Health Care Fraud Blog: Criminal Law

Home -> Law Blog Directory -> Criminal Law Blogs

OR PHONE (866) 635-1838 for Bankruptcy Help, (866) 635-6190 for Divorce,
(866) 635-2689 for Personal Injury or (866) 635-9402 for Criminal Defense

Find a Local Lawyer

Bankruptcy (866) 635-1838
Divorce (866) 635-6190
Personal Injury (866) 635-2689
Criminal Defense (866) 635-9402

Criminal Law

Health Care Fraud Blog

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

Post Frequency: 0.6/day

Last Entry: March 02, 2011 at 00:22:24

$60 Billion A Year In Medicare Fraud, Where Does That Number Come From?

Posted on November 06, 2009
In a Sixty Miutes piece on Medicare Fraud, reviewed by the HCFBlog here, Steve Kroft claimed the government loses $60 Billion to health care fraud. The piece, otherwise quite good, then goes on to describe some of what we...

West Publishing to Release White Collar Crime: Health Care Fraud Practice Guide

Posted on November 05, 2009
After 15 long months of hard word work, West Publishing is almost ready to release my book. The book is expected to be released before the end of the month. In the mean while, the publisher just sent me...

You?re Probably A Federal Criminal

Posted on August 03, 2009
Of general interest and with particular application in health care, the federal government has, over the course of several decades, criminalized an entire range of behavior that most people did not know or perceive to be criminal. This is not...

Legislative Wrap Up: Miami-Dade County as the Epicenter of Health Care Fraud

Posted on July 22, 2009
We have previously written about the federal government?s HEAT, a task force dedicated to rooting out health care fraud in several cities very prominently including Miami. In the last legislative session, the Sate of Florida also got into the Act....

To access this complete feed in the blog feed reader login or register for free.

Florida Gets Tough on DME Licensure, Operating Home Health Agencies & Clinics

Posted on July 21, 2009
Florida is among the few states that permit what is referred to as the ?corporate practice of medicine.? In many other states, medical and other health care entities are required to be owned by medical professionals individually or through professional...

Another Internet Pharmacy Trial Ends in Mistrial

Posted on July 15, 2009
By Robert David Malove, Esquire Exclusive to the Health Care Fraud Blog SAN DIEGO (July 15) In San Diego, on the 44th day of a trial highly touted ?Affpower enterprise? internet pharmacy prosecution by the Justice Department, seven defendants learned...

The HEAT is on!

Posted on July 14, 2009
A new moniker in the long list of federal task forces. Federal Agencies generally get the three letter moinker; FBI, IRS, CIA, OIG, DOD, etc. Task forces get more letters and try to do acronyms; HIDTA (DEA), FinCEN, OFAC (Treasury),...

Medicare Fraud and Cuba?

Posted on July 03, 2009
The recent arrests of by the DOJ-HHS health care fraud task force, HEAT, of 52 individuals related to Medicare Fraud in Detroit, and the allegation that the crimes were somewhat commuter crimes, brought to Detroit from Miami has also raised...

CEO of Insurer, WellCare, Resigns Following Fraud Settlement

Posted on July 02, 2009
The CEO of WellCare Health Plans, Inc., Health Schiesser, resigned after the insurer reached an agreement to settle claims with the federal government and Florida Medicaid for $80 million. The company is also keeping a reserve of $50 million to...

Miami Physician Sentenced to 97 Months in HIV Infusion Fraud

Posted on July 01, 2009
MIAMI, FL (June 29) In the ongoing prosecutions by the joint DOJ-HHS task force, another physician, Roberto Rodriguez was sentenced to 97 months in prison and ordered to pay over $9,000,000 in restitution in connection with $20,000,000 in fraudulent claims...

THOMPSON-WEST SELECTS FORT LAUDERDALE LAWYERS WEINTRAUB & MALOVE TO WRITE HEALTH CARE FRAUD PRACTICE GUIDE

Posted on June 30, 2009
FOR IMMEDIATE RELEASE FORT LAUDERDALE, FL (June 29) After conducting a nationwide search, Thompson-West, the leader in legal information solutions, has selected Fort Lauderdale lawyers, Benson Weintraub and Robert David Malove to develop a guide and treatise in the area...

EIGHT MORE MIAMI-AREA RESIDENTS CHARGED IN $22 MILLION MEDICARE FRAUD SCHEME INVOLVING HOME HEALTH CARE

Posted on June 28, 2009
MIAMI, FL (June 26) - Gladys Zambrana, Javier Zambrana, Enrique Perez, Alejandro Hernandez Quiros aka Alex Hernandez, Vanessa Estrada, Vicenta Tellechea, Modesto Hidalgo and Carlos Castaneda were indicted in connection with an alleged $22 million Medicare fraud scheme operated out...

Medicare Fraud Strike Force Operations Lead to Charges Against 53 Doctors, Health Care Executives and Beneficiaries for More Than $50 Million in Alleged False Billing in Detroit Early Morning Takedown Leads to Arrests in Detroit, Miami and Denver

Posted on June 25, 2009
WASHINGTON (June 24, 2009) ? According to a joint press release issued by the Department of Justice Press U.S. Department of Health and Human Services, fifty-three people have been indicted for schemes to submit more than $50 million in...

Pharmaceutical Company Manager Sentenced for Off-Label Marketing

Posted on June 19, 2009
A Branchburg, NJ, woman, Mary Holloway, age 47, was sentenced in U. S District Court in Massachusetts for violating the Food, Drug and Cosmetic Act for marketing the drug Bextra for uses and dosages that were not approved by the...

OWNER OF AGING CARE HOME HEALTH CARE SENTENCED IN FEDERAL COURT FOR FALSIFYING HEALTH CARE RECORDS

Posted on June 16, 2009
On June 15th, JANICE DAVIS, age 62, of West Monroe, was sentenced in United States District Court for the Western District of Lousianna for healthcare fraud. DAVIS was sentences to spend 15 months in federal prison and a term of...

Maimi Herald Reporter Wins Award for Medicare Fraud Expos�

Posted on June 01, 2009
The Miami Herald received 17 Sunshine State Awards Saturday, including top honors for coverage of deadly storms in Haiti, Medicare scandals, failed transit projects and rogue mortgage brokers. The South Florida chapter of the Society of Professional Journalists awarded The...

ACHA Conducts ?Sweep? Of Entire County Of Providers

Posted on May 28, 2009
?Sweeps? among law enforcement are generally used in high drug crime areas to literally sweep in and arrest as many people as possible to clear out the drug dealing in that area. In a modification of the theme, the State...

The HEAT is on as Feds Launch Crackdown on Healthcare Fraud

Posted on May 21, 2009
According to a press release, HHS Secretary Kathleen Sebelius and Attorney General Eric Holder launched an interagency high-level task force to help detect and prevent health-care fraud, which robs the nation's coffers of billions of dollars each year...

Wyeth Gets Agita From Whistleblower Law Suit Seeking Hundreds Of Millions For Stomach Acid Medication Rebates

Posted on May 20, 2009
The Justice Department and 16 Attorneys General joined a whistleblower lawsuit alleging that Wyeth Labs offered lower prices on two prescription drugs that were not offered to the Medicaid Programs of the various states avoiding hundreds of millions of dollars...

Number of Medicare Fraud Fugitives Leads To Stricter Supervision Of Charged Defendants

Posted on May 20, 2009
Some 60 defendants charged with Medicare Fraud in the Southern District of Florida have fled pending trial since 2004. Many who have fled are of Cuban origin, leading authorities to conclude that they have returned to Cuba, which is generally...

Medicare Errors Account For $2.8 Billion A Year

Posted on May 17, 2009
One study by CMS found that up to 70% of payments for some medical equipment should not have been due to a failure to document the medical necessity for the equipment provided under CMS guidelines. In 2008, the errors resulted...

Citing Savings, OIG to Increase Fraud Enforcement

Posted on May 12, 2009
Newly appinted Secretary of HHS, Kathleen Sebelius, has stressed health care fraud enforcement, citing that for every dollar spent on fraud and abuse detection and enforcement, the government receives $1.55 in savings. $1.7 billion over the next ten years has...

Pharmaceutical Wholesaler Agrees To $500,000 Settlement On Diverted Drugs

Posted on May 08, 2009
An Ohio pharmaceutical wholesaler, Masters Pharmaceutical, Inc, agreed to pay $500,000 and entered into a consent decree pertaining to compliance with DEA regulations in settlement of claims that the distributor unlawfully supplied controlled substances to unlawful internet pharmacies and failed...

WellCare to pay $80 million to Florida Medicaid, Healthy Kids

Posted on May 06, 2009
WellCare Health Plans, Inc., Florida ?s largest managed care provider, has agreed to pay $80 million in forfeiture and restitution to Florida?s Medicaid program. WellCare also entered into an agreement for compliance and monitoring in a deferred prosecution agreement with...

Scam Artists Hawk Fraudulent Medicare Kit

Posted on May 05, 2009
Telemarketers in Houston are pushing ?Medicare approved arthritis kits? that are really an assortment of DME and prosthetic devices billed to Medicare individually. Barbara McGinity with the Better Business Bureau explains that the scam artists have taken something Medicare will...

New Mortgage Fraud Law May Expand False Claims Act

Posted on May 01, 2009
The Senate recently approved the Fraud Enforcement and Recovery Act of 2009, originally designed to combat mortgage fraud, however the Act also expands the Federal False Claims Act, generally brought by whistleblowers against health care providers. Pursuant to the...

The Rise & Fall of a Home Health Care Company

Posted on May 01, 2009
HealthEssentials was a Louisville, KY company providing nurse practitioner services to geriatric patients at assisted living facilities and nursing homes. The company, which started in 1998, grew quickly and at one point had operations in 18 states with revenues of...

Medicaid Fraud With a Twist

Posted on April 30, 2009
A garden variety Medicaid fraud case with a twist. A pharmacist in the Pittsburgh area was arrested for false claims to Medicaid and a private insurer for medications not ordered or provided. However, the pharmacist is also accused of submitting...

Medicaid Fraud Enforcement Doubles In NY

Posted on April 30, 2009
Attorney General Andrew Cuomo announced that the State of New York has recovered $263 million in Medicaid funds in 2008, the most in any year and up from $114 million in 2007. $35 million came from one managed care provider,...

What is Medical Necessity?

Posted on April 28, 2009
The term ?medically necessary? in the context of Medicare and Medicaid reimbursement has been under some scrutiny lately. Medicare defines "medical necessity" as services or items reasonable and necessary for the diagnosis or treatment of illness or injury or to...

Previous | Next

Related Law Bulletins

Massachusetts: Medical Malpractice Statute of Repose Doesn't Apply to Fraud Claim
Massachusetts Lawyers Weekly reports that a lawsuit against a doct...

Immigration Lawyer And Assistant Found Guilty Of Visa Fraud
The United States Attorney's Office for the Southern District of T...

Washington Mutual (WaMu) and First American Corporation Appraisal Fraud

USCIS Warns Of Potential For Immigration Fraud
Although Congress has been debating immigration legislation, every...

Homeowners Have Added Protection Against Mortgage Fraud
Albany, NY: The Governor of New York, Eliot Spitzer, is an advocat...