Wednesday, November 30, 2011

HHS OIG Health Care Fraud Cases

November 29, 2011; U.S. Attorney; Southern District of Texas

Local Music Producer and Club Owner Convicted on Multiple Federal Charges External link
HOUSTON - Julian Kimble, 46, has pleaded guilty to conspiracy to commit healthcare fraud, conspiracy to commit money laundering and tax evasion, United States Attorney Kenneth Magidson announced today. Kimble is the owner of Pearl Records and Pearl Entertainment and investor in Grooves Restaurant & Lounge.

November 29, 2011; U.S. Department of Justice

Patient Recruiter Pleads Guilty in Connection with $5.4 Million Medicare Fraud Scheme in Detroit External link
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).

November 29, 2011; U.S. Department of Justice

Owner of Houston Health Care Company Pleads Guilty to Defrauding Medicare External link
WASHINGTON - The owner of a Houston health care company pleaded guilty today in connection with a Medicare fraud scheme involving durable medical equipment (DME), announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS).

November 28, 2011; U.S. Attorney; Eastern District of Michigan

Southfield Family Practice Doctor, Dr. Gwendolyn Washington, Sentenced To 120 Months For Public Corruption, Illegal Prescription Drug Trafficking And Health Care Fraud External link
Dr. Gwendolyn Washington, M.D., age 67, was sentenced today to 120 months imprisonment for public corruption, health care fraud, and conspiring to illegally distribute prescription drugs, United States Attorney Barbara L. McQuade announced. McQuade was joined in the announcement by Andrew G. Arena, Special Agent in Charge, Federal Bureau of Investigation, Detroit Field Division and Lamont Pugh, III, Special Agent in Charge, Department of Health and Human Services, Office of Inspector General. Dr. Washington was sentenced by the Honorable Paul D. Borman.

November 22, 2011; U.S. Department of Justice

Detroit-Area Foot Doctor Pleads Guilty to Medicare Fraud Scheme External link
WASHINGTON - A Detroit-area foot doctor pleaded guilty today for his participation in a Medicare fraud scheme, announced the Department of Justice, FBI and the Department of Health and Human Services (HHS).

November 22, 2011; U.S. Department of Justice

U.S. Pharmaceutical Company Merck Sharp & Dohme to Pay Nearly One Billion Dollars Over Promotion of Vioxx® External link
WASHINGTON - American pharmaceutical company Merck, Sharp & Dohme has agreed to pay $950 million to resolve criminal charges and civil claims related to its promotion and marketing of the painkiller Vioxx® (rofecoxib), the Justice Department announced today. Under the terms of the resolution, Merck will plead guilty to a one-count information charging a single violation of the Food Drug and Cosmetic Act (FDCA) for introducing a misbranded drug, Vioxx�, into interstate commerce. Under the terms of its plea agreement with the United States, Merck will plead guilty to a misdemeanor for its illegal promotional activity and will pay a $321,636,000 criminal fine.

November 22, 2011; U.S. Department of Justice

United States Files Complaint Against BestCare Laboratory Services Alleging False Claims for Medicare Funds External link
WASHINGTON - The United States filed a complaint against BestCare Laboratories, Inc. and its founder and principal, Karim A. Maghareh, in the U.S. District Court for the Southern District of Texas, the Justice Department announced today. The suit alleges that the defendants knowingly misrepresented the distances traveled by its lab technicians to artificially increase reimbursement from Medicare for mileage-based technician travel allowance fees.

November 21, 2011; U.S. Attorney; Southern District of Florida

Miami Man Sentenced For Stealing Identity Information From DCF Computers For Use In Medicare Fraud Scam External link
Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Henry Gutierrez, Postal Inspector in Charge, United States Postal Inspection Service, Miami Division, Vance Luce, Acting Special Agent in Charge, U.S. Secret Service, John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office, and James K. Loftus, Director, Miami-Dade Police Department, announced today's sentencing of Yenky Sanchez, 25, of Miami, for conspiring to commit health care fraud, in violation of Title 18, United States Code, Section 1349; conspiring to commit authentication feature fraud, in violation of Title 18, United States Code, Sections 1028(a)(3) and (f); and aggravated identity theft, in violation of Title 18, United States Code, Section 1028A(a)(1). U.S. District Judge Cecilia M. Altonaga sentenced Sanchez to 65 months in prison, followed by three years of supervised release. Judge Altonaga also imposed a $5,000.00 fine.

November 21, 2011; U.S. Attorney; District of New Jersey

Former Maxim Healthcare Services Senior Manager Sentenced to Prison for Health Care Fraud External link
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. Gilmore Childers, First Assistant U.S. Attorney announced.

November 17, 2011; U.S. Attorney; District of Rhode Island

Nationwide Supplier of Medical Equipment Pleads Guilty to Health Care Fraud, Money Laundering & Selling Adulterated and Misbranded Medical Devices External link
PROVIDENCE, R.I. - The owner of Planned Eldercare, a nationwide supplier of durable medical equipment located in Buffalo Grove, Ill., pled guilty today in U.S. District Court in Providence, R.I., to defrauding the Medicare program by targeting arthritic and/or diabetic Medicare beneficiaries, and ensuring that his company ordered and shipped medical equipment and supplies to Medicare beneficiaries that they did not order and/or were not medically necessary.

November 17, 2011; U.S. Department of Justice

Houston Patient Recruiter Sentenced to 21 Months in Prison for Medicare Fraud Scheme Involving Claims of Hurricane Damage to Power Wheelchairs External link
WASHINGTON - A patient recruiter for a Houston durable medical equipment (DME) company was sentenced today to 21 months in prison for her role in a health care fraud scheme involving power wheelchairs, announced the Department of Justice, FBI and the Department of Health and Human Services.

November 17, 2011; U.S. Attorney; Northern District of California

Three Bay Area Residents Charged With Oxycodone Trafficking External link
SAN FRANCISCO - A federal grand jury in San Francisco returned an indictment in which three Bay Area residents are charged variously with conspiracy; possession with intent to distribute oxycodone and oxymorphone; distribution of oxycodone and oxymorphone; and possession of a firearm by a felon, United States Attorney Melinda Haag announced. The prosecution is the result of a seven month, multi-district investigation by the Federal Bureau of Investigation, Drug Enforcement Agency, and Health and Human Services.

November 17, 2011; U.S. Department of Justice

Fort Lauderdale, Fla.-Area Assisted Living Facility Manager Pleads Guilty to Fraud and Kickback Scheme External link
WASHINGTON - The manager of a Fort Lauderdale, Fla.-area assisted living facility and owner of a purported community mental health center pleaded guilty yesterday for his role in a Medicare fraud kickback scheme that funneled patients through a fraudulent mental health company, American Therapeutic Corporation (ATC), announced the Department of Justice, FBI and Department of Health and Human Services.

November 16, 2011; U.S. Attorney; District of New Jersey

Top New Jersey Prescriber of Drugs to Medicaid Patients Sentenced to 43 Months in Prison for Fraud Scheme Involving Fake Physicians External link
NEWARK, N.J. - A doctor with a practice in Elizabeth, N.J., was sentenced today to 43 months in prison for operating a health care fraud scheme in which patients were exposed to treatment during 20,000 patient visits from individuals who made as little as $10 an hour to pose as licensed physicians, U.S. Attorney Paul J. Fishman announced.

November 16, 2011; U.S. Attorney; Southern District of Texas

Houston Man Arrested for Health Care Fraud External link
HOUSTON - Endurance Iyamu, 47, of Houston, has been indicted and arrested for devising and executing a scheme to commit health care fraud, United States Attorney Kenneth Magidson announced today. Iyamu will appear for his arraignment and detention hearing on Friday, Nov. 18.

November 16, 2011; U.S. Attorney; Southern District of Texas

Arrested in Florida, Couple to Appear in Houston on Charges of Bankruptcy Fraud External link
HOUSTON - Husband and wife Michael Giventer and Julia Shvabskaya have been arrested for devising and executing a scheme to commit bankruptcy fraud and defrauding several creditors in Texas and elsewhere, U.S. Attorney Kenneth Magidson announced today. Giventer and Shvabskaya orchestrated the formation of multiple business entities allegedly dedicated to providing healthcare services.

November 15, 2011; U.S. Attorney; Northern District of Texas

Owner And Associates Of Euless Healthcare Corporation Arrested On Conspiracy And Health Care Fraud Charges External link
DALLAS - Three defendants who have been charged in a federal indictment, unsealed today, with various offenses related to their involvement in the operation of Euless Healthcare Corporation, were arrested this morning by special agents with the FBI and the U.S. Department of Health and Human Services - Office of the Inspector General, announced U.S. Attorney Sarah R. Salda�a of the Northern District of Texas.

November 15, 2011; U.S. Attorney; Western District of North Carolina

Monroe Physician To Pay $950,000 To Settle Government Civil Fraud Allegations External link
Millicent Francis-Lane, M.D. has agreed to pay $950,000 to the North Carolina Medicaid Program to resolve False Claims Act allegations, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina and North Carolina Attorney General Roy Cooper. Dr. Francis-Lane owns Union County Women's Care, which has offices in Monroe, N.C.

  • 1 comment:

    1. That is just the first situation. Many people who are facing these types of charges will end up paying fines, but also spending time in jail. Depending on the career field you are in, your employer may not want you to work there any longer.
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