She pulled teeth, provided fillings, but wasn’t a dentist and is headed to prison 

Dentist by Herry Lawford

From the Idaho Statesman news article: Cherie R. Dillon, 62, will spend five years in prison for completing dental procedures that legally could only be performed by a dentist. Read more at the link: http://www.idahostatesman.com/news/local/crime/article154852059.html

Mylan may have overcharged U.S. for EpiPen by $1.27 billion: HHS 

Health Care Cost by Tax Credits

From the Reuters news article: The U.S. government may have overpaid drugmaker Mylan N.V. by as much as $1.27 billion between 2006 and 2016 for its EpiPen emergency allergy treatment, the Department of Health and Human Services said on Wednesday. Read more at the link: http://www.reuters.com/article/us-mylan-epipen-idUSKBN18R2ZN

Healthcare fraud in North America a multi-billion dollar problem 

Health by Pictures of Money 17124132409_1b446dcabd_k

From the Life Health Professional news article: Healthcare in North America is big business. Last year, Canada’s health expenditure was $228 billion, which equates to $6,299 per person. It’s a healthy sum for sure, but is dwarfed by the US, where US$3.2 trillion dollars was spent in 2016. Read more at the link: http://www.lifehealthpro.ca/news/healthcare-fraud-in-north-america-a-multibillion-dollar-problem-224784.aspx

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.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. — 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 […]

U.S. — Westchester Doctor Accused in $50M Health Care Fraud Scheme 

From the Department of Justice news article: Defendants Provided False Patient Medical Information and Used the Identities of Doctors Who Did Not Work at the Clinic to Submit More Than $50 Million in Fraudulent Health Care Claims Preet Bharara, the United States Attorney for the Southern District of New York, William F. Sweeney Jr., the […]