From the News 5 Cleveland news article: …Between 2011 and 2018, Dr. Ashis Rakhit, 65, and Dr. Jayati Rakhit, 56, allegedly recorded fake symptoms present in their patients in order to perform unnecessary and expensive tests. The tests included nuclear stress tests, cardiac catheterizations, bone density scans and EKGs. The two longtime doctors are also […]
US: Texas men accused of $150M fraud: phony Medicare billing, money laundering
From the Valley Morning Star news item: …All four men are charged with conspiracy to commit health care fraud and conspiracy to commit money laundering. They also are accused of fraudulently keeping patients on hospice for multiple years to increase revenue from Medicare. Prosecutors say Mesquias and McInnis used the funds to buy a Porsche, […]
U.S. — Guilty of Insurance Fraud, Illinois Chiropractor Gets 20-Month Prison Term
From the Insurance Journal item: A suburban Chicago chiropractor has been sentenced to 20 months in prison for billing an insurance company more than $4 million for treatment that was unnecessary or never provided. Federal prosecutors said Thursday 46-year-old Steven Paul of Northbrook pleaded guilty to one count of health care fraud. U.S. District Court […]
U.S. — Prosecutors insist eye doc stole $136 million from Medicaid
From the ABC News article: …Prosecutors are seeking 30 years. They say the doctor subjected elderly patients to painful tests and treatments they didn’t need, for diseases they didn’t have, to support a vacation home in his native Dominican Republic, lavish trips to Europe and outside business interests. The government also says he bribed New […]
UK — Dental fraud due to ‘discredited contract’
From the Dentistry News item: …‘Genuine fraud must be exposed, but we are working under a discredited contract system that breeds confusion. ‘Put 10 NHS dentists in a room and you’ll get nearly half a dozen different views on how to claim for a treatment. ‘It’s an insane system, and not even officials can navigate […]
U.K. — ‘Despicable’ fraud costs NHS in England £1bn a year
From the bbc news item: …The two biggest single areas of fraud were related to patients and procurement of good and services, both of which was likely to cost the NHS in excess of £200m a year each, according to Ms Frith. She said patient fraud included cases where people wrongly claimed for exemptions for […]
US — Florida Doctor Sentenced On 162 Counts Of Health Care Fraud
From the Insurance News Net item: Ona M. Colasante, 60, a physician who formerly practiced in Gainesville, was sentenced Friday afternoon to 12 months in prison and ordered to pay a $1,134,000 fine and more than $1 million in restitution after being convicted on May 2, 2016, of 162 counts of health care fraud. As […]
US: Physician Gets 35-Year Sentence for Massive Medicare Fraud
From the Medscape news item: If he had pulled off his escape plan, Jacques Roy, MD, might be living in Canada or France now under the alias of Michel Poulin, subsisting off millions in ill-gotten gains, according to federal prosecutors. Instead, a federal judge in Dallas last week sentenced the 60-year-old physician from Rockwall, Texas, […]
U.S. — S.A. pharmaceutical rep indicted in $9.5 million health care fraud case
From the San Antonio Express-News news article: …The use of compounded drugs by current and former servicemen and servicewomen has skyrocketed in the past decade, federal data show. In some cases, the Defense Department’s Tricare insurance and private insurers have faced bills of up to $30,000 for a month’s supply of the compounded cream, records […]
US — Owner of Home Health Agency Sentenced to 75 Years in Prison for Involvement in $13 Million Medicare Fraud Conspiracy
From the Department of Justice media release: According to the evidence presented at trial, from February 2006 through June 2015, Neba and others conspired to defraud Medicare by submitting over $10 million in false and fraudulent claims for home health services to Medicare through Fiango Home Healthcare Inc., owned by Neba and her husband, Ebong […]
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