Canada — More than 100 TTC workers dismissed or quit after multimillion-dollar benefits scam 

Canadian money by Sara Long

From the CBC news item: …It is alleged that receipts were provided to employees by Healthy Fit for claim reimbursement where no product or service was obtained, or where receipt amounts were inflated. It is also alleged that Healthy Fit and the employee making the claim would then share the money paid out by the TTC’s insurer at […]

Minnesota, USA — Unpacking Lincoln’s Law: The Importance of the False Claims Act 

Magnifying glass by John Lester

From the Minnesots Lawyer piece: …As the largest consumer in the United States, indeed, the world, the United States Government is susceptible to fraud from a vast array of sources. The False Claims Act has become the primary tool to stop those who reap financial benefits based on false statements and misrepresentations to the Government. During […]

U.S. — Company that treats autistic kids settles fraud claims 

Magnifying Glass by Emma Craig

From the Tri-City Herald (Nashville) news article: …Jack Smith, the acting U.S. Attorney for the Middle District of Tennessee, said the TRICARE health program pays for treatment for some of the most vulnerable citizens — those who have autism spectrum disorder. Smith, in a statement, said the federal prosecutor’s office would diligently pursue any violations that […]

U.K. — There is no quick fix in cosmetic surgery 

Recovering from Surgery

From the Guardian opinion piece: …Understanding the intricacies of facial anatomy and physiology has taken me half a lifetime of rigorous medical training to master. Yet flimsy regulation means an individual can jump on to YouTube, watch a couple of “how-to” clips, order supplies online and set up as a bona fide consultant. The dangers are […]

U.S. — Case fizzles against couple accused of $45M health care fraud, keeping indentured servant 

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From the Chicago Tribune news article: A $45 million health care fraud case against a young north suburban couple has fizzled in stunning fashion in the midst of trial after federal prosecutors admittedly failed to hand over key evidence to defense lawyers… {{ snip }} …Richard and Maribel Tinimbang and two alleged co-conspirators have been […]

U.S. –Pharmacy Owners Charged in $158 Million Health Care Fraud Scheme 

From the Department of Justice news article: …According to the DOJ, Noryian, Nourian, and Rydberg controlled 3 pharmacies: Ability Pharmacy, Industrial & Family Pharmacy, and Park Row Pharmacy. Allegedly, the defendants filed forms to transmit payments electronically from the Department of Labor-Office of Workers’ Compensation (DOL-OWCP) for pricey creams used to treat scars, wounds, and […]

U.S. — South Florida Home Health Owner Charged for Role in $15 Million Medicare Fraud Scheme 

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From the Department of Justice news article: Yunesky I. Fornaris, 38, of Miami, was charged with one count of conspiracy to commit health care fraud and wire fraud, two counts of health care fraud and one count of conspiracy to defraud the United States and pay health care kickbacks.  Fornaris was arrested today and made […]

U.S. — Charles River Laboratories International Inc. Agrees to Pay United States $1.8 Million to Settle False Claims Act Allegations 

From the Department of Justice news article: …Charles River holds contracts with National Institutes of Health (NIH) for services relating to the development, maintenance, and distribution of colonies of animals as well as the provision of laboratory animals to the NIH. Charles River billed to NIH labor and associated costs of employees at its Raleigh, […]

U.S. — Pennsylvania False Claims Act bill to be introduced again 

Drugs by Images Money

From the PennRecord news item: “This has been introduced in the Pennsylvania State Legislature, I believe, since 1998. It’s received three votes in the House [of Representatives], all being unanimous. It used to be introduced by Republican lawmakers. I have taken over the interest of the taxpayers that want to bring fraud dollars back to […]

U.S. — Physicians Charged with Healthcare Fraud, Identity Theft in PR 

From the HealthIT Security news item: A District of Puerto Rico Federal Grand Jury charged the owner of a durable medical equipment company and three physicians with multiple counts of conspiracy to commit healthcare fraud, healthcare fraud and aggravated identity theft. The defendants reportedly “conspired with each other and with other individuals known and unknown to […]