fraud case. Georgia will receive $21.7 million as part of… Continue Reading
Defendant Sentenced for Phony Medicare Claims Netting $3 Million
Posted in Health Care FraudAlain Amador was sentenced yesterday in the U.S. District Court for the Northern District of Georgia for a Medicare fraud ring, as reported by the Atlanta Business Chronicle. Amador pled guilty on March 3 to charges relating to a scheme using fake medical clinics in the Atlanta area. Amador, who had a nursing degree, and… Continue Reading
Two National Century Financial Enterprises executives were sentenced to 30 and 25 years on Friday
Posted in Health Care Fraud, High Profile CasesTwo NCFE executives were sentenced to 30 and 25 years imprisonment on Friday in U.S. District Court in Columbus, Ohio.
Price Tag for Health Care Fraud – $9.3 Billion
Posted in Health Care FraudAs reported by the Atlanta Business Chronicle, a new study has suggested that health care fraud may be one of the biggest factors driving up the cost of health care. Researchers at Brigham and Women’s Hospital in Boston will publish in the Annals of Internal Medicine this month that health care fraud cases over the… Continue Reading