Tag: healthcare_fraud
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Cape May County Psychiatrist Pleads Guilty to 17 Felony Counts for Unlawful Prescriptions
A Cape May County psychiatrist admitted to 17 felony counts for issuing unlawful prescriptions for Adderall, Vyvanse, and Xanax, often in exchange for sex or to known addicts, risking death or serious injury.
Politics and GovernmentLaw EnforcementHealthBusinessFederal GovernmentMedical ScienceSocial IssuesLegal Louis MorelliPsychiatristControlled SubstancesPrescription DrugsHealthcare FraudCape May CountyDEAFBI
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Florida Man Sentenced for Healthcare and Tax Fraud in Indiana
A Florida man, Justyn Arch, received a 36-month prison sentence for healthcare fraud, aggravated identity theft, and tax evasion. He defrauded Indiana Medicaid of over half a million dollars by billing for unperformed dental surgeries and evading taxes.
Law EnforcementBusinessPolitics and GovernmentHealthLegalFederal GovernmentEconomy Justyn ArchHealthcare FraudAggravated Identity TheftTax EvasionIndiana MedicaidHammondFBI
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Florida Charges Part of National Healthcare Fraud Takedown Exceeding $6.5 Billion
The U.S. Attorney's Office for the Middle District of Florida has charged multiple individuals in a national healthcare fraud takedown, involving over $6.5 billion in false claims and significant asset seizures, targeting Medicare and other federal programs.
Politics and GovernmentHealthBusinessLaw EnforcementFederal GovernmentLegalEconomySocial Issues Healthcare FraudMedicareKickbacksMiddle District of FloridaDepartment of JusticeCrimeGovernmentFBI
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Chicago Defendants Charged in $315M Healthcare Fraud Takedown
Two Chicago-area defendants face charges in a national healthcare fraud takedown, accused of defrauding Medicare and Medicaid of over $315 million through schemes involving fake COVID-19 tests and unprovided behavioral health services.
Politics and GovernmentHealthLaw EnforcementFederal GovernmentMedical ScienceArtificial IntelligenceEconomy Healthcare FraudMedicareMedicaidChicagoDepartment of JusticeAndrew S. BoutrosNational Healthcare Fraud TakedownFBI
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Colorado Man Indicted in Arapahoe County Medicaid Fraud Scheme
Mohamed Elias Omer, 35, faces twelve federal counts for allegedly offering kickbacks to induce Medicaid beneficiaries to attend Nadina Adult Daycare Center in Arapahoe County. The FBI is investigating the scheme.
HealthPolitics and GovernmentLaw EnforcementFederal GovernmentState GovernmentsLegalWhite House Mohamed Elias OmerHealthcare FraudArapahoe CountyNadina Adult Daycare CenterKickbacksFBIDepartment of Justice
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Mother-Daughter Duo Charged in $9.5 Million Medicare Fraud Scheme
A San Diego mother and daughter face federal charges for allegedly defrauding Medicare of $9.5 million. The scheme involved billing for services while the licensed nurse practitioner mother was incarcerated, diverting millions for personal use.
Law EnforcementPolitics and GovernmentHealthFederal GovernmentLegalEconomyWhite HouseSocial Issues Medicare fraudHealthcare fraudBlanca Estela CardenasRaquel PasillasSan DiegoFBINational Health Care Fraud Takedown
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Suburban Chicago Chiropractor Convicted of $600,000 Healthcare Fraud
Suburban Chicago chiropractor Seung Han Lim was convicted of 13 counts of healthcare fraud for billing Blue Cross Blue Shield of Illinois over $600,000 for services never rendered, including fabricating patient records.
Law EnforcementHealthBusinessPolitics and GovernmentFederal GovernmentLegalMedical ScienceEconomyEmployment and Labor Seung Han LimHealthcare FraudChiropractorChicagoLibertyvilleBlue Cross Blue Shield of IllinoisLegal ProceedingsFBI
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Media Monitor: White House Reports America 250 Launch, Supreme Court Immigration Wins, Iran Deal Progress, and ISIS Leader Elimination
The White House reports America 250 celebrations are underway, with President Trump headlining events. It also highlights three Supreme Court immigration wins, progress on the Iran peace deal, and the elimination of an ISIS leader.
Politics and GovernmentBusinessLaw EnforcementConflictGeneral PoliticsFederal GovernmentEconomyLegalSocial Issues America 250Donald J TrumpSupreme CourtImmigration PolicyIran Peace DealISIS LeaderHealthcare FraudThe White House
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Ohio Doctor Sentenced to Probation, Ordered to Pay Nearly $1M for Medicare Fraud
Ohio physician Muna Orra received five years probation and must pay nearly $1 million in restitution for Medicare fraud. She approved unnecessary medical equipment and genetic tests via a telemedicine company without proper patient review.
HealthLaw EnforcementPolitics and GovernmentLegalFederal GovernmentEconomyMedical Science Muna OrraWestlake OhioMedicareHealthcare FraudTelemedicineRestitutionFBI
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Multi-Million-Dollar Prescription Fraud Scheme Lands East Tennesseans in Prison
Three East Tennesseans received prison sentences and millions in restitution for a multi-million-dollar prescription fraud scheme involving altered and forged formularies. A fourth was sentenced for a related healthcare kickback plot.
Law EnforcementHealthBusinessPolitics and GovernmentLegalFederal GovernmentEconomyMedical ScienceSocial Issues Healthcare FraudPrescription FraudEast TennesseeBarbara A. SmithJared Grant RiddleBrian M. WoodsMedicare Part DFBI
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Newsom Accuses Trump of Weaponizing DOJ, Pardoning 'Criminal Cronies' Amid Investigation
Governor Gavin Newsom condemns the Trump administration's "baseless investigation" against him, while highlighting President Trump's pardons for convicted fraudsters and political allies, accusing the DOJ of political retribution and selective justice.
Politics and GovernmentBusinessHealthLaw EnforcementGeneral PoliticsFederal GovernmentState GovernmentsLegalEconomyDemocratic Party Gavin NewsomDonald TrumpDepartment of JusticePardonsHealthcare FraudCaliforniaPolitical RetributionCalifornia Governors Office
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Jacksonville Chiropractor Sentenced to Prison for Quarter-Million Dollar Healthcare Fraud
A Jacksonville chiropractor received a federal prison sentence and was ordered to pay over $268,000 in restitution for defrauding health insurance companies through more than 2,000 fraudulent claims.
Law EnforcementPolitics and GovernmentBusinessHealthLegalFederal GovernmentGeneral PoliticsSocial Issues Sean RondeauJacksonville, IllinoisHealthcare FraudMail FraudWire FraudFederal Bureau of InvestigationSentencingFBI
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U.S. Attorney Seeks Victims in Columbia Doctor's Fraud and Illegal Prescribing Case
Columbia, Missouri physician Jonathan Wayne Morris faces federal charges for healthcare fraud and illegal prescribing of controlled substances. The U.S. Attorney's Office is seeking potential victims of his alleged practices, which include billing fraud and issuing prescriptions outside medical necessity.
Law EnforcementHealthBusinessLegalMedical ScienceFederal GovernmentState GovernmentsSocial Issues Jonathan Wayne MorrisColumbia, MissouriHealthcare FraudIllegal PrescribingControlled SubstancesMedicareVictim NotificationFBI
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Nurse Practitioner Convicted for Illegal Opioid Distribution in Tennessee
Heather Marks, a Tennessee nurse practitioner, was convicted for illegally distributing nearly a million opioid pills to almost 1,000 patients at a Carthage pain clinic, facing up to 20 years per count.
Politics and GovernmentHealthLaw EnforcementFederal GovernmentLegalMedical ScienceSocial Issues Heather MarksMurfreesboroCarthage, TennesseeOpioidsControlled SubstancesHealthcare FraudLifeforce Pain and WellnessFBI
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Blood Test Lab Owner Sentenced to Over Four Years for $11.2 Million Tax Evasion and COVID-19 Relief Fraud
Armen Muradyan received a 51-month prison sentence and $15.1M restitution for evading $11.2M in taxes. He used a shill for Medicare payments to his blood lab and fraudulently obtained nearly $100,000 in COVID-19 relief funds.
Politics and GovernmentBusinessLaw EnforcementHealthFederal GovernmentEconomyLegal Armen MuradyanTax EvasionHealthcare FraudMedicareCOVID-19 Relief FraudBurbankFederal PrisonFBI
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APRN Charged with Defrauding Connecticut Medicaid of Over $1.3 Million
A Florida APRN, Marisol Rodriguez, faces federal charges for allegedly defrauding Connecticut's Medicaid program of over $1.35 million by billing for unprovided medication management services between 2022 and 2025.
HealthLaw EnforcementPolitics and GovernmentFederal GovernmentState GovernmentsMedical ScienceSocial Issues Marisol RodriguezConnecticut MedicaidHealthcare FraudAPRNFederal Bureau of InvestigationU.S. Department of Health and Human ServicesLehigh AcresFBI
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Georgian Citizen Sentenced for International Medicare Fraud Money Laundering
Irakli Nakashidze, a Georgian citizen, received a 37-month prison sentence for laundering over $1.1 million from a $179 million Medicare fraud scheme. His sham company billed for unprovided medical supplies, funneling proceeds internationally.
Law EnforcementPolitics and GovernmentHealthBusinessFederal GovernmentLegalEconomyMedical Science Irakli NakashidzeMoney LaunderingHealthcare FraudMedicareMiamiGeorgiaJustice DepartmentFBI
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Behavioral Health Companies and Owner to Pay $1.4 Million for Alleged False Billing
Nova Psychiatric Services, Patriot Eldercare, and owner Dr. Alexandra Accardi will pay $1.4 million to resolve allegations of fraudulently billing Medicare and Medicaid for unperformed psychotherapy and medication management services.
BusinessHealthLaw EnforcementLegalEconomyMedical ScienceFederal GovernmentState Governments Nova Psychiatric ServicesPatriot EldercareAlexandra AccardiHealthcare FraudFalse Claims ActMassachusettsMedicareFBI
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Three Members of International Organization Sentenced in $2 Billion Telemedicine Fraud
Three members of a Moscow-based criminal organization received lengthy prison sentences for a $2 billion telemedicine healthcare fraud scheme, defrauding private insurers nationwide through fake prescriptions and ghost visits.
Politics and GovernmentBusinessLaw EnforcementFederal GovernmentLegalEconomySocial Issues Healthcare FraudTelemedicineInternational CrimeSentencingBrooklynFBIMoscow
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SpineFrontier CFO Pleads Guilty in Spinal Device Kickback Scheme
SpineFrontier CFO Aditya Humad pleaded guilty to a kickback scheme, bribing surgeons with over $540,000 in sham consulting fees to use company products, impacting federal healthcare programs.
HealthBusinessPolitics and GovernmentLaw EnforcementFederal GovernmentMedical ScienceLegalHealthcare Fraud Aditya HumadSpineFrontierKickback SchemeAnti-Kickback StatuteBostonSurgeonsFBI
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Utah Podiatrist and Two Nurses Charged in $29 Million Medicare Fraud Scheme
A Utah podiatrist and two nurses face federal charges for allegedly defrauding Medicare of $29 million by submitting false claims for medically unnecessary skin substitute services, failing to collect copayments, and using unqualified providers.
HealthLaw EnforcementPolitics and GovernmentLegalFederal GovernmentGeneral Politics Healthcare FraudMedicareUtahRyan Scott EllsworthEmily KellyDrake Dell BroadbentPodiatristFBI