US — Florida Doctor Sentenced On 162 Counts Of Health Care Fraud 

Health Care Cost by Tax Credits

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 

Health by Pictures of Money 17124132409_1b446dcabd_k

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 

Mom's pills by Robbie Sproule

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 […]

U.S. –Podiatry Clinic Exposes Patients From Winnebago and Omaha Tribes To HIV, Hepatitis 

From the Iowa Public Radio news item: At least 35 people at the podiatry clinic of the Indian Health Service hospital in Winnebago, Neb., have possibly been exposed to Hepatitis and HIV. An instrument at the IHS clinic, which is near Sioux City, may not have been properly sterilized between patients. IHS is an agency […]

U.S. Justice Department sets sights on opioid-ravaged cities 

Drugs by Images Money

From the news item: Sessions said the group of prosecutors he has dubbed the “opioid fraud and abuse detection unit” will rely on data in their efforts to root out pill mills and track down doctors and other health care providers who illegally prescribe or distribute narcotics such as fentanyl and other powerful painkillers. Such […]

U.S. — Connecticut Physicians Charged with Healthcare Fraud, Money Laundering 

From the IndiaWestnews article: U.S. Attorney for the District of Connecticut Deirdre M. Daly July 26 announced that a federal grand jury in Bridgeport returned an indictment charging Dr. Bharat Patel with narcotics distribution, healthcare fraud and money laundering offenses, the U.S. Department of Justice said in a news release. Patel, 70, of Milford, Ct., […]

US — Fla. health care admin charged in $1B Medicare fraud case 

Magnifying glass by John Lester

From the ABC News story: A Florida health care administrator accepted bribes in exchange for helping a nursing home owner accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme keep his license, federal prosecutors said. Blanco made about $31,300 a year overseeing inspections at nursing facilities owned by 48-year-old Philip Esformes, an extremely […]

USA — Milford Doctor Indicted On Drug, Health Care Fraud Charges 

From the Milford Patch news article: The two doctors are accused of writing prescriptions for cash to addicts, money laundering and millions of dollars in health care fraud. Both operated out of Family Health Urgent Care at 235 Main St. in Norwalk. Around 2012, Mansourov purchased the practice from Patel and renamed it Family Urgent […]

US — Three Companies and Their Executives Pay $19.5 Million to Resolve False Claims Act Allegations Pertaining to Rehabilitation Therapy and Hospice Services 

From the DOJ media release: FHS is the corporate successor to Provider Services Inc. (PSI), which provided management services to skilled nursing facilities. In 2010, PSI was merged into BCFL Holdings Inc. (BCFL), which was renamed FHS in 2013. Olympia provided rehabilitation therapy services to patients at the skilled nursing facilities managed by PSI and […]