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Health Care Fraud Blog

Covers fraud in Medicare, Medicaid and insurance benefits.
By Robert David, Esq.

Post Frequency: 0.8/day

Last Entry: May 14, 2013 at 07:43:45

25 People Arrested Medicare Crackdown

Posted on May 14, 2013
WASHINGTON, D.C. (May 14,2013) A nation-wide takedown by the Medicare Fraud Strike resulted in charges being filed against 89 health care providers including doctors, nurses and other licensed medical professionals, for committing Medicare fraud to the tune of approximately $223 million in false claims billings...

OIG Issues Special Fraud Alert - PODs "Inherently Suspect"

Posted on March 26, 2013
WASHINGTON (March 26) ? The Office of the Inspector General of the Health and Human Services Department has issued a Special Fraud Alert that physician-owned distributorships (PODs) are ?inherently suspect? under the anti-kickback statute (AKS) and has listed suspicious characteristics that may increase the risk of fraud and abuse...

Convicted Houston Doctor Sentenced to More than 5 Years Behind Bars

Posted on March 13, 2013
HOUSTON (March 13) - A Texas doctor who was convicted of conspiracy to commit health care fraud and six counts of false statements relating to health care matters was sentenced today to serve 63 months behind bars. Ben Harris Echols, 63, of Houston, was convicted late last year of conspiring to commit health care fraud by falsifying plans of care for Medicare beneficiaries, including patients whom he did not treat, as part of a $17...

Deputy AG Lanny Breuer Leaves Justice Department

Posted on January 30, 2013
Washington (Jan. 30) -- Assistant attorney general of the Criminal Division, Lanny Breuer, is leaving the Justice Department. Breuer gained notoriety for defending president Bill Clinton against impeachment and for defending four-time Cy Young award winner, Roger Clemens...

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Medicare Fraud Strike Force Arrests 91 - 33 in South Florida

Posted on October 04, 2012
WASHINGTON, D.C. (October 4,2012) Today, U.S. Attorney General Eric Holder and U.S. Department of Health and Human Services Secretary Kathleen Sebelius announced at a joint press conference that Medicare Fraud Strike Force operations conducted one of the largest health care fraud takedowns in history...

Two Psychiatrists Sentenced to 10 Years in Prison for Medicare Fraud

Posted on October 02, 2012
MIAMI, FL - A Weston psychiatrist was sentenced on Monday to 10 years in for his role in what United States Department of Justice Health Care Fraud Strike Force prosecutor Jennifer Saulino called "one of the largest and most brazen health care fraud conspiracies in recent memory...

Psychiatrists Sentenced to 10 Years in Prison for Medicare Fraud

Woman Earns Sentence Reduction for Helping Feds Convict Brother

Posted on October 01, 2012
BATON ROUGE, La. (AP - Karen Rayburn, a 47-year-old Baton Rouge woman, who worked as a patient recruiter for several Louisiana durable medical equipment (DME) companies has been sentenced to 18 months in prison for her role in a Medicare fraud scheme...

Woman Earns Sentence Reduction for Helping Feds Convict Brother

Posted on September 29, 2012
BATON ROUGE, La. (AP - Karen Rayburn, a 47-year-old Baton Rouge woman, who worked as a patient recruiter for several Louisiana durable medical equipment (DME) companies has been sentenced to 18 months in prison for her role in a Medicare fraud scheme...

Two Home Health Care Agency Owners and Two Docs Among Nine Busted for Paying and Receiving Kickbacks for Medicare Patient Referrals

Posted on September 28, 2012
CHICAGO (September 25) - Two owners of Rosner home health care agency near Chicago and two physicians were among nine people charged in a 27-count indictment with federal offenses for paying and receiving kickbacks in exchange for the referral of Medicare patients for home health care services...

Pill Mill Crackdown Underway in Broward County

Posted on August 17, 2012
WESTON, FL (August 16 ) - At a news conference at DEA offices in Weston, FL, on Thursday regarding in the latest crackdown on South Florida pill mills - Phase II of the two-year Operation Pill Nation - it was announced that, seven doctors, three pain clinic owners at the Pompano Beach Medical Corp...

$20 MILLION HEALTH CARE FRAUD SCHEME NETS TWO OF MIAMI HOME HEALTH COMPANY OWNERS MORE THAN SIX YEARS IN PRISON

Posted on June 23, 2012
MIAMI (June 21) - Two Miami home health care agency owners of a were sentenced to 73 and 74 months in prison for their participation in a $20 million home health Medicare fraud scheme. Ariel Rodriguez was to 73 months in prison and three years of supervised release and Reynaldo Navarro was sentenced to 74 months in prison followed by three years of supervised release and were ordered to pay $14 million in restitution...

Judge Grants Downward Departure for Pharmacist

Posted on June 21, 2012
TAMPA (June 21) - Today, U.S. District Court Judge Virginia Hernandez Covington granted the defendan't motion for a downward variance from the sentence recommended by the advisory United States Sentencing Guidelines. As I sat in court and listened, I could not help but be very impressed with Judge Covington's keen insight into the application of the sentencing guidelines...

Detroit-Area Patient Recruiter Pleads Guilty

Posted on April 22, 2012
WASHINGTON ? A Detroit-area patient recruiter pleaded guilty today for his participation in a Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS). Daron Elder, 28, of Southfield, Mich...

N.J. Doctor Sentenced to Two Years in Prison for Health Care Fraud

Posted on April 15, 2012
NEWARK, N.J. ? Dr. Michael P. Stein, 63, a New Jersey doctor, was sentenced today to 24 months in prison for defrauding Blue Cross Blue Shield for approximately three-quarters of a million dollars by submitting false claims for services never performed...

Medicare Fraud Cases on the Rise

Posted on December 21, 2011
Medicare Fraud Cases on The Rise http://gooznews.com/?p=3453 By�GoozNews Federal prosecutors brought a record number of cases of�health care fraud�in fiscal 2011, a new report said, with Florida and its huge Medicare-dependent population remaining the epicenter of fraudulent claims...

Senators want better assessment of Medicare fraud detection program

Posted on December 21, 2011
BY�JOSEPH MARKS�12/20/2011 Medicare officials should better evaluate whether a new system designed to spot fraudulent claims and roll back the program's roughly $50 billion in annual improper payments is living up to its potential, a bipartisan group of senators said Tuesday...

Miami Medicare Fraud: Medicare fraud bill reintroduced

Posted on December 21, 2011
From the Miami Herald Blog: Medicare fraud bill reintroduced U.S. Rep. Ileana Ros-Lehtinen, R-Miami,�has reintroduced legislation that would double the fines and jail time for people convicted of Medicare fraud. It also creates a new criminal offense punishable with a 10 year minimum sentence for those who knowingly sell or distribute the ID numbers of Medicare beneficiaries...

Former Maxim Healthcare Services Senior Manager Sentenced To Prison For Health Care Fraud

Posted on December 06, 2011
FOR IMMEDIATE RELEASE Eight Others, Including Senior Managers, Previously Sentenced for Felony Charges Arising out of Maxim?s Activities TRENTON, N.J. ? A former senior manager and 13-year employee of Maxim Healthcare Services, Inc. (?Maxim?), was sentenced today to five months in prison and five months of home confinement with electronic monitoring for his involvement in the unlicensed operation of Maxim office that billed nearly a million dollars to government health care programs, J...

Former Owner And President Of Allied Health Care Services, Inc. Sentenced To More Than 16 Years In Prison In $135 Million Medical Equipment Lease Scheme

Posted on December 05, 2011
FOR IMMEDIATE RELEASE �Charles Schwartz Also Ordered to Pay $155 Million in Restitution and Forfeiture NEWARK, N.J. ? The former owner and president of Allied Health Care Services, Inc., an Orange, N.J., durable medical equipment corporation, was sentenced today to 195 months in prison for organizing and executing a $135 million phony lease scheme that caused losses of more than $80 million and victimized more than 50 financial institutions, U...

Medicare Fraud in New Jersey: Diakon agrees to pay federal government $10.5 million

Posted on December 04, 2011
Diakon agrees to pay federal government $10.5 million Diakon Hospice Saint John, which operates hospice care at facilities in Hazleton, Allentown, and Wyomissing, has agreed to resolve its liability for violations of the False Claims Act by paying the United States $10...

Patient Recruiter Pleads Guilty in Connection with $5.4 Million Medicare Fraud Scheme in Detroit

Posted on December 03, 2011
Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Tuesday, November 29, 2011 Patient Recruiter Pleads Guilty in Connection with $5.4 Million Medicare Fraud Scheme in Detroit WASHINGTON ?�A patient recruiter pleaded guilty today for his participation in a Medicare fraud scheme operated out of three Detroit-area health care clinics, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS)...

Pompano Beach, Fla.-Area Assisted Living Facility Owner Pleads Guilty to Fraud and Kickback Scheme

Posted on December 03, 2011
Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Wednesday, November 30, 2011 Pompano Beach, Fla.-Area Assisted Living Facility Owner Pleads Guilty to Fraud and Kickback Scheme WASHINGTON ? The owner and operator of a Pompano Beach, Fla...

Health Care Fraud Strike Force in Baton Rouge LA Catches 4 Louisiana Physicians Writing Hundreds of Bogus Prescriptions

Posted on November 22, 2011
BATON ROUGE, La. ? Four Louisiana physicians wrote hundreds of bogus prescriptions that powered multimillion-dollar health-care frauds in the Baton Rouge area, according to evidence amassed by the nearly two-year-old local Medicare Fraud Strike Force...

Miami Health Care Fraud: ALF operators, recruiters plead guilty in major Medicare fraud case

Posted on November 22, 2011
Operators of South Florida assisted-living facilities and halfway houses charged in one of the nation?s biggest Medicare fraud cases are rushing to plead guilty rather than face risky trials and long prison sentences. Six defendants are now looking at shorter federal sentences because of their plea agreements...

Miami Medicare Fraud: Feds targeting South Florida halfway-house owners who take kickbacks for Medicare patients

Posted on November 13, 2011
The article below illustrates why having excellent legal defense for Medicare and Healthcare Fraud is so important. If you have been accused of Medicare, Medicaid, or Healthcare Fraud, contact Robert Malove for a free consultation. 954-861-0384 From the Miami Herald, Nov 13, 2011 jweaver@MiamiHerald...

White Collar Crime: Health Care Fraud (2010-2011 ed.)

Posted on November 10, 2011
Book Reviews By Jon May Originall posted at: http://www.nacdl.org/champion.aspx?id=22923 White Collar Crime: Health Care Fraud (2010-2011 ed.) By Benson Weintraub and Robert David Malove Thomson West (2010) Reviewed by Jon May Health care fraud costs American taxpayers an estimated $60 billion a year...

Attorney general in Tampa to discuss prescription drug abuse

Posted on November 06, 2011
TAMPA -- Originally from: http://www2.tbo.com/news/news/2011/oct/28/2/attorney-general-to-speak-on-efforts-to-battle-pre-ar-298876/ Nine doctors and two pharmacists were among 22 people caught in a federal drug sweep today Friday accusing them of illegally peddling prescription drugs...

You Gotta Know When to Hold 'Em and Know When to Fold 'Em

Posted on November 06, 2011
It never ceases to amaze me when I am hired to represent a client at sentencing who has just been found guilty of Medicare fraud when they say to me, "You know Mr. Malove, I just didn't see this coming." I don't know what to tell these clients. At this stage of the game, I must admit that in my mind I wonder how they didn't at least consider the possibility that a jury wouldn't believe their version...

You Gotta Know When to Hold 'Em and Know When to Fold 'Em

Posted on November 02, 2011
I never ceases to amaze me when I am hired to represent a client at sentencing who has just been found guilty of Medicare fraud when they say to me, "You know Mr. Malove, I just didn't see this coming." I don't know what to tell these clients. At this stage of the game, I must admit that in my mind I wonder how they didn't at least consider the possibility that a jury wouldn't believe their version...

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