Discussion:
"You know it's very funny about revolutions," Oswald says
(too old to reply)
Raymond
2012-01-08 17:57:54 UTC
Permalink
On Sat, 07 Jan 2012 22:11:39 -0600, John McAdams
"You know it's very funny about revolutions. Revolutions require work.
Revolutions require sacrifice. Revolutions, and our own included,
require a certain amount of rationing, a certain amount of calluses, a
certain amount of sacrifice. Sacrificing one's old personal ideas
about country, citizenship, work.
And these people who have fled Cuba have not been able to adapt
themselves  to these new factors which have entered into their lives.
These people are the uneducated.These people are the people who did
not remain in Cuba to be educated by young people, who are afraid of
the alphabet, who are afraid of these new things which  are occurring,
who are afraid that they would lose something by collectivisation.
They were afraid that they would lose something by having their sugar
crops taken away, and in place of sugar crops some other vegetable,
some other vegetable planted because Cuba has always been a one
product country more or less. These are people who have not been able
to adapt."
....
He's demeaning and deriding people who fled Castro's dictatorship.
But Peter, a question for you.
Are you denying that Oswald was defending Castro's revolution?
He seems to be defending his own idea of what a revolution should be.
Or are you saying you think it was reasonable to do so?
Oswald was obviously not a fan of Batista (nor were you I would
imagine). Oswald died so we don't know if his naive opinion of Castro
would have changed.  We all agree Castro ended up engaging in the same
kind of unacceptable and unreasonable behaviour of his predecessor.
That's why I suggested folks take a look at a couple of lectures by
Yale professor John Merriman. (See link in my previous post) Once  old
regimes are swept away, many more people become  politicized, hoping
their version of a new state is instituted.  Often, early hopes give
way to new rule by autocrats.
Personally, since you ask, I vote Liberal. In Canada, Liberals were
crushed in the last election by the Conservatives and the new official
opposition the New Democratic Party (viewed as to the left of the
Liberal Party on the political spectrum).
.John
H.G. Wells, in his Outline of History wrote, "Revolution is
conditional upon social unrest."

But, when a long train of abuses and usurpations, pursuing invariably
the same object, evinces a design to reduce them under absolute
despotism, it is their right, it is their duty, to throw off of such
government and to provide new guards for their future security...
"He has refused his assent to laws the most wholesome and necessary
for the public good."
"He has made judges dependent on his will alone, for the tenure of
their offices, and the amount and payment of their salaries." etc,.
etc...

At the time of the alleged American Revolution, there were about
four million people scattered throughout the thirteen colonies. Many,
if not most, were against breaking away from the mother country. Some
became the famous "Tories" or Loyalists" and even fought against the
radical colonists in the War of 1812. They were living in Canada and
in Nova Scotia. And, probably as many as a third of the colonists were
openly or secretly loyal to the king and the English Parliament
throughout the Revolution, while others, in the outer areas, were
never even aware that there was a disagreement with George III. and
didn't care.

By definition the United States has never had its revolution. In a
revolution, a government is generally overthrown on the soil where the
oppressive condition exists. In France, the monarchy was not only
overthrown, the people felt that removing the heads of the royal
family was apt punishment for their past treatment of their subjects.
The Russian monarchy suffered a similar fate in 1918. The entire
family was shot to death. Actually, the English government was never
overthrown and George III, who was three-thousand miles away from the
colonies, lingered on until his death in 1820.

Congress is constantly telling the American people that the federal
government is bloated with "too much government:" and that power
should be returned to the states. Good idea. How do we begin? Must we
dump some tea into the Potomac to get things started?

We Americans have had a great rise and if we are not more diligent
in our watch, if we are not more devoted to improving the moral
quality of the men and women that we send to our nation's
headquarters, and if the extreme political partisanship cannot be
removed from the process, we will be witness to a great fall similar
to the other great empires.

We constantly praise the early American patriots and credit them
with producing a constitution that is envied throughout the world, but
such a document can be a worthless thing when so many corrupt and
deceptive federal legislators spend most of their conscious hours
parading, politically naked, through the congressional hallways
(cynically called Gucci Gulch) hoping to catch the eye and passion of
a corporate lobbyist who can only be gratified by financially seducing
the alleged representative of the "folks" back home with money and
personal favors.

Shame on us for tolerating such dishonesty.

Dale Bumpers, a retired senator from Arkansas said in 1998: "Before
government was conducted out in the sunshine, senators could vote as
they pleased, good or bad, with little voter retribution on
individual issues. But in the 1970's national associations by the
dozens were setting up shop in Washington, and with them came a new
threat to the integrity of the legislative
process 'single issue' politics. These groups developed very harsh
methods of dealing with those who crossed them."

Therein lies the problem and it can be done away with, but it will
take a public that sincerely wants improvement and is willing to
threaten their man/woman in DC with removal if he/she does not do away
with the corporate lobbyists and corrupt Gucci Gulch politics.

Cuba ? It was not the poor who had to leave first. It was the
wealthier people who had made money from doing the bidding of the
Americans in the Casinos and from the American owners of the sugar
plantations, etc,. etc.

I once read that Batista's airplane had problems taking off for Spain
due to the weight Allegedly, it was loaded with great wealth
including gold .

Remember? Castro was a hero to the Americans until he decided to close
the casinos and nationalize the American companies and sugar farms.
Children, in America, collected " Pennies for Castro " and he was
celebrated in New York parades. Eisenhower and Dirty Dick Nixon said
" Go home Fidel. You are finished here" and boycotted Cuba . The
boycott is still in effect.

The mob (Mafia) didn't care who was in charge in Cuba as long as hey
could keep their clubs and whore houses open. Didn't ya all see the
Godfather?

Fidel has defied presidents and the mob all these years... even after
they tried to kill him many times and while many Americans, including
the Florida Cubans, yearn for the good old days.

Yep, Fidel is not well and soon will be leaving Cuba to his brother to
make Cuba a better place, we hope. Cuba is a beautiful country and a
paradise for rich tourists. We can be sure that one day Cuba will be
the place to go in the winter and to enjoy the beaches. But, will it
become again the home to vice and corruption that it was under
Batista?

No permítanos esperanza. Viva Fidel.!
Raymond
2012-01-13 21:31:30 UTC
Permalink
On Sat, 07 Jan 2012 22:11:39 -0600, John McAdams
"You know it's very funny about revolutions. Revolutions require work.
Revolutions require sacrifice. Revolutions, and our own included,
require a certain amount of rationing, a certain amount of calluses, a
certain amount of sacrifice. Sacrificing one's old personal ideas
about country, citizenship, work.
And these people who have fled Cuba have not been able to adapt
themselves  to these new factors which have entered into their lives.
These people are the uneducated.These people are the people who did
not remain in Cuba to be educated by young people, who are afraid of
the alphabet, who are afraid of these new things which  are occurring,
who are afraid that they would lose something by collectivisation.
They were afraid that they would lose something by having their sugar
crops taken away, and in place of sugar crops some other vegetable,
some other vegetable planted because Cuba has always been a one
product country more or less. These are people who have not been able
to adapt."
....
He's demeaning and deriding people who fled Castro's dictatorship.
But Peter, a question for you.
Are you denying that Oswald was defending Castro's revolution?
He seems to be defending his own idea of what a revolution should be.
Or are you saying you think it was reasonable to do so?
Oswald was obviously not a fan of Batista (nor were you I would
imagine). Oswald died so we don't know if his naive opinion of Castro
would have changed.  We all agree Castro ended up engaging in the same
kind of unacceptable and unreasonable behaviour of his predecessor.
That's why I suggested folks take a look at a couple of lectures by
Yale professor John Merriman. (See link in my previous post) Once  old
regimes are swept away, many more people become  politicized, hoping
their version of a new state is instituted.  Often, early hopes give
way to new rule by autocrats.
That is the communist way.  While they need the peasant to help them fight
the revolution they shout, ?Land to the tiller?.  After the successful
revolution the tiller sadly learns that he is still working someone else?s
land.
I don?t doubt that the Cubans were better off under Batista than Castro.
As bad as it was under Batista.
Bill Clarke
Cuba's unemployment rate is 2%. What's ours?
Cuba's literacy rate is 99.8%. What's ours?
The Cuban government operates a national health system and assumes fiscal
and administrative responsibility for the health care of all its
citizens.[1] There are no private hospitals or clinics as all health
services are government-run. The present Minister for Public Health is
Jos? Ram?n Balaguer.
An overall improvement in terms of disease and infant mortality rates was
observed in the 1960s.[2] AIDS is only one-sixth as common on a per-capita
basis as in the United States.[3] Like the rest of the Cuban economy,
Cuban medical care suffered following the end of Soviet subsidies in 1991;
the stepping up of the US embargo against Cuba at this time also had an
effect.[4] Cuba has one of the highest life expectancy rates in the
region, with the average citizen living to 77.7 years old[3] (in
comparison to the United States' 77.4 years[5]).
Cuba: Public health 1950-2005           Years
1950-55         1955-60         1960-65         1965-70         1970-75         1975-80         1980-85         1985-90
1990-95         1995-00         2000-05
Life expectancy         59.5    62.4    65.4    68.6    71.0    73.1    74.3    74.6
74.8    76.2    77.1
Mortality rate  10.73   9.21    8.56    7.30    6.37    5.94    6.31    6.65
7.06    6.66    7.08
Under-5 mortality       112.4   93.9    75.9    58.6    43.6    27.0    21.2    19.3
18.7    11.8    7.72- Hide quoted text -
- Show quoted text -
Free Medical Education! - In Cuba?

Free medical school! Sounds impossible to US citizens. When people
first hear it, they can't believe that Cuba has offered and is proving
totally free medical education of various specialties to poor and
minority students from countries all over the world. How could Cuba, a
"3rd World" country itself really be doing this. If they do a simple
web search, it turns out that not only has Cuba provided such training
to thousands of specialist from the Caribbean, Latin America and
Africa, but more recently, they even offered this training to US
students! (In July 2007, eight US studants graduated and 88 are
enrolled. The first to graduate, Cedric Edwards, is now working at
Montefiore Hospital in New York City's Bronx borough.)

Of course the student has to apply and then qualify, but it's not
money that matters, its motivation and readiness to serve under-served
communities. And you only have to read the US press these days to see
how badly our costly medical system is failing to serve Americans of
all incomes, but it is the minorities, unemployed and working poor who
are served the worst.

After years of training students for free from other Latin American
countries, Cuba first offered this free training to the US in 2001
(see below) and expanded it from 8 initial qualifiers, to 60 in 2003
and more coming. Then in 2005 Katrina exposed the many ways US
government institutions don't serve their own people, again treating
the poor and minorities the worst. You may not know that Cuba
immediately responded to Katrina by quietly offering hundreds of
highly trained, crisis experienced and fully equipped physicians to
the US. They didn't publicize it at first so the US government
wouldn't have the excuse to say Cuba was just doing this for
propaganda, but the US ignored Cuba's offer anyway. The US spokesmen
even publicly listed all the other countries that had offered aid, but
purposefully left Cuba off the list! So faced with this callous insult
to a humanitarian offer, Cuba publicly announced they were upping the
offer to at least 1,400 doctors, ready with medicines to fly to the US
in several hours. This time the US authorities lied and said they
didn't need the Cuban help. The truth is that many hospitals and
services in the New Orleans and Gulf Coast are still not functioning
and during the last year, thousands of people have gone with no or
inadequate medical help.

Can we even imagine what these crises experienced 1,400 Cuban doctors
might have contributed? The have helped in other hurricane devastated
areas and provided surgery and care in devastated areas such as the
earthquake areas of Pakistan. Then this is not surprising, because
these 1,400 are just part of the 10's of thousands of doctors that
Cuba has sent free to countries where they are desperately needed, all
over the world.

The approach to medicine in Cuba and that they offer to those in need
in other countries is different than most medicine practiced in our
country. This different approach and philosophy and years of anti
"socialized medicine" propaganda is part of why most US citizens know
nothing about the millions served by Cuban doctors in the Americas.
Free doctors, free eye operations, doctors in the barrios because
local physicians won't go there and now even offers to train US
doctors who will return to offer medical care in this same spirit!

Clearly, in 2006 in the US, we don't need more medical insurance or
new prescription plans. We need access as a right to healthy,
healthcare, for all who need it and delivered in a manner that
encourages the best outcome. Cuba and the countries working with Cuba
are trying to bring this about for those most in need.

How this is seen on the world stage is described in Znet's article on
why Cuba got so much support for the new UN Human Rights Council and
the US didn't even run:

"The election for Cuba came at a moment in which nearly 30,000 Cuban
doctors were saving lives and alleviating the pain in 70 countries,*
while the United States reached that stage with 150,000 invading
soldiers, sent to kill and die in an unjust and illegal war.

The election for Cuba came with more than 300,000 patients from 26
countries in Latin America and the Caribbean who were recovering their
eyesight thanks to the cost-free surgeries performed by Cuban eye
specialists. It came for the United States with over 100,000 civilians
murdered and 2,500 American youths dead in a war concocted to steal a
country’s oil and give away sumptuous contracts to a group of cronies
of the President of the world’s sole superpower." Exit U.S., Enter
Cuba, Znet, June 23, 2006

http://www.dccofc.org/Information/cuba_medical.htm

Americans graduate from Cuban medical school
http://www.nytimes.com/2007/07/25/world/americas/25iht-cuba.1.6817768.html

The Compassion of Cuba's Health Care More doctors equal better health
By Nisa Islam Muhammad
Staff Writer
Updated Jun 15, 2004 - 2:30:00 PM

While in America ? Journal American Medical Association
Doctors Are the Third Leading Cause of Death in the U.S.Cause 250,000
Deaths Every Year Medical Doctors Third Leading Cause of Death in USA
http://www.health-care-reform.net/causedeath.htm

Gangsters in Medicine
http://www.newswithviews.com/health_care/health_care4.htm
-
Today's American doctors make the bank robbers and gangsters of the
1930s look like altar boys.

If the fraud and corruption was removed from health care, American
could have the best health care system on earth, even better than
France, which has the best health care system in the world.
http://www.cbsnews.com/video/watch/?id=4546219n



The greatest expense to American health care is the theft and
corruption at the hands of doctors. Without their cooperation in
corruption , the pharmaceutical companies and the insurance companies
could no get away with what they do. Doctors especially cheat the
Medicare system because, Medicare does not have the controls for fraud
that some of the insurance companies do, Doctors are charging for
services not actually performed and the elderly are not conscious of
the facts and don't report the crime as they should.

When these doctors die, they will have to be screwed into their graves
since they are so crooked.

Medicaid fraud, also, is a common white-collar crime. Medicaid fraud
can include billing for services which were never provided or
exaggerating claims into complicated medical issues when in fact the
underlying matter is simple and routine. Reporting the fraud to the
appropriate agency not only reduces the cost of Medicaid but also
safeguards the integrity of the program.

How to Report Medicaid Fraud
http://www.ehow.com/how_5188370_report-medicaid-fraud.html

The government is only spending five to ten percent of what it should
to control fraud. Right now, for every dollar spent on healthcare
fraud control we're recovering at least ten dollars. That makes fraud
control a great investment, but that kind of return is only possible,
because we're only finding the easiest cases. Ninety percent of fraud
is not caught, because we don't have enough people looking for it and
the doctors and hospitals know it.
http://mathiasconsulting.com/faq

Medical billing fraud is commonplace in every area of the health care
industry. The stories that make the headlines are unfortunately the
tip of the iceberg... Fraud amounts to billins every year.

Misconceptions
Fraud and abuse are use interchangeably by many people. The difference
between the two is intent. Fraud is done with the knowledge that is it
wrong, while abuse occurred unknowingly and without malice.

Effects
Medical billing fraud costs taxpayers and medical providers billions
of dollars annually. Eliminating fraud and abuse could mean the
difference in a patient receiving any care at all.

Prevention/Solution
Medical billers are proactive in preventing fraud by creating a
uniform checklist to follow whenever a claim is submitted. When
possible, it is a good rule of thumb to have one person submitting
claims and another posting payments, adjustments and credits.

Report Finds Doctors Cheating Medicare GAO Says 21,000 Health
Providers Owe At Least $1.3 Billion In Federal Back Taxes
http://www.cbsnews.com/stories/2007/03/20/eveningnews/main2589815.shtml

Good Luck in collecting ten cents of the total. The doctors own the
IRS

FOR IMMEDIATE RELEASE
September 7, 2011
Contact: HHS Press Office
(202) 690-6343

Medicare fraud strike force charges 91 individuals for approximately
$295 million in false billing
WASHINGTON – Attorney General Eric Holder and Health and Human
Services (HHS) Secretary Kathleen Sebelius announced today that a
nationwide takedown by Medicare Fraud Strike Force operations in eight
cities has resulted in charges against 91 defendants, including
doctors, nurses, and other medical professionals, for their alleged
participation in Medicare fraud schemes involving approximately $295
million in false billing.
http://www.hhs.gov/news/press/2011pres/09/20110907c.html

Feb.17, 2011 ... Medicare Fraud Strike Force Charges 111 Individuals
for More Than $225 Million ... 111 defendants in nine cities,
including doctors, nurses, health care ... arrests, agents also
executed 16 search warrants across the country
http://www.justice.gov/opa/pr/2011/February/11-ag-202.html
http://www.washingtonpost.com/politics/91-charged-with-medicare-fraud-across-us/2011/09/07/gIQApV7DAK_story.html

'The person most likely to kill you is not a relative or a friend, or
a mugger or a burglar or a drunken driver. The person most likely to
kill you is your doctor."
---- (Vernon Coleman) author - What Doctors Don't Tell You

http://clydewinter.wordpress.com/2006/08/06/winning-less-expensive-better-quality-health-care-for-us/

Senators were told many are cheating the system twice — defaulting on
their taxes while getting Medicare payments from the government.

G-d bless America
"Sounds about right. "
--- .I.M.A Doomer, M.D.

Cont'd
http://groups.google.com/group/alt.politics/msg/e20c60856da5b0ba
Raymond
2012-01-14 02:25:22 UTC
Permalink
Post by Raymond
On Sat, 07 Jan 2012 22:11:39 -0600, John McAdams
"You know it's very funny about revolutions. Revolutions require work.
Revolutions require sacrifice. Revolutions, and our own included,
require a certain amount of rationing, a certain amount of calluses, a
certain amount of sacrifice. Sacrificing one's old personal ideas
about country, citizenship, work.
And these people who have fled Cuba have not been able to adapt
themselves  to these new factors which have entered into their lives.
These people are the uneducated.These people are the people who did
not remain in Cuba to be educated by young people, who are afraid of
the alphabet, who are afraid of these new things which  are occurring,
who are afraid that they would lose something by collectivisation.
They were afraid that they would lose something by having their sugar
crops taken away, and in place of sugar crops some other vegetable,
some other vegetable planted because Cuba has always been a one
product country more or less. These are people who have not been able
to adapt."
....
He's demeaning and deriding people who fled Castro's dictatorship.
But Peter, a question for you.
Are you denying that Oswald was defending Castro's revolution?
He seems to be defending his own idea of what a revolution should be.
Or are you saying you think it was reasonable to do so?
Oswald was obviously not a fan of Batista (nor were you I would
imagine). Oswald died so we don't know if his naive opinion of Castro
would have changed.  We all agree Castro ended up engaging in the same
kind of unacceptable and unreasonable behaviour of his predecessor.
That's why I suggested folks take a look at a couple of lectures by
Yale professor John Merriman. (See link in my previous post) Once  old
regimes are swept away, many more people become  politicized, hoping
their version of a new state is instituted.  Often, early hopes give
way to new rule by autocrats.
That is the communist way.  While they need the peasant to help them fight
the revolution they shout, ?Land to the tiller?.  After the successful
revolution the tiller sadly learns that he is still working someone else?s
land.
I don?t doubt that the Cubans were better off under Batista than Castro.
As bad as it was under Batista.
Bill Clarke
Cuba's unemployment rate is 2%. What's ours?
Cuba's literacy rate is 99.8%. What's ours?
The Cuban government operates a national health system and assumes fiscal
and administrative responsibility for the health care of all its
citizens.[1] There are no private hospitals or clinics as all health
services are government-run. The present Minister for Public Health is
Jos? Ram?n Balaguer.
An overall improvement in terms of disease and infant mortality rates was
observed in the 1960s.[2] AIDS is only one-sixth as common on a per-capita
basis as in the United States.[3] Like the rest of the Cuban economy,
Cuban medical care suffered following the end of Soviet subsidies in 1991;
the stepping up of the US embargo against Cuba at this time also had an
effect.[4] Cuba has one of the highest life expectancy rates in the
region, with the average citizen living to 77.7 years old[3] (in
comparison to the United States' 77.4 years[5]).
Cuba: Public health 1950-2005           Years
1950-55         1955-60         1960-65         1965-70         1970-75         1975-80         1980-85         1985-90
1990-95         1995-00         2000-05
Life expectancy         59.5    62.4    65.4    68.6    71.0    73.1    74.3    74.6
74.8    76.2    77.1
Mortality rate  10.73   9.21    8.56    7.30    6.37    5.94    6.31    6.65
7.06    6.66    7.08
Under-5 mortality       112.4   93.9    75.9    58.6    43.6    27.0    21.2    19.3
18.7    11.8    7.72- Hide quoted text -
- Show quoted text -
Free Medical Education! - In Cuba?
Free medical school! Sounds impossible to US citizens. When people
first hear it, they can't believe that Cuba has offered and is proving
totally free medical education of various specialties to poor and
minority students from countries all over the world. How could Cuba, a
"3rd World" country itself really be doing this. If they do a simple
web search, it turns out that not only has Cuba provided such training
to thousands of specialist from the Caribbean, Latin America and
Africa, but more recently, they even offered this training to US
students! (In July 2007, eight US studants graduated and 88 are
enrolled. The first to graduate, Cedric Edwards, is now working at
Montefiore Hospital in New York City's Bronx borough.)
Of course the student has to apply and then qualify, but it's not
money that matters, its motivation and readiness to serve under-served
communities. And you only have to read the US press these days to see
how badly our costly medical system is failing to serve Americans of
all incomes, but it is the minorities, unemployed and working poor who
are served the worst.
After years of training students for free from other Latin American
countries, Cuba first offered this free training to the US in 2001
(see below) and expanded it from 8 initial qualifiers, to 60 in 2003
and more coming. Then in 2005 Katrina exposed the many ways US
government institutions don't serve their own people, again treating
the poor and minorities the worst. You may not know that Cuba
immediately responded to Katrina by quietly offering hundreds of
highly trained, crisis experienced and fully equipped physicians to
the US. They didn't publicize it at first so the US government
wouldn't have the excuse to say Cuba was just doing this for
propaganda, but the US ignored Cuba's offer anyway. The US spokesmen
even publicly listed all the other countries that had offered aid, but
purposefully left Cuba off the list! So faced with this callous insult
to a humanitarian offer, Cuba publicly announced they were upping the
offer to at least 1,400 doctors, ready with medicines to fly to the US
in several hours. This time the US authorities lied and said they
didn't need the Cuban help. The truth is that many hospitals and
services in the New Orleans and Gulf Coast are still not functioning
and during the last year, thousands of people have gone with no or
inadequate medical help.
Can we even imagine what these crises experienced 1,400 Cuban doctors
might have contributed? The have helped in other hurricane devastated
areas and provided surgery and care in devastated areas such as the
earthquake areas of Pakistan. Then this is not surprising, because
these 1,400 are just part of the 10's of thousands of doctors that
Cuba has sent free to countries where they are desperately needed, all
over the world.
The approach to medicine in Cuba and that they offer to those in need
in other countries is different than most medicine practiced in our
country. This different approach and philosophy and years of anti
"socialized medicine" propaganda is part of why most US citizens know
nothing about the millions served by Cuban doctors in the Americas.
Free doctors, free eye operations, doctors in the barrios because
local physicians won't go there and now even offers to train US
doctors who will return to offer medical care in this same spirit!
Clearly, in 2006 in the US, we don't need more medical insurance or
new prescription plans. We need access as a right to healthy,
healthcare, for all who need it and delivered in a manner that
encourages the best outcome. Cuba and the countries working with Cuba
are trying to bring this about for those most in need.
How this is seen on the world stage is described in Znet's article on
why Cuba got so much support for the new UN Human Rights Council and
"The election for Cuba came at a moment in which nearly 30,000 Cuban
doctors were saving lives and alleviating the pain in 70 countries,*
while the United States reached that stage with 150,000 invading
soldiers, sent to kill and die in an unjust and illegal war.
The election for Cuba came with more than 300,000 patients from 26
countries in Latin America and the Caribbean who were recovering their
eyesight thanks to the cost-free surgeries performed by Cuban eye
specialists. It came for the United States with over 100,000 civilians
murdered and 2,500 American youths dead in a war concocted to steal a
country’s oil and give away sumptuous contracts to a group of cronies
of the President of the world’s sole superpower." Exit U.S., Enter
Cuba, Znet, June 23, 2006
http://www.dccofc.org/Information/cuba_medical.htm
Americans graduate from Cuban medical schoolhttp://www.nytimes.com/2007/07/25/world/americas/25iht-cuba.1.6817768...
The Compassion of Cuba's Health Care More doctors equal better health
By Nisa Islam Muhammad
Staff Writer
Updated Jun 15, 2004 - 2:30:00 PM
While in America ? Journal American Medical Association
Doctors Are the Third Leading Cause of Death in the U.S.Cause 250,000
Deaths Every Year Medical Doctors Third Leading Cause of Death in USAhttp://www.health-care-reform.net/causedeath.htm
Gangsters in Medicinehttp://www.newswithviews.com/health_care/health_care4.htm
 -
 Today's American doctors  make the bank robbers and gangsters of the
1930s look like altar boys.
If the fraud and corruption was removed from health care, American
could have the best health care system on earth,  even better than
France, which has the best health care system in the http://youtu.be/w_8dafLxLcI
The greatest expense to American health care is the theft and
corruption at the hands of doctors. Without their cooperation in
corruption , the pharmaceutical companies and the insurance companies
could no get away with what they do. Doctors especially cheat the
Medicare system because, Medicare does not have the controls for fraud
that some of the insurance companies do, Doctors are charging for
services not actually performed and the elderly are not conscious of
the facts and don't report the crime as they should.
When these doctors die, they will have to be screwed into their graves
since they are so crooked.
Medicaid fraud, also,  is a common white-collar crime. Medicaid fraud
can include billing for services which were never provided or
exaggerating claims into complicated medical issues when in fact the
underlying matter is simple and routine. Reporting the fraud to the
appropriate agency not only reduces the cost of Medicaid but also
safeguards the integrity of the program.
How to Report Medicaid Fraudhttp://www.ehow.com/how_5188370_report-medicaid-fraud.html
The government is only spending five to ten percent of what it should
to control fraud. Right now, for every dollar spent on healthcare
fraud control we're recovering at least ten dollars. That makes fraud
control a great investment, but that kind of return is only possible,
because we're only finding the easiest cases. Ninety percent of fraud
is not caught, because we don't have enough people looking for it and
the doctors and hospitals know it.http://mathiasconsulting.com/faq
Medical billing fraud is commonplace in every area of the health care
industry. The stories that make the headlines are unfortunately the
tip of the iceberg... Fraud amounts to billins every year.
Misconceptions
Fraud and abuse are use interchangeably by many people. The difference
between the two is intent. Fraud is done with the knowledge that is it
wrong, while abuse occurred unknowingly and without malice.
Effects
Medical billing fraud costs taxpayers and medical providers billions
of dollars annually. Eliminating fraud and abuse could mean the
difference in a patient receiving any care at all.
Prevention/Solution
Medical billers are proactive in preventing fraud by creating a
uniform checklist to follow whenever a claim is submitted. When
possible, it is a good rule of thumb to have one person submitting
claims and another posting payments, adjustments and credits.
Report Finds Doctors Cheating Medicare GAO Says 21,000 Health
Providers Owe At Least $1.3 Billion In Federal Back Taxeshttp://www.cbsnews.com/stories/2007/03/20/eveningnews/main2589815.shtml
Good Luck in collecting ten cents of the total. The doctors own the
IRS
FOR IMMEDIATE RELEASE
September 7, 2011
 Contact: HHS Press Office
(202) 690-6343
Medicare fraud strike force charges 91 individuals for approximately
$295 million in false billing
WASHINGTON – Attorney General Eric Holder and Health and Human
Services (HHS) Secretary Kathleen Sebelius announced today that a
nationwide takedown by Medicare Fraud Strike Force operations in eight
cities has resulted in charges against 91 defendants, including
doctors, nurses, and other medical professionals, for their alleged
participation in Medicare fraud schemes involving approximately $295
million in false billing.http://www.hhs.gov/news/press/2011pres/09/20110907c.html
Feb.17, 2011 ... Medicare Fraud Strike Force Charges 111 Individuals
for More Than $225 Million ... 111 defendants in nine cities,
including doctors, nurses, health care ... arrests, agents also
executed 16 search warrants across the countryhttp://www.justice.gov/opa/pr/2011/February/11-ag-202.htmlhttp://www.washingtonpost.com/politics/91-charged-with-medicare-fraud...
'The person most likely to kill you is not a relative or a friend, or
a mugger or a burglar or a drunken driver. The person most likely to
kill you is your doctor."
---- (Vernon Coleman) author - What Doctors Don't Tell You
http://clydewinter.wordpress.com/2006/08/06/winning-less-expensive-be...
Senators were told many are cheating the system twice — defaulting on
their taxes while getting Medicare payments from the government.
G-d bless America
"Sounds about right. "
--- .I.M.A Doomer, M.D.
Cont'dhttp://groups.google.com/group/alt.politics/msg/e20c60856da5b0ba
How Bad is Medical Fraud In The United States?
Criminal and Civil Enforcement
Office of Inspector General
U.S. Department of Health and Human Services

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January 2012
January 12, 2012; U.S. Department of Justice
Owner and Patient Recruiter Sentenced to Prison for Roles in $4.7
Million Louisiana Medicare Fraud Scheme
WASHINGTON - An owner and a patient recruiter for a Louisiana durable
medical equipment company were sentenced today to 60 and 55 months in
prison, respectively, for their roles in a $4.7 million Medicare fraud
scheme, announced the Department of Justice, the Department of Health
and Human Services, the FBI and the Louisiana State Attorney General's
Office.
January 12, 2012; U.S. Attorney; Central District of California
Owner of Westlake Home Health Agency Pleads Guilty to Bilking Medicare
out of over $5 Million in Health Care Fraud Scheme
LOS ANGELES - A registered nurse who operated a home health agency
based in Westlake has pleaded guilty to federal health care fraud
charges in a $5 million Medicare fraud scheme involving kickbacks to
doctors and patients who did not qualify for in-home health services.
January 12, 2012; U.S. Attorney; Eastern District of California
Physician Sentenced To Eight Years in Federal Prison for Role in
Massive Medicare Fraud Scam
SACRAMENTO, Calif. - United States Attorney Benjamin B. Wagner
announced that Alexander Popov, 47, of Los Angeles, was sentenced
today by United States District Judge Morrison C. England Jr. to eight
years and one month in prison for committing health care fraud and
conspiring to commit health care fraud. He was found guilty by a jury
on July 8, 2011.
January 12, 2012; U.S. Attorney; Middle District of Pennsylvania
Harrisburg Ambulance Company, Owner and Employee Indicted on Federal
Medicare Fraud Charges
The United States Attorney's Office for the Middle District of
Pennsylvania announced today that a Harrisburg-based ambulance
company, its owner, and a managerial employee have been indicted by a
grand jury in Harrisburg on federal health care fraud charges.
January 11, 2012; U.S. Attorney; District of Maryland
Gambrills Podiatrist Sentenced To Over 4 Years in Prison for
Fraudulently Billing Medicare over $1.1 Million
Baltimore, Maryland - U.S. District Judge James K. Bredar sentenced
Larry Bernhard, age 56, a podiatrist who operated his business from
his home in Gambrills, Maryland, today to 54 months in prison followed
by three years of supervised release for health care fraud and
aggravated identity theft related to a scheme to fraudulently bill
Medicare for more than $1.1 million. Judge Bredar also entered an
order requiring Bernhard to pay restitution of $1,122,992.08.
January 11, 2012; U.S. Attorney; District of Idaho
Caldwell Optometrist Charged in Federal Indictment
BOISE - Christopher Card, 59, of Caldwell, Idaho, was indicted
yesterday by a federal grand jury in Boise for execution of a scheme
to defraud health care benefit programs, U.S. Attorney Wendy J. Olson
announced. Card is a licensed optometrist in the state of Idaho.
January 10, 2012; U.S. Attorney; Eastern District of Virginia
Alexandria Dentist Pleads Guilty to Health Care Fraud
ALEXANDRIA, Va. -Tuan Vu, 43, of Annandale, Va., pleaded guilty today
to fraudulently billing insurance providers hundreds of thousands of
dollars for dental services that he did not provide to his patients.
January 10, 2012; U.S. Attorney; Eastern District of Pennsylvania
Ambulance Company Worker Pleads Guilty to Fraud Scheme
PHILADELPHIA-Ivan Tkach, 30, of Philadelphia, pleaded guilty today to
charges relating to a private ambulance company's involvement in a
health care fraud scheme. Tkach admitted to giving false statements
relating to health care and illegal remunerations relating to health
care services.
January 9, 2012; U.S. Department of Justice
Los Angeles Church Pastor Sentenced to 180 Months in Prison for $14.2
Million Medicare
Fraud Scheme
The pastor of a now defunct Los Angeles church who owned and operated
several fraudulent durable medical equipment supply companies was
sentenced today to 180 months in prison for his role in a $14.2
million Medicare fraud scheme, the Department of Justice, the FBI and
the Department of Health and Human Services announced.
January 9, 2012; U.S. Department of Justice
Broward County, Fla.-Area Halfway House Owner Pleads Guilty to Fraud
and Kickback Scheme
WASHINGTON - The owner and operator of a Broward County, Fla.-area
halfway house pleaded guilty today for his role in a Medicare fraud
kickback scheme that funneled patients through a fraudulent mental
health company, announced the Department of Justice, the FBI and the
Department of Health and Human Services (HHS).
January 6, 2012; U.S. Attorney; Eastern District of Michigan
U.S. Files $150 Million Complaint against Medical Imaging Company &
Dr. Gwendolyn Washington for Kickbacks for Medicare Test Referrals &
Inadequate Supervision of Radiology Tests
DETROIT - The government has filed suit seeking $150 million in
damages and penalties under the False Claims Act against Universal
Imaging, Inc. and its current and former owners, Phillip J. Young and
Mark Lauhoff, United States Attorney Barbara L. McQuade announced
today.
January 6, 2012; U.S. Department of Justice
Miami-Area Patient Recruiter Sentenced to 57 Months in Prison for
Participating in Medicare Fraud Kickback Scheme
WASHINGTON - The owner and president of a Miami-area transportation
company was sentenced yesterday to 57 months in prison for her role in
a Medicare fraud kickback scheme that funneled patients through a
fraudulent mental health company, American Therapeutic Corporation,
announced the Department of Justice, FBI and Department of Health and
Human Services.
January 6, 2012; U.S. Attorney; Western District of Texas
Former Texas Pain Management Physician and Psychiatrist Sentenced To
Federal Prison on Health Care Fraud Charges
United States Attorney Robert Pitman announced that in El Paso today,
57-year-old Anthony Francis Valdez was sentenced to 25 years in
federal prison followed by three years of supervised release in
connection with an estimated $42 million fraudulent health care
benefit program billing scheme. Valdez, a former physician, was the
owner of the Institute of Pain Management with clinics in El Paso and
San Antonio.
January 5, 2012; U.S. Attorney for the Middle District of Florida
Sarasota County Woman Sentenced for Health Care Fraud
Tampa, Florida - U.S. Attorney Robert E. O'Neill announces that Senior
U.S. District Judge Susan C. Bucklew today sentenced Mira Matchin (58,
Sarasota) to 18 months in federal prison for health care fraud. As
part of her sentence, the court also entered a money judgment in the
amount of $723,000, the proceeds of the scheme orchestrated by
Matchin. Matchin pleaded guilty on October 28, 2011.
January 5, 2012; U.S. Department of Justice
Home Health Agency Owner Pleads Guilty in Connection with Detroit
Fraud Scheme
WASHINGTON - Detroit-area resident Tausif Rahman pleaded guilty today
for his role in organizing a $14 million Detroit-area home health care
fraud and money laundering scheme, announced the Department of
Justice, the FBI and the Department of Health and Human Services.
January 5, 2012; U.S. Department of Justice
Office Manager for Miami Home Health Company Sentenced to 78 Months in
Prison for Role in $25 Million Health Care Fraud Scheme
WASHINGTON - An office manager for a Miami home health care agency was
sentenced today to 78 months in prison for her participation in a $25
million home health Medicare fraud scheme, announced the Department of
Justice, the FBI and the Department of Health and Human Services. Two
of her co-defendants were also sentenced to prison today for their
roles in the fraud scheme.
January 3, 2012; U.S. Department of Justice
US Files Complaint Against National Chain of Hospice Providers
Alleging False Claims on the Medicare Program
WASHINGTON - The United States has intervened and filed a complaint in
a whistleblower suit against AseraCare Hospice, the Justice Department
announced today. Golden Gate Ancillary LLC, dba AseraCare Hospice, is
a for-profit business with approximately 65 hospice providers in 19
states, including Alabama, Georgia, Pennsylvania and Wisconsin.

December 2011
December 29, 2011; U.S. Department of Justice
GE Healthcare Inc. Pays Us $30 Million to Resolve False Claims Act
Allegations
GE Healthcare Inc. has paid the United States $30 million, plus
interest, to settle allegations that a company it acquired in 2004,
Amersham Health Inc., had violated the False Claims Act by causing
Medicare to overpay for Myoview, a radiopharmaceutical used in certain
cardiac diagnostic imaging procedures, the Justice Department
announced.
December 21, 2011; U.S. Attorney; Southern District of Texas
Former DME Company Owner Lands in Federal Prison for 12 Years
HOUSTON - Benjamin Essien, the former owner of Durable medical
Equipment (DME) companies Logic World Medical and Roben Medical in
Houston, has been sentenced to 145 months in federal prison for
defrauding the Texas Medicaid program, United States Attorney Kenneth
Magidson announced today along with Texas Attorney General Greg
Abbott. During sentencing this morning, U.S. District Judge Grey
Miller explained that the Medicaid beneficiaries whose identities had
been unlawfully used to defraud the government, were also to be
considered victims of the scheme to defraud.
December 21, 2011; U.S. Attorney; District of Columbia
Medicare Recipient Pleads Guilty to Health Care Fraud
WASHINGTON - Walt R. Wilson, 42, of Washington, D.C., has pled guilty
to the lead count in an indictment, health care fraud, stemming from a
scheme involving more than $71,000 in fraudulent Medicare payments.
December 20, 2011; U.S. Attorney; Northern District of Texas
Federal Grand Jury Indicts Medical Supply Company Owner Who Allegedly
Entered Into A Fraudulent Marriage And Provided False Statements To
Obtain Citizenship - Defendant Also Under Indictment in NDTX for Role
in Health Care Fraud Scheme
DALLAS - A federal grand jury in Dallas has indicted Plano, Texas,
resident, Okey F. Nwagbara, 45, for making misrepresentations in
immigration and naturalization documents that misled the government
and prevented the government from examining material facts that may
have prevented his naturalization. Nwagbara, who has been a
naturalized citizen since 2008, was the owner/operator of Advanced
MedEquip & Supplies Ltd., a durable medical equipment (DME) business
in Richardson, Texas. Today's announcement was made by U.S. Attorney
Sarah R. Saldaña of the Northern District of Texas.
December 20, 2011; U.S. Department of Justice
Fort Lauderdale, Florida-Area Halfway House Operator Pleads Guilty to
Fraud and Kickback Scheme
WASHINGTON - The manager and operator of a Fort Lauderdale, Fla.-area
halfway house pleaded guilty yesterday for his role in a Medicare
fraud kickback scheme that funneled patients to a fraudulent mental
health provider, American Therapeutic Corporation (ATC), announced the
Department of Justice, FBI and the Department of Health and Human
Services.
December 20, 2011; U.S. Department of Justice
Three Operators of Miami Home Health Company Plead Guilty in $60
Million Health Care Fraud Scheme
WASHINGTON - Three operators of a Miami health care agency pleaded
guilty yesterday for their participation in a $60 million home health
Medicare fraud scheme, announced the Department of Justice, the FBI
and the Department of Health and Human Services.
December 19, 2011; U.S. Department of Justice
Justice Department Recovers $3 Billion in False Claims Act Cases in
Fiscal Year 2011
WASHINGTON - The Justice Department secured more than $3 billion in
settlements and judgments in civil cases involving fraud against the
government in the fiscal year ending Sept. 30, 2011, Tony West,
Assistant Attorney General for the Civil Division, announced today.
This is the second year in a row that the department has surpassed $3
billion in recoveries under the False Claims Act, bringing the total
since January 2009 to $8.7 billion - the largest three-year total in
the Justice Department's history.
December 19, 2011; U.S. Department of Justice
Nurse, Administrator and Two Recruiters for Miami Home Health
Companies Sentenced to Prison in $25 Million Health Care Fraud Scheme
WASHINGTON - Two patient recruiters, a nurse and an administrator for
two Miami home health care companies were sentenced today for their
participation in a $25 million home health Medicare fraud scheme,
announced the Department of Justice, the FBI and the Department of
Health and Human Services.
December 16, 2011; U.S. Attorney; Southern District of Texas
Pharmacy Technician Pleads Guilty to Conspiring to Commit Health Care
Fraud
McALLEN, Texas - Valerie Jean Flores 38, of Mission, Texas, has been
convicted of conspiracy to commit health care fraud, United States
Attorney Kenneth Magidson announced today along with Texas Attorney
General Greg Abbott. Flores was formerly employed a senior pharmacist
technician by Sara Elicia Garza, 55, also of Mission - a pharmacist
and owner and operator of Sara's Pharmacy and Gift Corner located in
Mission.
December 14, 2011; U.S. Department of Justice
Three Patient Recruiters for Miami Home Health Companies Sentenced to
Prison in $25 Million Health Care Fraud Scheme
WASHINGTON - Two patient recruiters for a Miami health care agency
were sentenced today to 18 and 12 months in prison, respectively, for
their participation in a $25 million home health Medicare fraud
scheme, announced the Department of Justice, the FBI and the
Department of Health and Human Services.
December 14, 2011; U.S. Department of Justice
Owners of Houston Mental Health Company and Assisted Living Facility
Indicted for Alleged Roles in $90 Million Medicare Fraud Scheme
WASHINGTON - Two owners of a Houston mental health care company,
Spectrum Care P.A., and the owner of a Houston assisted living
facility were arrested today on charges related to their alleged
participation in a $90 million Medicare fraud scheme, announced the
Department of Justice, the Department of Health and Human Services and
the FBI.
December 14, 2011; U.S. Attorney; Eastern District of Pennsylvania
Philadelphia Doctor Charged With Running Pill Mill
PHILADELPHIA - A 23-count Indictment was returned and four
Informations were unsealed today charging a total of eight defendants,
including Philadelphia physician Dr. Kermit B. Gosnell and members of
his former staff, in a drug conspiracy case. Gosnell is charged with
illegally prescribing highly-addictive painkillers and sedatives
outside the usual course of professional practice and not for a
legitimate medical purpose, along with related charges.
December 14, 2011; U.S. Attorney; District of Arizona News Release
Pain Management Doctor and Clinic Administrator Indicted On 130
Counts
PHOENIX- A federal grand jury in Phoenix returned a 130 count
indictment against Angelo Chirban, 62, and Marilyn Chirban, 60, of
Queen Creek, Arizona, for Conspiracy to Illegally Distribute
Controlled Substances, Illegal Distribution of Controlled Substances,
Health Care Fraud Conspiracy, Health Care Fraud, and Transactional
Money Laundering.
December 12, 2011
Co-owners of Pocatello Physical Therapy, P.A. Sentenced in Federal
Court
POCATELLO - The co-owners of Pocatello Physical Therapy, P.A., were
sentenced in U.S. District Court today for altering records in a
federal health care audit, U.S. Attorney Wendy J. Olson announced. Dan
DesFosses, 65, and Colin "Ric" Benedetti, 58, both of Pocatello,
appeared before U.S. District Judge Edward J. Lodge at the federal
courthouse. DesFosses and Benedetti were each sentenced to three years
of probation. DesFosses was fined $1,000 and ordered to pay $9,757.66
in restitution. Benedetti was ordered to pay $2,442 in restitution.
Both will be required to do 300 hours of community service.
December 13, 2011; U.S. Attorney; District of New Jersey
Fourteen New Jersey Health Care Providers Arrested, Charged With
Taking Cash Payments for Patient Referrals
NEWARK, N.J. - Thirteen New Jersey doctors and a nurse practitioner
are charged in a cash-for tests referral scheme for allegedly taking
illegal kickback payments to refer patients to an Orange, N.J.,
medical testing facility, New Jersey U.S. Attorney Paul J. Fishman and
U.S. Department of Health and Human Services, Office of Inspector
General Special Agent in Charge Tom O'Donnell announced.
December 12, 2011; U.S. Attorney; Western District of Missouri News
Release
KC Woman, St. Louis Man Plead Guilty To Medicaid Kickbacks
KANSAS CITY, Mo. - Beth Phillips, United States Attorney for the
Western District of Missouri, announced that a Kansas City, Mo., woman
and a St. Louis, Mo., man pleaded guilty in federal court today to
kickbacks that were paid to refer Medicaid patients to a non-emergency
medical transportation business.
December 12, 2011; U.S. Department of Justice
Minnesota-Based Medtronic Inc. Pays US $23.5 Million to Settle Claims
That Company Paid Kickbacks to Physicians
WASHINGTON - Medtronic Inc. of Fridley, Minn., has agreed to pay the
United States $23.5 million to resolve allegations that it violated
the False Claim Act by using physician payments related to post-market
studies and device registries as kickbacks to induce doctors to
implant the company's pacemakers and defibrillators, the Justice
Department announced today.
December 9, 2011; U.S. Attorney; Northern District of Georgia
Atlanta Radiologist Sentenced to Prison
ATLANTA, GA - RAJASHAHKER P. REDDY, 41, of Atlanta, Georgia, was
sentenced to prison late yesterday by United States District Judge
Orinda D. Evans on charges of health care fraud, wire fraud and mail
fraud.
December 8, 2011; U.S. Attorney; Middle District of Louisiana News
Release
Guilty Pleas in Baton Rouge, Louisiana, To Charges of Health Care
Fraud and Money Laundering
BATON ROUGE, LA - United States Attorney Donald J. Cazayoux, Jr.
announced that SONYA LEWIS WILLIAMS, age 46, of Baton Rouge,
Louisiana, pled guilty today before U.S. District Court Judge Frank J.
Polozola to two counts of an indictment charging her with health care
fraud and money laundering.
December 8, 2011; U.S. Attorney; Southern District of Texas
Houston Federal Jury Returns Guilty Verdicts in Health Care Fraud
Trial
HOUSTON - Kelvin Washington, 48, of Houston, has been convicted on all
counts of health care fraud, conspiracy and violations of the anti-
kickback statute charged against him, United States Attorney Kenneth
Magidson announced today. The verdicts were returned less than an hour
ago after six days of trial and three and a half hours of
deliberation.
December 7, 2011; U.S. Attorney; Eastern District of California
Two Healthcare Systems Pay $2.3 Million Collectively To Settle
Overpayment Claims
SACRAMENTO, Calif. - United States Attorney Benjamin B. Wagner
announced that Catholic Healthcare West has paid $875,564 and Sutter
Health Association has paid $1,433,509 to the United States to settle
allegations that certain of their affiliate hospitals overcharged the
government for infusion therapy and lithotripsy services.
December 8, 2011; U.S. Department of Justice
Owner of Miami-Area Mental Health Company Sentenced to 35 Years in
Prison for Orchestrating $205 Million Medicare Fraud Scheme
WASHINGTON - The owner of a fraudulent Miami-area mental health care
company, American Therapeutic Corporation (ATC), was sentenced today
to 35 years in prison for orchestrating a $205 million Medicare fraud
scheme, announced the Department of Justice, the FBI and the
Department of Health and Human Services.
December 8, 2011; U.S. Attorney; District of New Jersey
Randolph, N.J., Otolaryngologist Pleads Guilty To Health Care Fraud
NEWARK, N.J. - A North Caldwell, N.J., doctor today admitted his role
in defrauding Blue Cross Blue Shield of more than $725,000 by
submitting false claims for services he never performed, U.S. Attorney
Paul J. Fishman announced.
December 8, 2011; U.S. Attorney; District of Maryland
Gaithersburg Man Sentenced For Possessing Child Pornography
Greenbelt, Maryland - Chief U.S. District Judge Deborah K. Chasanow
sentenced Andrew Liang, age 26, of Gaithersburg, Maryland, today to a
year and a day in prison followed by five years of supervised release
for possessing child pornography. Chief Judge Chasanow ordered that
Liang pay a fine of $10,000 and that upon his release from prison,
Liang must register as a sex offender in the place where he resides,
where he is an employee, and where he is a student, under the Sex
Offender Registration and Notification Act (SORNA).
December 7, 2011; U.S. Attorney; Central District of California
Shield Healthcare Pays $5 Million to Resolve 'Whistleblower' Lawsuit
Alleging It Overbilled Medi-Cal Program for Incontinence Supplies
Santa Ana, California - Shield Healthcare, a medical supply provider
based in Santa Clarita, has paid the United States and the State of
California a total of $5 million to resolve a "whistleblower" lawsuit
alleging that the company submitted inflated bills to California's
Medicaid program, Medi-Cal.
December 7, 2011; U.S. Attorney; Southern District of Texas
Palmview, Texas, Siblings Convicted of Health Care Fraud Conspiracy
McALLEN, Texas - A co-owner and manager of a McAllen-area durable
medical equipment (DME) business have both pleaded guilty to
conspiracy to commit health care fraud for their roles in a scheme to
defraud Medicare and Medicaid through fraudulent billings for power
wheelchairs, United States Attorney Kenneth Magidson announced today.
December 6, 2011; U.S. Department of Justice
Detroit-Area Clinic Owner Pleads Guilty in Connection with Medicare
Fraud Scheme
WASHINGTON - A clinic owner pleaded guilty today for her participation
in a Detroit-area Medicare fraud scheme, announced the Department of
Justice, the FBI and the Department of Health and Human Services.
December 6, 2011; U.S. Department of Justice
Owners of Houston Health Care Company Sentenced to Prison for Medicare
Fraud
WASHINGTON - Two owners of a Houston durable medical equipment (DME)
company were each sentenced to prison today for their roles in a
Medicare fraud scheme, announced the Department of Justice, the FBI
and the Department of Health and Human Services
December 6, 2011; U.S. Department of Justice
Doctor and Two Nurses Sentenced to Prison for Roles in $25 Million
Miami Health Care Fraud Scheme
WASHINGTON - Two nurses and a doctor were sentenced yesterday in Miami
federal court for their participation in a $25 million home health
Medicare fraud scheme, announced the Department of Justice, the FBI
and the Department of Health and Human Services.
December 6, 2011; U.S. Department of Justice
St. Louis-Based KV Pharmaceutical to Pay $17 Million to Settle False
Claims Allegations
WASHINGTON - KV Pharmaceutical Company, which was the St. Louis-based
parent company of now-defunct Ethex Corporation, will pay $17 million
to resolve False Claims Act allegations that Ethex failed to advise
the Centers for Medicare and Medicaid Services (CMS) that two
unapproved products did not qualify for coverage under federal health
care programs, the Justice Department announced today. Ethex is
alleged to have submitted false quarterly reports to the government
related to a pair of drugs, Nitroglycerin Extended Release Capsules
(Nitroglycerin ER) and Hyoscyamine Sulfate Extended Release Capsules
(Hyoscyamine ER).
December 2, 2011; U.S. Department of Justice
Detroit-Area Clinic Owner Sentenced to 78 Months in Prison for Role in
$9.1 Million Medicare Fraud Scheme
WASHINGTON - Joaquin Tasis was sentenced today to 78 months in prison
for his role in a $9.1 million Detroit-area Medicare fraud scheme,
announced the Department of Justice, the FBI and the Department of
Health and Human Services.
December 2, 2011; U.S. Attorney; Eastern District of Virginia
Woodbridge Woman Sentenced to 51 Months for Defrauding Medicaid of
Nearly $1 Million
ALEXANDRIA, Va. - Yanick Pierre, 51, of Woodbridge, Va., was sentenced
today to 51 months in prison, followed by a three-year term of
supervised release, for fraudulently billing Medicaid nearly $1
million from August 2008 to May 2010.
December 2, 2011; U.S. Attorney; District of Massachusetts
Dorchester Pharmacist Sentenced for Medicaid Fraud
BOSTON - A Dorchester pharmacist was sentenced yesterday in federal
court for conspiracy to defraud the United States government by
submitting false claims to Medicaid, a federally-funded program.
December 1, 2011; U.S. Attorney; Middle District of Pennsylvania
Pennsylvania Hospice to Pay U.S. $10.56 Million Settlement
The United States Attorney's Office for the Middle District of
Pennsylvania, and the U.S. Department of Health and Human Services,
Office of the Inspector General, announced today that Diakon Lutheran
Social Ministries d/b/a Diakon Hospice Saint John (Diakon) has agreed
to resolve its liability for violations of the False Claims Act (FCA)
by paying the United States $10.56 million.

November 2011
November 30, 2011; U.S. Department of Justice
Pompano Beach, Fla.-Area Assisted Living Facility Owner Pleads Guilty
to Fraud and Kickback Scheme
WASHINGTON - The owner and operator of a Pompano Beach, Fla.-area
assisted living facility pleaded guilty today for his role in a
Medicare fraud kickback scheme that funneled patients through a
fraudulent mental health company and a Medicaid fraud scheme that
billed for assisted living services that were never provided,
announced the Department of Justice, the FBI, the Department of Health
and Human Services (HHS) and the Medicaid Fraud Control Unit (MFCU) of
the Florida Office of the Attorney General.
November 29, 2011; U.S. Attorney; Southern District of Texas
Local Music Producer and Club Owner Convicted on Multiple Federal
Charges
HOUSTON - Julian Kimble, 46, has pleaded guilty to conspiracy to
commit healthcare fraud, conspiracy to commit money laundering and tax
evasion, United States Attorney Kenneth Magidson announced today.
Kimble is the owner of Pearl Records and Pearl Entertainment and
investor in Grooves Restaurant & Lounge.
November 29, 2011; U.S. Department of Justice
Patient Recruiter Pleads Guilty in Connection with $5.4 Million
Medicare Fraud Scheme in Detroit
WASHINGTON - A patient recruiter pleaded guilty today for his
participation in a Medicare fraud scheme operated out of three Detroit-
area health care clinics, announced the Department of Justice, the FBI
and the Department of Health and Human Services (HHS).
November 29, 2011; U.S. Department of Justice
Owner of Houston Health Care Company Pleads Guilty to Defrauding
Medicare
WASHINGTON - The owner of a Houston health care company pleaded guilty
today in connection with a Medicare fraud scheme involving durable
medical equipment (DME), announced the Department of Justice, the FBI
and the Department of Health and Human Services (HHS).
November 28, 2011; U.S. Attorney; Eastern District of Michigan
Southfield Family Practice Doctor, Dr. Gwendolyn Washington, Sentenced
To 120 Months For Public Corruption, Illegal Prescription Drug
Trafficking And Health Care Fraud
Dr. Gwendolyn Washington, M.D., age 67, was sentenced today to 120
months imprisonment for public corruption, health care fraud, and
conspiring to illegally distribute prescription drugs, United States
Attorney Barbara L. McQuade announced. McQuade was joined in the
announcement by Andrew G. Arena, Special Agent in Charge, Federal
Bureau of Investigation, Detroit Field Division and Lamont Pugh, III,
Special Agent in Charge, Department of Health and Human Services,
Office of Inspector General. Dr. Washington was sentenced by the
Honorable Paul D. Borman.
November 22, 2011; U.S. Department of Justice
Detroit-Area Foot Doctor Pleads Guilty to Medicare Fraud Scheme
WASHINGTON - A Detroit-area foot doctor pleaded guilty today for his
participation in a Medicare fraud scheme, announced the Department of
Justice, FBI and the Department of Health and Human Services (HHS).
November 22, 2011; U.S. Department of Justice
U.S. Pharmaceutical Company Merck Sharp & Dohme to Pay Nearly One
Billion Dollars Over Promotion of Vioxx®
WASHINGTON - American pharmaceutical company Merck, Sharp & Dohme has
agreed to pay $950 million to resolve criminal charges and civil
claims related to its promotion and marketing of the painkiller Vioxx®
(rofecoxib), the Justice Department announced today. Under the terms
of the resolution, Merck will plead guilty to a one-count information
charging a single violation of the Food Drug and Cosmetic Act (FDCA)
for introducing a misbranded drug, Vioxx�, into interstate commerce.
Under the terms of its plea agreement with the United States, Merck
will plead guilty to a misdemeanor for its illegal promotional
activity and will pay a $321,636,000 criminal fine.
November 22, 2011; U.S. Department of Justice
United States Files Complaint Against BestCare Laboratory Services
Alleging False Claims for Medicare Funds
WASHINGTON - The United States filed a complaint against BestCare
Laboratories, Inc. and its founder and principal, Karim A. Maghareh,
in the U.S. District Court for the Southern District of Texas, the
Justice Department announced today. The suit alleges that the
defendants knowingly misrepresented the distances traveled by its lab
technicians to artificially increase reimbursement from Medicare for
mileage-based technician travel allowance fees.
November 21, 2011; U.S. Attorney; Southern District of Florida
Miami Man Sentenced For Stealing Identity Information From DCF
Computers For Use In Medicare Fraud Scam
Wifredo A. Ferrer, United States Attorney for the Southern District of
Florida, Henry Gutierrez, Postal Inspector in Charge, United States
Postal Inspection Service, Miami Division, Vance Luce, Acting Special
Agent in Charge, U.S. Secret Service, John V. Gillies, Special Agent
in Charge, Federal Bureau of Investigation (FBI), Miami Field Office,
and James K. Loftus, Director, Miami-Dade Police Department, announced
today's sentencing of Yenky Sanchez, 25, of Miami, for conspiring to
commit health care fraud, in violation of Title 18, United States
Code, Section 1349; conspiring to commit authentication feature fraud,
in violation of Title 18, United States Code, Sections 1028(a)(3) and
(f); and aggravated identity theft, in violation of Title 18, United
States Code, Section 1028A(a)(1). U.S. District Judge Cecilia M.
Altonaga sentenced Sanchez to 65 months in prison, followed by three
years of supervised release. Judge Altonaga also imposed a $5,000.00
fine.
November 21, 2011; U.S. Attorney; District of New Jersey
Former Maxim Healthcare Services Senior Manager Sentenced to Prison
for Health Care Fraud
TRENTON, N.J. - A former senior manager and 13-year employee of Maxim
Healthcare Services, Inc. ("Maxim"), was sentenced today to five
months in prison and five months of home confinement with electronic
monitoring for his involvement in the unlicensed operation of Maxim
office that billed nearly a million dollars to government health care
programs, J. Gilmore Childers, First Assistant U.S. Attorney
announced.
November 17, 2011; U.S. Attorney; District of Rhode Island
Nationwide Supplier of Medical Equipment Pleads Guilty to Health Care
Fraud, Money Laundering & Selling Adulterated and Misbranded Medical
Devices
PROVIDENCE, R.I. - The owner of Planned Eldercare, a nationwide
supplier of durable medical equipment located in Buffalo Grove, Ill.,
pled guilty today in U.S. District Court in Providence, R.I., to
defrauding the Medicare program by targeting arthritic and/or diabetic
Medicare beneficiaries, and ensuring that his company ordered and
shipped medical equipment and supplies to Medicare beneficiaries that
they did not order and/or were not medically necessary.
November 17, 2011; U.S. Department of Justice
Houston Patient Recruiter Sentenced to 21 Months in Prison for
Medicare Fraud Scheme Involving Claims of Hurricane Damage to Power
Wheelchairs
WASHINGTON - A patient recruiter for a Houston durable medical
equipment (DME) company was sentenced today to 21 months in prison for
her role in a health care fraud scheme involving power wheelchairs,
announced the Department of Justice, FBI and the Department of Health
and Human Services.
November 17, 2011; U.S. Attorney; Northern District of California
Three Bay Area Residents Charged With Oxycodone Trafficking
SAN FRANCISCO - A federal grand jury in San Francisco returned an
indictment in which three Bay Area residents are charged variously
with conspiracy; possession with intent to distribute oxycodone and
oxymorphone; distribution of oxycodone and oxymorphone; and possession
of a firearm by a felon, United States Attorney Melinda Haag
announced. The prosecution is the result of a seven month, multi-
district investigation by the Federal Bureau of Investigation, Drug
Enforcement Agency, and Health and Human Services.
November 17, 2011; U.S. Department of Justice
Fort Lauderdale, Fla.-Area Assisted Living Facility Manager Pleads
Guilty to Fraud and Kickback Scheme
WASHINGTON - The manager of a Fort Lauderdale, Fla.-area assisted
living facility and owner of a purported community mental health
center pleaded guilty yesterday for his role in a Medicare fraud
kickback scheme that funneled patients through a fraudulent mental
health company, American Therapeutic Corporation (ATC), announced the
Department of Justice, FBI and Department of Health and Human
Services.
November 16, 2011; U.S. Attorney; District of New Jersey
Top New Jersey Prescriber of Drugs to Medicaid Patients Sentenced to
43 Months in Prison for Fraud Scheme Involving Fake Physicians
NEWARK, N.J. - A doctor with a practice in Elizabeth, N.J., was
sentenced today to 43 months in prison for operating a health care
fraud scheme in which patients were exposed to treatment during 20,000
patient visits from individuals who made as little as $10 an hour to
pose as licensed physicians, U.S. Attorney Paul J. Fishman announced.
November 16, 2011; U.S. Attorney; Southern District of Texas
Houston Man Arrested for Health Care Fraud
HOUSTON - Endurance Iyamu, 47, of Houston, has been indicted and
arrested for devising and executing a scheme to commit health care
fraud, United States Attorney Kenneth Magidson announced today. Iyamu
will appear for his arraignment and detention hearing on Friday, Nov.
18.
November 16, 2011; U.S. Attorney; Southern District of Texas
Arrested in Florida, Couple to Appear in Houston on Charges of
Bankruptcy Fraud
HOUSTON - Husband and wife Michael Giventer and Julia Shvabskaya have
been arrested for devising and executing a scheme to commit bankruptcy
fraud and defrauding several creditors in Texas and elsewhere, U.S.
Attorney Kenneth Magidson announced today. Giventer and Shvabskaya
orchestrated the formation of multiple business entities allegedly
dedicated to providing healthcare services.
November 15, 2011; U.S. Attorney; Northern District of Texas
Owner And Associates Of Euless Healthcare Corporation Arrested On
Conspiracy And Health Care Fraud Charges
DALLAS - Three defendants who have been charged in a federal
indictment, unsealed today, with various offenses related to their
involvement in the operation of Euless Healthcare Corporation, were
arrested this morning by special agents with the FBI and the U.S.
Department of Health and Human Services - Office of the Inspector
General, announced U.S. Attorney Sarah R. Salda�a of the Northern
District of Texas.
November 15, 2011; U.S. Attorney; Western District of North Carolina
Monroe Physician To Pay $950,000 To Settle Government Civil Fraud
Allegations
Millicent Francis-Lane, M.D. has agreed to pay $950,000 to the North
Carolina Medicaid Program to resolve False Claims Act allegations,
announced Anne M. Tompkins, U.S. Attorney for the Western District of
North Carolina and North Carolina Attorney General Roy Cooper. Dr.
Francis-Lane owns Union County Women's Care, which has offices in
Monroe, N.C.
November 14, 2011; U.S. Department of Justice
U.S. Attorney General Holder and Dominican Prosecutor General Jiménez
Sign Agreement to Share $7.5 Million in Forfeited Assets as Countries
Agree to Share Assets Forfeited in Medicare Fraud Case
SANTO DOMINGO - Attorney General Eric Holder joined today with
Dominican Prosecutor General Radhamés Jiménez Peña in Santo Domingo,
Dominican Republic, to announce the signing of a case-specific
agreement to share approximately $7.5 million in forfeited assets
between the United States and the Dominican Office of the Prosecutor
General. The United States expects to recover an additional
approximately $30 million in forfeited assets as part of the
agreement.
November 14, 2011; U.S. Department of Justice
Miami-Area Patient Recruiter Pleads Guilty to Fraud and Kickback
Scheme
WASHINGTON - The owner and president of a Miami-area transportation
company pleaded guilty today for her role in a Medicare fraud kickback
scheme that funneled patients through a fraudulent mental health
company, American Therapeutic Corporation (ATC), announced the
Department of Justice, FBI and Department of Health and Human
Services.
November 14, 2011; U.S. Attorney; District of New Jersey
Fugitive Returned From Pakistan After 13 Years Sentenced To Prison For
1997 Health Care Fraud
TRENTON, N.J. - A Jersey City, N.J., man who fled to Pakistan to avoid
prosecution over a decade ago was sentenced today to 21 months in
prison for defrauding Medicare of approximately $126,000 by submitting
false claims in 1997, U.S. Attorney Paul J. Fishman announced.
November 14, 2011; U.S. Attorney; Southern District of Texas
Former Houston Doctor Sentenced to Federal Prison
HOUSTON - A former Houston physician has been sentenced to 70 months
in prison following his convictions for conspiracy to commit mail
fraud and mail fraud, United States Attorney Kenneth Magidson
announced today.
November 10, 2011; U.S. Attorney; Western District of Washington
South Sound Doctor Convicted Of Multiple Counts Of Healthcare Fraud,
Tax Crimes And
Drug Distribution
Antoine Johnson, 40, a former resident of Aberdeen, Washington, and
his mother, Lawanda Johnson, were convicted today in U.S. District
Court in Tacoma of more than two dozen federal felonies connected with
their operation of four health care clinics in Western Washington.
Following the three week jury trial, Antoine Johnson and Lawanda
Johnson were convicted of 24 counts of health care fraud. Antoine
Johnson was also convicted of 4 counts of filing false income tax
returns and five counts of illegal drug distribution. Lawanda Johnson
was convicted of six counts of filing false income tax returns. The
jury deliberated about two and a half days before returning the guilty
verdicts. U.S. District Judge Ronald B. Leighton scheduled sentencing
for February 3, 2012.
November 10, 2011; U.S. Attorney; District of Maryland
Salisbury Cardiologist Sentenced To Over 8 Years In Prison For
Implanting Unnecessary Cardiac Stents
Baltimore, Maryland - U.S. District Judge William D. Quarles, Jr.
sentenced cardiologist John R. McLean, age 59, of Salisbury, Maryland,
today to 97 months in prison followed by three years of supervised
release for six health care fraud offenses in connection with a scheme
in which Dr. McLean submitted insurance claims for inserting
unnecessary cardiac stents, ordered unnecessary tests and made false
entries in patient medical records, in order to defraud Medicare,
Medicaid and private insurers. Judge Quarles also ordered that McLean
pay restitution to Medicare and the other health insurance programs of
$579,070. Judge Quarles also ordered McLean to forfeit $579,070 as
proceeds of the crime.
November 10, 2011; U.S. Department of Justice
Fort Lauderdale-area Halfway House Owners Plead Guilty to Kickback
Scheme
WASHINGTON - The two managers and operators of a Fort Lauderdale, Fla.-
area halfway house company pleaded guilty today for their role in a
Medicare fraud kickback scheme that funneled patients through a
fraudulent mental health company, American Therapeutic Corporation
(ATC), announced the Department of Justice, FBI and Department of
Health and Human Services.
November 8, 2011; U.S. Department of Justice
Miami-Area Patient Recruiter Pleads Guilty in $25 Million Health Care
Fraud Scheme
WASHINGTON - A patient recruiter of a Miami health care agency pleaded
guilty yesterday for her participation in a $25 million home health
Medicare fraud scheme, announced the Department of Justice, the FBI
and the Department of Health and Human Services.
November 8, 2011; U.S. Attorney; Middle District of Tennessee
Vanguard Health Care, Vanguard Health Care Ancillary to Pay two
Million Dollars to Settle False Claims Act Allegations
Vanguard and its wholly owned subsidiary, Vanguard Health Care
Ancillary, have agreed to pay the United States and the State of
Tennessee two million dollars to settle False Claims Act allegations,
announced Jerry E. Martin, U.S. Attorney for the Middle District of
Tennessee.
November 4, 2011; U.S. Attorney; Middle District of North Carolina
Area Dentist Pleads Guilty To Health Care Fraud
GREENSBORO, N.C. - United States Attorney Ripley Rand announced that
Greensboro dentist Tung Thai Nguyen pleaded guilty yesterday to health
care fraud charges in connection with false claims submitted to
Medicaid.
November 3, 2011; U.S. Department of Justice
Former "Most Wanted" Health Care Fraud Fugitives Sentenced to 14 Years
in Prison for $9.1 Million Detroit Medicare Fraud Scheme
WASHINGTON - Two sisters who owned a fraudulent Detroit-area medical
clinic and who are former "Most Wanted" health care fraud fugitives
were each sentenced in Miami today to 14 years in prison for their
leading roles in a $9.1 million Medicare fraud scheme, announced the
Department of Justice, the FBI and the Department of Health and Human
Services (HHS).
November 3, 2011; U.S. Attorney; Southern District of West Virginia
Federal Jury Convicts Man On Charges Related To Health Care Fraud
Scheme
CHARLESTON, W.Va. - Sargis Tadevosyan, 42, an Armenian citizen, was
convicted today by a federal jury in connection with a health care
fraud scheme that intended to defraud millions of dollars from
Medicare, announced U.S. Attorney Booth Goodwin. After a four-day
trial, Tadevosyan was found guilty of two felony counts: conspiracy to
commit health care fraud and wire fraud and aggravated identity
theft.
November 3, 2011; U.S. Department of Justice
Detroit-Area Man Arrested In Connection With $30 Million Medicare Home
Health Scheme
WASHINGTON - A Detroit-area resident was charged and arrested today in
the Eastern District of Michigan for his alleged leading role in a $30
million Medicare fraud scheme involving home health services,
announced the Department of Justice, the Department of Health and
Human Services (HHS), the FBI and the HHS-Office of Inspector General
(OIG). In addition to the arrest, law enforcement agents executed
search warrants at five locations, seizure warrants for 31 bank
accounts related to the scheme and suspended Medicare payments to 16
health care companies associated with the scheme.
November 2, 2011; U.S. Attorney; Southern District of Texas
Medical Equipment Business Owner and Manager Arrested for Health Care
Fraud and Aggravated Identity Theft
McALLEN, Texas - A co-owner and manager of a McAllen-area durable
medical equipment (DME) business have been indicted by a federal grand
jury and charged with conspiracy to commit health care fraud, multiple
counts of health care fraud and aggravated identity theft for their
alleged roles in a scheme to defraud Medicare and Medicaid through
fraudulent billings for power wheelchairs, United States Attorney
Kenneth Magidson announced today. Both were arrested approximately an
hour and a half ago without incident.
November 2, 2011; U.S. Attorney; District of Rhode Island
R.I. Ambulance Company Owner Sentenced To 24 Months In Federal Prison
For Health Care Fraud; Ordered To Pay More Than $700,000 In
Restitution
PROVIDENCE, R.I. - The owner and president of a Warwick, R.I.,
ambulance company was sentenced today to 24 month in federal prison, 3
years supervised release and 1,000 hours of community service for
defrauding health care programs administered by Medicare and Blue
Cross Blue Shield of Rhode Island of more than $700,000.
November 2, 2011; U.S. Department of Justice
Brooklyn, N.Y., Medicare Fraud Strike Force Charges 12 Individuals for
Participating in Health Care Fraud Schemes Totaling More Than $95
Million
WASHINGTON - Twelve individuals, including three medical doctors, a
doctor of osteopathy and a chiropractor, were charged today in the
Eastern District of New York for their roles in separate health care
fraud schemes that resulted in the submission of more than $95 million
in false claims to the Medicare program, announced the Department of
Justice, the FBI and the Department of Health and Human Services.
November 1, 2011; U.S. Attorney; Southern District of Texas
Medical Equipment Business Owner and Manager Arrested for Health Care
Fraud and Aggravated
Identity Theft
McALLEN, Texas - A co-owner and manager of a McAllen-area durable
medical equipment (DME) business have been indicted by a federal grand
jury and charged with conspiracy to commit health care fraud, multiple
counts of health care fraud and aggravated identity theft for their
alleged roles in a scheme to defraud Medicare and Medicaid through
fraudulent billings for power wheelchairs, United States Attorney
Kenneth Magidson announced today. Both were arrested approximately an
hour and a half ago without incident.
November 1, 2011; U.S. Attorney; Southern District of Texas
Home Healthcare Nurse Sentenced to Federal Prison
McALLEN, Texas - A former home healthcare nurse has been sentenced to
federal prison without parole for making false statements relating to
health care matters, United States Attorney Kenneth Magidson announced
today.

October 2011
October 31, 2011; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Recovers $70 Million In Medicaid False Claims
Act Lawsuit Against
New York City
Preet Bharara, the United States Attorney for the Southern District of
New York, announced today that the United States has settled a civil
health care False Claims Act lawsuit it filed in January 2011 against
the City of New York (the "City") for $70 million. The lawsuit alleges
that the City improperly administered the Medicaid personal care
services program by authorizing personal care services for Medicaid
beneficiaries without the legally required assessments and approvals.
The lawsuit further alleges that between 2000 and 2010, the United
States paid tens of millions of dollars in reimbursements for these
services. The settlement was approved yesterday and entered in
Manhattan federal court today by U.S. District Court Judge Jed S.
Rakoff.
October 31, 2011; U.S. Attorney; Southern District of Indiana
United States Attorney Hogsett Announces Conviction Of Fort Wayne
Woman For Health Care Fraud
INDIANAPOLIS - Joseph H. Hogsett, United States Attorney for the
Southern District of Indiana, announced today that Kateen Morris, 44,
of Fort Wayne, was sentenced to 12 months in prison and ordered to pay
nearly $400,000 in restitution to Hoosier taxpayers by U.S. District
Judge William T. Lawrence following her guilty plea to health care
fraud. Hogsett also announced that federal law enforcement agents have
already recovered $337,999.75 in ill-gotten gains from Morris as part
of their investigation.
October 31, 2011; U.S. Department of Justice
Owner of Houston Health Care Company Sentenced to 41 Months in Prison
in Connection with $1.3 Million Medicare Fraud Scheme
WASHINGTON - An owner and operator of a Houston durable medical
equipment (DME) company was sentenced today in Houston federal court
to 41 months in prison for his role in a Medicare fraud scheme,
announced the Department of Justice, the FBI and the Department of
Health and Human Services.
October 28, 2011; U.S. Attorney; Southern District of Texas
Local Doctor Gets 11+ Years in Health Care Fraud Scheme
HOUSTON - Houston doctor Christina Joy Clardy, 57, has been sentenced
to 135 months in federal prison for her role in a massive health care
fraud conspiracy that billed the federal Medicare and Texas Medicaid
programs for $45,039,230 over a two-and-a-half-year period, United
States Attorney Kenneth Magidson announced today. Clardy was sentenced
just a short while ago in federal court in Houston.
October 27, 2011; U.S. Attorney; Southern District of Texas
Houston Chiropractor Pleads Guilty to Health Care Fraud Conspiracy
HOUSTON - Justina Okehie aka Dr. Tina Collins, 55, of Richmond, Texas,
has pleaded guilty to one count of conspiracy to commit health care
fraud, United States Attorney Kenneth Magidson announced today.
October 27, 2011; U.S. Attorney; Central District of California
Authorities Arrest 16 Linked to $18 Million Health Care Fraud Scheme
Involving Bogus Prescriptions for Expensive Anti-Psychotic Drugs
LOS ANGELES - Sixteen people associated with a Glendale medical
clinic, including a doctor and the owners of a San Marino pharmacy,
were arrested this morning on criminal charges related to an $18
million scheme to defraud Medicare and Medi-Cal by, among other
things, fraudulently prescribing expensive anti-psychotic medications,
and then re-billing the government for those drugs over and over.
October 27, 2011; U.S. Department of Justice
California-Based DFine Inc. to Pay U.S. More Than $2.3 Million to
Settle Claims That Company Paid Kickbacks to Physicians
WASHINGTON - DFine Inc. of San Jose, Calif., has agreed to pay the
United States $2.39 million to resolve allegations under the False
Claims Act (FCA) that the company paid kickbacks to induce physicians
to use certain of the company's devices that are used in treating
spinal fractures, the Justice Department announced today.
October 26, 2011; U.S. Department of Justice
California-Based DFine Inc. to Pay U.S. More Than $2.3 Million to
Settle Claims That Company Paid Kickbacks to Physicians
WASHINGTON - DFine Inc. of San Jose, Calif., has agreed to pay the
United States $2.39 million to resolve allegations under the False
Claims Act (FCA) that the company paid kickbacks to induce physicians
to use certain of the company's devices that are used in treating
spinal fractures, the Justice Department announced today.
October 24, 2011; U.S. Attorney; Middle District of Florida
Major Principals of DME Company Sentenced for Medicare and Medicaid
Fraud
TAMPA, FL-U.S. Attorney Robert E. O'Neill announces that U.S. District
Judge Virginia Hernandez Covington sentenced Gregory Bane (41,
Valrico), the vice president for operations and IT manager of Bane
Medical Services and Oxygen and Respiratory Therapy to three years in
federal prison for conspiracy to commit health care fraud, health care
fraud, and submitting false claims. Tracy Bane (41, Valrico), the
billing supervisor, was sentenced to six months in federal prison, and
18 months of house arrest for conspiracy to commit health care fraud,
health care fraud, and submitting false claims.
October 21, 2011; U.S. Department of Justice
Pfizer to Pay $14.5 Million for Illegal Marketing of Drug Detrol
WASHINGTON - American pharmaceutical company Pfizer Inc. has agreed to
pay $14.5 million to resolve False Claims Act allegations related to
its marketing of the drug Detrol, the Justice Department announced
today. The settlement resolves the last of a group of 10 qui tam, or
whistleblower, suits that were filed in the District of Massachusetts
and two other districts, beginning in 2003. The other nine suits were
settled or dismissed in 2009 as part of the government's global
resolution with Pfizer, under which the company agreed to pay $2.3
billion dollars to resolve civil claims and criminal charges regarding
multiple drugs.
October 20, 2011; U.S. Attorney; Southern District of New York
Twenty-Four Defendants Charged In Health Care Billing Scams That
Defrauded Insurance Companies, Medicare, And Medicaid Out Of Millions
Of Dollars
Preet Bharara, the United States Attorney for the Southern District of
New York, Janice K. Fedarcyk, the Assistant Director-in-Charge of the
New York Office of the Federal Bureau of Investigation ("FBI"),
Raymond W. Kelly, the Police Commissioner of the City of New York
("NYPD"), Thomas O'Donnell, the Special Agent-in-Charge of the New
York Office of the Inspector General, Department of Health and Human
Services ("HHS"), and Benjamin M. Lawsky, the Superintendent of the
New York Department of Financial Services ("NY DFS"), announced today
the unsealing of three separate Indictments, charging 24 defendants
with health care fraud. Two of the Indictments charge a total of 22
defendants with participating in fraudulent billing scams that caused
no-fault insurance carriers to pay out millions of dollars in
reimbursements for medical treatments that were never provided to
patients or that were medically unnecessary.
October 20, 2011; U.S. Attorney; Western District of North Carolina
Charlotte Woman Sentenced To 92 Months In Prison For Medicaid Fraud
CHARLOTTE, N.C. - Sarah Lavonne Willis, 49, of Charlotte, was
sentenced on Monday, October 17, 2011, to serve 92 months in federal
prison, to be followed by three years of supervised release for
committing healthcare fraud, money laundering, failure to file tax
returns, and possession of a firearm by a convicted felon, announced
Anne M. Tompkins, U.S. Attorney for the Western District of North
Carolina. U.S. District Judge Max O. Cogburn, Jr. also ordered Willis
to pay restitution in the amount of $1,085,041.78 to the North
Carolina Medicaid Program and $145,197 to the Internal Revenue
Service.
October 20, 2011; U.S. Attorney; Western District of North Carolina
Owner Of Charlotte Health Care Company Sentenced To Prison For $1.9
Million Medicaid Fraud
CHARLOTTE, N.C. - The owner of a Charlotte mental and behavioral
health services company was sentenced on Tuesday, October 18, 2011, to
serve 15 months in federal prison, to be followed by three years of
supervised release for his role in a Medicaid fraud scheme, announced
Anne M. Tompkins, U.S. Attorney for the Western District of North
Carolina.
October 19, 2011; U.S. Department of Justice
Miami-Area Halfway House Owner Pleads Guilty to Fraud and Kickback
Scheme
WASHINGTON - The owner and president of a Miami-area halfway house
company pleaded guilty today for her role in a kickback scheme that
funneled patients to a fraudulent mental health provider, American
Therapeutic Corporation (ATC), and its related company, the American
Sleep Institute (ASI), announced the Department of Justice, FBI and
Department of Health and Human Services (HHS).
October 19, 2011; U.S. Attorney; Southern District of Indiana
United States Attorney's Office Recovers $578,820 From Louisville
Company In Indiana Health Care Fraud Case
JEFFERSONVILLE - Joseph H. Hogsett, United States Attorney, announced
today that civil claims against Premier Home Care, a durable medical
equipment provider operating in southern Indiana, as well as central
and southeastern Kentucky, have been resolved. Premier has agreed to
pay $578,820 to the United States and $21,180 to the State of Indiana,
more than twice the estimated damages resulting from the fraudulent
acts.
October 18, 2011; U.S. Attorney; District of Maine
Kittery Respiratory Therapist and Business Plead Guilty to Health Care
Fraud Offenses
Portland, Maine -- United States Attorney Thomas E. Delahanty II
announced today that Seacoast Sleep Solutions, LLC, and its President,
Peter Enzinger, of Kittery, each pled guilty in U.S. District Court in
Portland to committing health care fraud.
October 18, 2011; U.S. Department of Justice
FDA Chemist Pleads Guilty to Using Insider Information to Trade on
Pharmaceutical Stocks Resulting in Almost $4 Million in Profits
WASHINGTON - A Food and Drug Administration chemist pleaded guilty
today before U.S. District Court Judge Deborah K. Chasanow in the
District of Maryland to one count of securities fraud and one count of
making false statements, related to a $3.7 million insider trading
scheme that spanned nearly five years.
October 15, 2011; U.S. Attorney; Southern District of Indiana
Hogsett Announces Indianapolis Man Charged With Medicaid Fraud
INDIANAPOLIS - Joseph H. Hogsett, United States Attorney, announced
today that Ahmed Mohamed Abugroon, 56, of Indianapolis, Indiana, was
charged with health care fraud\ following an investigation by the
Federal Bureau of Investigation and the Indiana Attorney General's
Medicaid Fraud Control Unit.
October 14, 2011; U.S. Department of Justice
Montgomery, Alabama, Woman Pleads Guilty to Two Tax Fraud and Identity
Theft Conspiracies - Multi-Million Dollar Fraud Schemes Used Stolen
Information of Medicaid Recipients
WASHINGTON - Veronica Dale, a resident of Montgomery, Ala., pleaded
guilty today to two tax fraud and identity theft conspiracies, the
Justice Department and the Internal Revenue Service (IRS) announced.
In addition to pleading guilty to two counts of conspiracy to defraud
the government with respect to claims, Dale pleaded guilty to two
counts of filing false, fictitious or fraudulent claims with the
United States; two counts of theft of government money, property or
records; one count of wire fraud; and one count of aggravated identity
theft.
October 14, 2011; U.S. Attorney; Middle District of Louisiana
Jury Convicts Former Director Of The Louisiana Governor's Program On
Abstinence Of Mail Fraud
BATON ROUGE, LA - United States Attorney Donald J. Cazayoux, Jr.
announced that a federal jury has returned a guilty verdict against
Gail Ray Dignam, age 64, currently of Diamondhead, Mississippi, and
formerly of Baton Rouge, convicting the defendant of two counts of
mail fraud. The verdict followed a three-day trial before United
States District Judge James J. Brady.
October 13, 2011; U.S. Department of Justice
Owners of Fraudulent Lakeland, Florida, Physical Therapy Company
Sentenced to 42 and 46 Months in Prison
WASHINGTON - Miami-area residents Angel Gonzalez and Jorge Zamora, who
were the owners and operators of a fraudulent physical therapy company
in Lakeland, Fla., were sentenced yesterday and today to 42 months in
prison and 46 months in prison, respectively, for their leading roles
in a scheme to defraud Medicare, announced the Department of Justice,
the FBI and the Department of Health and Human Services.
October 13, 2011; U.S. Attorney; Central District of California
Grand Jury Indicts 14 in L.A.-Based OxyContin Ring that Allegedly
Distributed Over 1 Million Pills of the Highly Addictive Painkillers
LOS ANGELES - Federal and state authorities this morning arrested 10
defendants - including two doctors - who are named in a federal
indictment that alleges members of a drug trafficking organization
illegally obtained and distributed more than 1 million OxyContin pills
obtained largely through fraud against public insurance programs such
as Medicare.
October 13, 2011; U.S. Attorney; Middle District of Louisiana
Sixth Sentenced For Scheme To Defraud Medicare
BATON ROUGE, LA - United States Attorney Donald J. Cazayoux, Jr.,
announced today that Chief United States District Judge Brian Jackson
sentenced Ray Kirt, 45, a resident of New Iberia, Louisiana. Kirt was
sentenced to serve forty-two months in prison, to pay restitution of
$1,063,873 to Medicare, to forfeit the gross proceeds of his scheme to
defraud Medicare, and to three years supervised release after
imprisonment. Kirt had previously pled guilty to two counts of health
care fraud.
October 12, 2011; U.S. Department of Justice
Owner of Houston Health Care Company Sentenced To 33 Months in Prison
for Medicare Fraud
WASHINGTON - The owner and operator of a Houston durable medical
equipment (DME) company was sentenced yesterday in Houston federal
court to 33 months in prison for his role in a Medicare fraud scheme,
announced the Department of Justice, the FBI and the Department of
Health and Human Services.
October 12, 2011; U.S. Attorney; Eastern District of Pennsylvania
Hospice Owner Charged In Health Care Fraud Scheme
PHILADELPHIA - An indictment1 was unsealed today charging Matthew
Kolodesh, a/k/a "Matvei Kolodech", with conspiracy to defraud Medicare
of more than $14 million through his home hospice business, announced
United States Attorney Zane David Memeger. Kolodesh was arrested this
morning.
October 11, 2011; U.S. Attorney; Southern District of Florida
Twenty-Four Indicted In Oxycodone Trafficking And Health Care Fraud
Scheme
Wifredo A. Ferrer, United States Attorney for the Southern District of
Florida, Mark R. Trouville, Special Agent in Charge, Drug Enforcement
Administration, Christopher B. Dennis, Special Agent in Charge, Health
and Human Services, Office of Inspector General, Jos� A. Gonzalez, IRS
Special Agent in Charge, Director James K. Loftus, Miami-Dade Police
Department, Al Lamberti, Sheriff, Broward Sheriff's Office, and H.
Frank Farmer, M.D., State Surgeon General, Florida Department of
Health (DOH), announced the unsealing of a federal indictment charging
twenty four defendants for their participation in, among other things,
conspiracy to distribute oxycodone and oxymorphone, and conspiracy to
defraud Medicare. Twenty-one of the defendants, including a doctor, a
pharmacist and two pain clinic operators are currently in custody
after a multi-agency takedown was executed early this morning. Three
defendants, Hattie Mae Green, Eliezer Salgado and Ronald Regains,
remain at large.
October 11, 2011; U.S. Attorney for the District of Minnesota
Home Health Care Agency Owner Pleads Guilty To Aggravated Identity
Theft Related To Health Care Fraud
MINNEAPOLIS-Recently in federal court, the operator of Universal Home
Health, a home health care agency located in Golden Valley, pleaded
guilty to an offense related to defrauding Medicaid. On October 7,
2011, Mustafa Hassan Mussa, age 56, of Minnetonka, pleaded guilty to
one count of aggravated identity theft. Mussa, who was charged on
August 18, 2011, entered his plea before United States District Court
Judge Susan Richard Nelson.
October 7, 2011; U.S. Attorney; Eastern District of Arkansas
Former Medical Equipment Supplier Pleads Guilty To Health Care Fraud
Little Rock - Christopher R. Thyer, United States Attorney for the
Eastern District of Arkansas, announced today the guilty plea of
Archibong Edem-Effoing, age 58, of Houston, Texas. Edem-Effoing pled
guilty to one count of health care fraud in violation of Title 18,
United States Code, Section 1347. At the plea hearing held before
United States District Judge Brian S. Miller, Edem-Effoing admitted
that no later than December 22, 2007 and continuing through March 1,
2009, he engaged in a scheme to defraud Medicare by stealing the
identity of a young Nigerian which he then used to apply for a
Medicare Durable Medical Equipment (DME) supplier number. After
receiving the DME number, he billed Medicare for arthritis kits and
power wheelchairs that, in some cases, were not ordered by a
physician, and which in other cases were never delivered.
October 7, 2011; U.S. Department of Justice
Detroit-Area Clinic Owner Sentenced to 10 Years in Prison for Role in
$9.1 Million Medicare Fraud Scheme
WASHINGTON - Martin Tasis was sentenced today to 10 years in prison
for his leading role in a $9.1 million Detroit-area Medicare fraud
scheme, announced the Department of Justice, the FBI and the
Department of Health and Human Services.
October 6, 2011; U.S. Attorney; Eastern District of Pennsylvania
King of Prussia Man Indicted on Health Care Fraud and Aggravated
Identity Theft Charges
Elissa Jo Benoit was charged today by indictment with a total of 75
counts involving health care fraud, aggravated identity theft, aiding
and abetting the distribution of controlled substances and
distribution of controlled substances by a person at least 18 years of
age to persons under 21 years of age, announced United States Attorney
Zane David Memeger.
October 5, 2011; U.S. Attorney; Western District of North Carolina
Charlotte Woman Pleads Guilty To Scheme To Defraud Medicaid And Money
Laundering
CHARLOTTE, N.C. - Joye Strong, 43, of Charlotte, pled guilty today to
money laundering and defrauding Medicaid through her company,
Advocating for America, LLC, announced Anne M. Tompkins, U.S. Attorney
for the Western District of North Carolina. Joining U. S. Attorney
Tompkins in making today's announcement is Attorney General Roy
Cooper, who oversees the North Carolina Medicaid Investigations Unit
(MIU).
October 5, 2011; U.S. Department of Justice
Johnson & Johnson Subsidiary Scios Pleads Guilty to Misbranding Heart
Failure Drug Natrecor
SAN FRANCISCO - Scios Inc., a subsidiary of pharmaceutical giant
Johnson & Johnson, pleaded guilty today to a misdemeanor violation of
the Food, Drug and Cosmetic Act (FDCA) for introducing into interstate
commerce its heart failure drug, Natrecor, for a use that was not
approved by the Food and Drug Administration (FDA), the Justice
Department announced. The district court also sentenced Scios, which
is based in Fremont, Calif., to pay an $85 million criminal fine in
accordance with the plea agreement between Scios and the United
States.
October 5, 2011; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Recovers $995,000 in Damages in Health Care
Fraud Lawsuit against Columbia University and New York Presbyterian
Hospital
NEW YORK - Preet Bharara, the United States Attorney for the Southern
District of New York, announced today that the United States has
filed, and simultaneously settled, a civil health care fraud lawsuit
against The Trustees of Columbia University ("Columbia"), New York
Presbyterian Hospital ("Presbyterian Hospital"), and Dr. Erik Goluboff
("Dr. Goluboff"). The complaint, filed along with the settlement,
alleges that Columbia, Presbyterian Hospital, and Dr. Goluboff
fraudulently caused Medicare to be over-billed for urological
procedures and billed for urological tests that were medically
unnecessary. The settlement was approved October 4, 2011, in Manhattan
federal court by U.S. District Court Judge Leonard B. Sand, and
requires Columbia to pay $995,000 in civil damages under the False
Claims Act.
October 5, 2011; U.S. Attorney; Southern District of Indiana
Terre Haute Pharmacist Sentenced For Healthcare Fraud And Money
Laundering
TERRE HAUTE - United States Attorney Joseph H. Hogsett announced that
John D. Love, 54, of Brazil, Ind., was sentenced today to 51 months of
imprisonment for healthcare fraud and money laundering. This follows
an investigation by the U.S. Department of Health and Human Services,
Office of Inspector General, the Internal Revenue Service, the Federal
Bureau of Investigation, and Indiana Attorney General Greg Zoeller's
Medicaid Fraud Enforcement Unit.
October 3, 2011; U.S. Attorney; Northern District of Illinois
Attorney and Former Edgewater Hospital Owner Indicted for Allegedly
Lying and Obstructing Justice to Impede U.S. and Bank Efforts to
Collect Judgments Totaling More Than $188 Million
CHICAGO - An Indiana attorney was arrested today in Florida on federal
charges alleging that he and his onetime client, the former owner and
chief executive of the bankrupt Edgewater Hospital and Medical Center
in Chicago, committed perjury and obstruction of justice to thwart
efforts by the government and a bank creditor to collect civil
judgments totaling approximately $188 million involving fraud that
resulted in Edgewater's collapse.

September 2011
September 30, 2011; U.S. Attorney; Eastern District of Arkansas
Pine Bluff Doctor Sentenced In Health Care Fraud And Misbranding Case
Little Rock - Christopher R. Thyer, United States Attorney for the
Eastern District of Arkansas and Patrick J. Holland, Special Agent in
Charge of the Food and Drug Administration's Office of Criminal
Investigations for the Kansas City Field Office, announced Kelly Dean
Shrum, age 43, a Doctor of Osteopathic Medicine who practiced as an
obstetrician-gynecologist in Pine Bluff, Arkansas in 2008 and 2009 was
sentenced by the Honorable James M. Moody to five years probation on
each count of his conviction to be served concurrently. He was ordered
to serve 200 hours community service each year of his probation. He
was also ordered to pay $204,194.49 restitution and to forfeit $75,000
of proceeds from the health care fraud.
September 30, 2011 - U.S. Attorney; Southern District of Georgia
Miami Man Sentenced to More Than 11 Years In Prison On Multi-Million
Dollar Medicare Fraud Scheme
SAVANNAH, GA - Alfredo Rasco, 52, from Miami, Florida was sentenced on
Wednesday by United States District Court Judge William T. Moore, Jr.
to 133 months in prison for his role in defrauding Medicare of
approximately $4 million. Rasco's wife, Niurka Rasco, 50, was also
sentenced on Wednesday to 3 years probation for her role in the
scheme.
September 30, 2011; U.S. Department of Justice
Louisiana-Based LHC Group Inc. Agrees to Pay U.S. $65 Million to
Resolve False Claims Act Allegations
WASHINGTON - LHC Group Inc. has agreed to pay $65 million, plus
interest, to the federal government to resolve allegations that it
violated the False Claims Act for false home healthcare billings to
the Medicare, TRICARE and Federal Employees Health Benefits programs,
the Justice Department announced today. The company also agreed to be
bound by the terms of a Corporate Integrity Agreement with the
Department of Health and Human Services - Office of Inspector
General.
September 29, 2011; U.S. Attorney; District of Rhode Island
Nationwide Supplier Of Medical Equipment To Plead Guilty In R.I. To
Health Care Fraud, Money Laundering & Selling Adulterated And
Misbranded Medical Devices
PROVIDENCE, R.I. - An Illinois businessman has agreed to plead guilty
in U.S. District Court in Providence, R.I., to a five-count
Information charging him with health care fraud; the introduction of
an adulterated and misbranded medical device into interstate commerce;
and money laundering, it was announced by U.S. Attorney Peter F.
Neronha.
September 29, 2011; U.S. Attorney; Southern District of Texas
Jury Convicts DME Business Owner of Health Care Fraud and Aggravated
Identity Theft Scheme
McALLEN, Texas - A federal jury in McAllen has convicted the owner of
a durable medical equipment business in connection with a health care
fraud and aggravated identity theft scheme, United States Attorney
Jos� Angel Moreno announced today along with Health and Human Services
- Office of Inspector General (DHHS-OIG) Special Agent-in-Charge Mike
Fields, FBI Special Agent-in-Charge Cory Nelson and Texas Attorney
General Gregg Abbott.
September 28, 2011; U.S. Attorney; Southern District of Texas
DME Owner Sentenced to Prison for Defrauding Medicare of Millions in
Wake of Hurricanes Katrina and Rita
HOUSTON - A former owner of a durable medical equipment company (DME)
was sentenced today to more than six years in federal prison for
engaging in a conspiracy to defraud Medicare of more than $5 million
and wire fraud, United States Attorney Jos� Angel Moreno announced
today.
September 28, 2011; U.S. Attorney for the Southern District of
Florida
Doral Woman Sentenced To 43 Months For Medicare Fraud
Wifredo A. Ferrer, United States Attorney for the Southern District of
Florida, John V. Gillies, Special Agent in Charge, Federal Bureau of
Investigation (FBI), Miami Field Office, and Christopher B. Dennis,
Special Agent in Charge, U.S. Department of Health and Human Services,
Office of Inspector General (HHS-OIG), announced today's sentencing of
defendant Isachi Gil, of Doral, Florida. At today's hearing, U.S.
District Judge Marcia Cooke sentenced Gil to 43 months in prison, to
be followed by three years of supervised release. In addition, Gil was
also ordered to perform 300 hours of community service and to pay
restitution in the amount of $335,968.
September 27, 2011; U.S. Department of Justice
Kentucky Doctor Pays U.S. $349,860 to Settle False Claims Act
Allegations
WASHINGTON -Louisville, Ky., physician Dr. Steven H. Stern and his
practice, Kentuckiana Center for Better Bone and Joint Health PLLC
(KCB) have agreed to pay $349,860 to settle allegations of overbilling
Medicare, the Justice Department announced today.
September 27, 2011; U.S. Attorney; Eastern District of Tennessee
Hill-Rom Company, Inc. Will Pay $41.8 Million To Resolve Federal
Health Care Fraud Investigation
KNOXVILLE, Tenn. - Hill-Rom Company, Inc., one of the largest national
suppliers of durable medical equipment, has agreed to pay $41.8
million to settle alleged violations of the federal False Claims Act
and other federal laws and regulations. This is the largest civil
fraud recovery ever by the U.S. Attorney's Office for the Eastern
District of Tennessee.
September 27, 2011; U.S. Department of Justice
Two Miami-Area Residents Plead Guilty in $25 Million Health Care Fraud
Scheme
WASHINGTON - Two Miami-area residents pleaded guilty late yesterday in
U.S. District Court in Miami for their participation in a $25 million
home health Medicare fraud scheme, announced the Department of
Justice, the Department of Health and Human Services and the FBI.
September 26, 2011; U.S. Attorney; District of North Dakota
Former Director of IHS Pharmacy Sentenced for Drug Charge
BISMARCK - United States Attorney Timothy Q. Purdon announced that on
September 26, 2011, Douglas T. Aos, 56, of Belcourt, North Dakota, was
sentenced by United States District Court Judge Daniel L. Hovland on a
charge of acquisition of a controlled substance by misrepresentation.
Aos pleaded guilty to the charge on June 27, 2011.
September 26, 2011; U.S. Department of Justice
Boston Scientific Subsidiary Guidant Pays U.S. $9.25 Million to Settle
False Claims Act Allegations
WASHINGTON - Guidant LLC, a wholly owned subsidiary of Boston
Scientific Corp. of Natick, Mass., has agreed to pay the United States
$9.25 million to resolve False Claims Act allegations, the Justice
Department announced today. The government alleges that the company
inflated the cost of replacement pacemakers and defibrillators to
federal health care programs by knowingly failing to grant warranty
credits and rebates to hospitals for pacemakers and defibrillators
that were explanted while covered under a product warranty or another
credit program.
September 22, 2011; U.S. Attorney; Eastern District of Texas
Tyler, Texas Medical Supply Owner Sentenced for Health Care Fraud
Scheme
TYLER, Texas - A 51-year-old Tyler man has been sentenced to federal
prison for health care fraud violations in the Eastern District of
Texas, announced U.S. Attorney John M. Bales today.
September 22, 2011; U.S. Attorney; Northern District of Iowa
Spencer Pharmacist Sentenced For Health Care Fraud
A pharmacist who formerly owned and operated Medicap pharmacy in
Spencer, Iowa, and defrauded Medicaid and his own health insurance
provider, was sentenced on September 21, 2011, to more than 3 years in
federal prison.
September 22, 2011; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Announces Settlement With Podiatrist To Pay
$800,000 For Submitting False Medicare Claims
Preet Bharara, the United States Attorney for the Southern District of
New York, announced that the United States has settled a civil fraud
lawsuit it filed against Chaim Chaimowitz, a podiatrist, for
submitting false claims to Medicare. According to the lawsuit,
Chaimowitz sought reimbursement for non-compensable routine foot care,
and billed Medicare for services that could not have been performed in
the time period reported. The settlement, entered yesterday in
Manhattan federal court by U.S. District Court Judge Robert W.Sweet,
requires Chaimowitz to pay $800,000 to the United States under the
False Claims Act. Chaimowitz has also entered into an Integrity
Agreement with the Office of Inspector General of the Department of
Health and Human Services for a five year period that, among other
things, requires him to establish and maintain a compliance program
and undertake training obligations.
September 21, 2011; U.S. Department of Justice
Ten Miami-Area Residents Plead Guilty in $25 Million Health Care Fraud
Scheme
WASHINGTON - Ten Miami-area residents pleaded guilty today and
yesterday in U.S. District Court in Miami for their participation in a
$25 million home health Medicare fraud scheme, announced the
Department of Justice, the Department of Health and Human Services
(HHS) and the FBI.
September 19, 2011; U.S. Department of Justice
Former President of Fraudulent Florida Physical Therapy Company
Sentenced to 24 Months in Prison for Medicare Fraud Scheme
WASHINGTON - The former president and administrator of a fraudulent
physical therapy company in Lakeland, Fla., was sentenced today to 24
months in prison for his role in a scheme to defraud Medicare,
announced the Department of Justice, the Department of Health and
Human Services and the FBI.
September 19, 2011; U.S. Department of Justice
Owner of Miami-Area Mental Health Company Sentenced to 35 Years in
Prison for Orchestrating $205 Million Medicare Fraud Scheme
WASHINGTON - Miami resident Marianella Valera, the owner of a mental
health care company, American Therapeutic Corporation, was sentenced
today to 35 years in prison for orchestrating a $205 million Medicare
fraud scheme, announced the Department of Justice, the Department of
Health and Human Services and the FBI.
September 16, 2011; U.S. Department of Justice
Owner of Miami-Area Mental Health Company Sentenced to 50 Years in
Prison for Orchestrating $205 Million Medicare Fraud Scheme
WASHINGTON - Miami resident Lawrence Duran, the owner of a mental
health care company, American Therapeutic Corporation (ATC), was
sentenced today to 50 years in prison for orchestrating a $205 million
Medicare fraud scheme, announced the Department of Justice, the
Department of Health and Human Services and the FBI.
September 15, 2011; U.S. Attorney; District of New Jersey
Wright Medical Technology, Inc. Deferred Prosecution Agreement With
Government Extended For 12 Months
NEWARK, N.J. - The 12-month Deferred Prosecution Agreement executed in
September 2010 by Wright Medical Technology, Inc. - a publicly-traded
national manufacturer and distributor of orthopaedic implant devices
and supplies based in Arlington, Tenn. - has been extended by another
12 months, First Assistant U.S. Attorney J. Gilmore Childers
announced.
September 15, 2011; U.S. Attorney; Eastern District of Louisiana
New Orleans Physician Charged With Conspiracy To Commit Health Care
Fraud
Dr. Anthony Stephen Jase, age 41 and a resident of New Orleans,
Louisiana, was charged in a one-count Bill of Information for
conspiracy to commit health care fraud, announced U. S. Attorney Jim
Letten.
September 15, 2011; U.S. Attorney; Western District of Missouri
Operation Oxyclean - KC Man Sentenced For Leading $1 Million Drug-
Trafficking Conspiracy
KANSAS CITY, Mo. - Beth Phillips, United States Attorney for the
Western District of Missouri, announced that a Kansas City, Mo., man
was sentenced in federal court today for leading a conspiracy to
illegally distribute more than $1 million worth of OxyContin and
oxycodone that were obtained, in part, by defrauding Medicare and
other health care programs.
September 14, 2011; U.S. Attorney; Northern District of Georgia
Fake Doctor Pleads Guilty To Health Care Fraud And Criminal HIPAA
Violations
Atlanta, GA - Matthew Paul Brown, 30, formerly of Atlanta, Georgia and
Nashville, Tennessee, pleaded guilty today in federal district court
to charges of health care fraud and wrongful disclosure of
individually identifiable health information.
September 14, 2011; U.S. Attorney; Southern District of Florida
Jury Convicts Miami Man For Stealing Identity Information From DCF
Computers For Use In Medicare Fraud Scam
Wifredo A. Ferrer, United States Attorney for the Southern District of
Florida, Henry Gutierrez, Postal Inspector in Charge, United States
Postal Inspection Service, Miami Division, Michael K. Fithen, Special
Agent in Charge, U.S. Secret Service, John V. Gillies, Special Agent
in Charge, Federal Bureau of Investigation (FBI), Miami Field Office,
Dawn E. Case, Inspector General, Florida Department of Children and
Families, and James K. Loftus, Director, Miami-Dade Police Department,
announced that a jury returned a verdict of guilty on September 12,
2011 against Yenky Sanchez, 25, of Miami. Sanchez was found guilty on
one count of conspiracy to commit health care fraud, in violation of
Title 18, United States Code, Section 1349; one count of conspiracy to
commit authentication feature fraud, in violation of Title 18, United
States Code, Sections 1028(a)(3) and (f); and ten counts of aggravated
identity theft, in violation of Title 18, United States Code, Section
1028A(a)(1). The guilty verdict against Sanchez follows on the heels
of the guilty plea by his co-conspirator, Raul Lazaro Diaz-Perera, 43,
of Miami, for the same charges.
September 14, 2011; U.S. Attorney; Eastern District of Pennsylvania
Durable Medical Equipment Company And Owner Sentenced In Medicare
Fraud And Kickback Scheme
PHILADELPHIA - Robert Saul, 38, of Philadelphia, was sentenced
yesterday to 66 months in prison for a Medicare fraud and kickback
scheme involving his company, R&V Medical Supplies, LLC, also located
in Philadelphia, announced United States Attorney Zane David Memeger.
Saul pleaded guilty June 3, 2011 to conspiracy, 48 counts of health
care fraud, six counts of mail fraud, 47 counts of paying illegal
kickbacks, and three counts of obstruction of justice.
September 12, 2011; U.S. Attorney; District of New Jersey
Maxim Healthcare Services Charged with Fraud, Agrees to Pay
Approximately $150 Million, Enact Reforms After False Billings
Revealed as Common Practice
NEWARK, N.J. - Maxim Healthcare Services, Inc. ("Maxim") - one of the
nation's leading providers of home healthcare services - has entered
into a settlement to resolve criminal and civil charges relating to a
nationwide scheme to defraud Medicaid programs and the Veterans
Affairs program of more than $61 million. J. Gilmore Childers, Acting
New Jersey U.S. Attorney; Tony West, Assistant Attorney General of the
Civil Division of the Department of Justice; Tom ODonnell, Special
Agent in Charge of the Health and Human Services Office of Inspector
General (HHS OIG) region covering New Jersey; Michael B. Ward, Special
Agent in Charge of the FBI's Newark Field Office; and Jeffrey Hughes,
Special Agent in Charge of the U.S. Department of Veterans Affairs,
Office of the Inspector General (VA OIG), Northeast Field Office,
announced the developments today.
September 9, 2011; U.S. Department of Justice
U.S. Joined False Claims Act Lawsuit Against Florida's Halifax
Hospital Medical Center and Halifax Staffing Inc.
WASHINGTON - The United States has partially intervened in a lawsuit
under the False Claims Act against Halifax Hospital Medical Center and
Halifax Staffing Inc. in the U.S. District Court for the Middle
District of Florida, the Department of Justice announced today.
September 7, 2011; U.S. Attorney; Northern District of Illinois
Four Chicago Area Defendants Charged In Nationwide Medicare Fraud
Strike Force Takedown; Three Others Charged With Defrauding Private
Health Insurers
CHICAGO - An area vascular surgeon, three chiropractors, a
psychologist and a nursing home admissions director are among seven
defendants charged this week with participating in four separate,
unrelated health care fraud schemes to defraud the Medicare program or
private health insurers of millions of dollars, federal law
enforcement officials announced today.
September 7, 2011; U.S. Attorney; Central District of California
Six Defendants Charged In Los Angeles As Part Of Nationwide Medicare
Fraud Strike Force Takedown
Los Angeles - As part of a nationwide effort to target fraud against
the Medicare program, two doctors and four others have been charged
here for allegedly participating in schemes to defraud the Medicare
program of nearly $11 million.
September 7, 2011; U.S. Attorney; Southern District of Texas
Two Houston-Area Residents Charged in Nationwide Medicare Fraud Strike
Force Takedown
Houston -The owner of a Medicare referral business and the owner of a
medical supply company have been charged for their participation in
separate schemes to defraud the Medicare program of more than $62
million, announced the Departments of Justice, Health and Human
Services and the Texas Attorney General's Office.
September 7, 2011; U.S. Attorney; Southern District of Florida
45 Individuals And One Corporation Charged As Part Of Nationwide
Operation By Health Care Fraud Prevention And Enforcement Action Teams
(Heat)
Miami - Wifredo A. Ferrer, United States Attorney for the Southern
District of Florida, John V. Gillies, Special Agent in Charge, Federal
Bureau of Investigation (FBI), Miami Field Office, and Christopher
Dennis, Special Agent in Charge, U.S. Department of Health and Human
Services, Office of Inspector General (HHS-OIG), announced charges
against forty-five (45) individuals and one corporation as part of a
nationwide enforcement operation by HEAT Task Force Teams. The 46
South Florida defendants are allegedly responsible for more than $160
million in false billings to Medicare.
September 7, 2011; U.S. Department of Health and Human Services
Medicare Fraud Strike Force Charges 91 Individuals For Approximately
$295 Million In False Billing
WASHINGTON - Attorney General Eric Holder and Health and Human
Services (HHS) Secretary Kathleen Sebelius announced today that a
nationwide takedown by Medicare Fraud Strike Force operations in eight
cities has resulted in charges against 91 defendants, including
doctors, nurses, and other medical professionals, for their alleged
participation in Medicare fraud schemes involving approximately $295
million in false billing.
September 6, 2011; U.S. Attorney; Eastern District of Kentucky
Medicare Fraud Complaint Filed against Lexington Home Health Agency
LEXINGTON - United States Attorney for the Eastern District of
Kentucky, Kerry B. Harvey, announced today that a civil complaint has
been filed against Nurses' Registry in Lexington which adds new
allegations regarding how the company defrauded Medicare.
September 2, 2011; U.S. Attorney; Western District of North Carolina
Mt. Holly Woman Pleads Guilty To Health Care Fraud Conspiracy And
Money Laundering
CHARLOTTE, N.C. - Erika Holland, 41, of Mt. Holly, N.C., entered a
plea of guilty today before U.S. Magistrate Judge David S. Cayer, to
one count of conspiring to commit health care fraud, and one count of
money laundering, announced Anne M. Tompkins, U.S. Attorney for the
Western District of North Carolina.
September 1, 2011; U.S. Department of Justice
OIG Arrests Eleven in Puerto Rico for Alleged Health Care Fraud
The Office of Inspector General for the Department of Health and Human
Services arrested eleven individuals this morning in Puerto Rico. The
arrests were a result of the Federal grand jury's three indictments
and one superseding indictment against thirteen individuals for
conspiracy to commit health care fraud.

According to one indictment, one of the schemes was led by Dr. José
López-Díaz, owner and operator of the health clinic Centro Pediátrico.
With co-conspirators, Dr. José López-Díaz fraudulently billed Medicare
for over 1.6 million dollars in services not rendered, receiving over
500,000 dollars. Dr. José López-Díaz billed for over 1800 claims for
medical treatment provided to patients at a medical institution for
which he never worked and for patients he never saw. He also billed
for performing a procedure on female patients that can only be
performed on males.
September 1, 2011; U.S. Attorney; Northern District of Texas
UTSW and Parkland Resolve Allegations of Improper Physician
Supervision of Surgical Residents
DALLAS - The University of Texas Southwestern Medical Center at
Dallas; the University of Texas Southwestern Medical Center at Dallas
Medical Service, Research, and Development Plan; the University of
Texas Southwestern Health Systems a/k/a UT Southwestern Health Systems
(collectively "UTSW") agreed to pay the U.S. and Texas $1.4 million to
resolve allegations that it, along with the Dallas County Hospital
District d/b/a Parkland Health and Hospital System (Parkland),
violated the civil False Claims Act and Texas Medicaid Fraud
Prevention Act, announced U.S. Attorney James T. Jacks of the Northern
District of Texas. The U.S. and Texas contend defendants caused
"upcoded" claims to be submitted to Medicare and Medicaid for teaching
physician-related items and services between 2004 and 2007. Defendants
fully cooperated with the investigation, and by settling, did not
admit any wrong-doing or liability.
September 1, 2011; U.S. Attorney; Northern District of Texas
Owners/Operators Of New Horizons Mental Health Facilities Plead Guilty
To Federal Charges
DALLAS - Joanna Jones Ellis Kemp, 68, and her husband, Peter A. Kemp,
67, both of Plano, Texas, each appeared in federal court this morning
before U.S. Magistrate Judge Irma C. Ramirez and pleaded guilty to one
count of conspiracy to commit false statements relating to health care
matters, announced U.S. Attorney James T. Jacks of the Northern
District of Texas. They each face a maximum statutory sentence of five
years in prison and a $250,000 fine. In addition, restitution could be
ordered. Sentencing is set for December 21, 2011, before U.S. District
Judge Ed Kinkeade.
September 1, 2011; U.S. Department of Justice
California Medical Billing Company Agrees to Pay U.S. $4.6 Million to
Resolve Allegations of False Claims to Federal Health Care Programs
WASHINGTON - Janzen, Johnston & Rockwell Emergency Medicine Management
Services Inc. (JJ&R), a provider of billing services for physicians,
hospitals and other health care providers, has agreed to pay the
United States $4.6 million to settle allegations that it submitted
false claims to Medicare and Louisiana's Medicaid program, the Justice
Department announced today. JJ&R is headquartered in El Segundo,
Calif.
September 1, 2011; U.S. Attorney; Eastern District of Michigan
Eighteen Charged for Medicare Fraud Schemes in Detroit Involving $28
Million in False Billings
DETROIT-Eighteen individuals were charged in court documents unsealed
today and yesterday in the Eastern District of Michigan for their
participation in a series of separate Medicare fraud schemes involving
home health and psychotherapy services, announced the Department of
Justice, the Department of Health and Human Services (HHS), the FBI
and the HHS Office of Inspector General. According to court documents
unsealed today and yesterday in U.S. District Court in Detroit, the
separate schemes allegedly involved a total of more than $28 million
in fraudulent claims submitted to Medicare for services that were
medically unnecessary and/or never provided. Fifteen of the defendants
were arrested this morning, one defendant was arrested in July 2011,
and two defendants remain at large. In addition, law enforcement
agents today executed search warrants at 11 locations and seizure
warrants of 28 bank accounts related to the alleged fraud schemes.

August 2011
August 31, 2011; U.S. Attorney; Southern District of Texas
Houston Medical Equipment Company Owner Lands in Federal Prison for
Medicare Fraud
HOUSTON - Sunny Robinson, the owner of Memorial Medical Supply - a
Houston durable medical equipment business, has been sentenced to 97
months in prison for his role in a Medicare fraud scheme, United
States Attorney José Angel Moreno announced today.
August 31, 2011; U.S. Department of Justice
Miami-Area Nurse Pleads Guilty in $25 Million Health Care Fraud
Scheme
WASHINGTON - Miami-area resident Farah Maria Perez, a registered
nurse, pleaded guilty today for her participation in a $25 million
Medicare fraud scheme involving false billings for home health
services, announced the Department of Justice, the FBI and the
Department of Health and Human Services.
August 30, 2011; U.S. Attorney; District of North Dakota
Belcourt Man Sentenced for Drug Conspiracy Charge
BISMARCK - United States Attorney Timothy Q. Purdon announced that on
August 29, 2011, Jordan Delong, 25, of Belcourt, North Dakota, was
sentenced on a charge of conspiracy to possess with intent to
distribute and distribute a controlled substance. Delong pleaded
guilty to the charge on May 16, 2011.
August 25, 2011; U.S. Department of Justice
Detroit Occupational Therapist Pleads Guilty to Medicare Fraud Scheme
WASHINGTON - A Detroit-area occupational therapist pleaded guilty
today for her participation in a Medicare fraud scheme, announced the
Departments of Justice and Health and Human Services. Carol Gant, 66,
pleaded guilty before U.S. District Judge Avern Cohn in the Eastern
District of Michigan to one count of conspiracy to commit health care
fraud. At sentencing, Gant faces a maximum penalty of 10 years in
prison and a $250,000 fine.
August 25, 2011; U.S. Department of Justice
Detroit-Area Clinic Owner Sentenced to 48 Months in Prison for
Medicare Fraud Schemes Totaling More Than $15 Million
WASHINGTON- An owner of three Detroit-area clinics was sentenced to 48
months in prison today for his role in schemes that attempted to
defraud the Medicare program of more than $15 million, the Departments
of Justice and Health and Human Services announced.
August 24, 2011; U.S. Department of Justice
Former "Most Wanted" Health Care Fraud Fugitives Plead Guilty to $9.1
Million Detroit Medicare Fraud Scheme
WASHINGTON - Two sisters who owned a fraudulent Detroit-area medical
clinic and who are former "Most Wanted" health care fraud fugitives
pleaded guilty today in Miami for their leading roles in a $9.1
million Medicare fraud scheme, announced the Department of Justice,
the FBI and the Department of Health and Human Services.
Related: OIG Captured Fugitives: Clara and Caridad Guilarte
August 23, 2011; U.S. Attorney; Middle District of Florida
President of DME Company Sentenced to 12 ½ Years for Medicare and
Medicaid Fraud
TAMPA, FL-U.S. Attorney Robert E. O'Neill announces that U.S. District
Judge Virginia Hernandez Covington today sentenced Ben Bane (64, Plant
City) to 12 ½ years in federal prison for conspiracy to commit health
care fraud, health care fraud, and submitting false claims. His prison
sentence is to be followed by three years of supervised release. Bane
was also ordered to pay $7 million in restitution, a $3 million fine,
and a $1,000 special assessment. The court also entered a money
judgment in the amount of $5,800,000, representing the proceeds of the
health care fraud.
August 23, 2011; U.S. Attorney; Northern District of Texas
Government Recovers More Than $1.6 Million From Eleven Cities To
Resolve Allegations They Caused Improper Medicare And Medicaid
Ambulance Claims
DALLAS - The Texas cities of Plano, Frisco, Richardson, Mesquite,
Celina, DeSoto, Corpus Christi, Cedar Hill, Rowlett, North Richland
Hills and University Park (collectively "Cities") have agreed to pay
the U.S. and Texas the collective amount of $1.69 million to resolve
allegations they violated the civil False Claims Act and Texas
Medicaid Fraud Prevention Act, announced U.S. Attorney James T. Jacks
of the Northern District of Texas. The U.S. and Texas contend all the
Cities caused "upcoded" claims to be submitted to Medicare and
Medicaid for city-dispatched 911 ambulance transports between 2006 and
2010. All the Cities fully cooperated with the investigation, and by
settling, did not admit any wrongdoing or liability.
August 23, 2011; U.S. Department of Justice
Miami-Area Doctor Pleads Guilty in $25 Million Health Care Fraud
Scheme
WASHINGTON - A Miami-area medical doctor who owned two medical offices
pleaded guilty today for his participation in a $25 million home
health Medicare fraud scheme, announced the Department of Justice, FBI
and the Department of Health and Human Services (HHS).
August 23, 2011; U.S. Department of Justice
Owner of Miami-Area Mental Health Care Corporation Convicted on All
Counts for Orchestrating $205 Million Medicare Fraud Scheme
WASHINGTON - A federal jury today convicted a Miami-area owner of a
mental health care company, American Therapeutic Corporation (ATC),
for orchestrating a fraud scheme that resulted in the submission of
more than $205 million in fraudulent claims to Medicare, announced the
Department of Justice, FBI and Department of Health and Human
Services.
August 23, 2011; U.S. Department of Justice
Miami-Area Medical Equipment Company Owners Sentenced to Prison for
Medicare Fraud Scheme
WASHINGTON - The husband and wife owners and operators of a Miami-area
medical equipment company were sentenced today to 70 months and 37
months in prison, respectively, for participating in a durable medical
equipment (DME) health care fraud scheme, announced the Department of
Justice, the FBI and the Department of Health and Human Services.
August 22, 2011; U.S. Attorney; Eastern District of Pennsylvania
Former Chair of Temple's Ophthalmology Department Convicted of Health
Care Fraud
PHILADELPHIA - A federal jury today convicted Dr. Joseph J. Kubacki,
62, of Destin, Florida, of 150 counts of health care fraud, wire
fraud, and making false statements in health care matters, announced
United States Attorney Zane David Memeger. Kubacki was the Chairperson
of the Ophthalmology Department of the Temple University School of
Medicine and also served as the Assistant Dean for Medical Affairs
when, between 2002 and 2007, he caused thousands of false claims to be
submitted to health care benefit programs with false charges totaling
more than $4.5 million for services rendered to patients whom Kubacki
did not personally see or evaluate.
August 22, 2011; U.S. Department of Justice
Department of Health and Human Services Employee Pleads Guilty to
Theft of Government Funds
WASHINGTON - An employee of the Department of Health and Human
Services (HHS) pleaded guilty today in U.S. District Court in
Asheville, N.C., to theft of approximately $114,494 in government
funds, announced Assistant Attorney General Lanny A. Breuer of the
Justice Department's Criminal Division.
August 18, 2011; U.S. Attorney; District of Western Oklahoma
New York Men Convicted of Health Care Fraud in Wheelchair Scam
Oklahoma City, Oklahoma - Late yesterday, a jury found two New York
men guilty of committing five counts of health care fraud in
connection with the sale of power wheelchairs and wheelchair
accessories to Medicare beneficiaries, announced Sanford C. Coats,
United States Attorney for the Western District of Oklahoma.
August 18, 2011; U.S. Attorney; District of Minnesota
Two Charged in Medicaid Fraud Schemes
MINNEAPOLIS-Earlier today in federal court, a former employee and the
operator of Universal Home Health, a home health care agency located
in Golden Valley, were charged with offenses related to defrauding
Medicaid. In separate Informations, Stephen Jon Rondestvedt, age 58,
of Minneapolis, was charged with one count of health care fraud, and
Mustafa Hassan Mussa, age 56, of Minnetonka, was charged with one
count of aggravated identity theft.
August 17, 2011; U.S. Attorney; Southern District of Georgia
Armenian Nationals Plead Guilty In Multi-Million Dollar Medicare Fraud
And Money Laundering Scheme
Brunswick, GA - Sahak Tumanyan, 44, an Armenian national from Los
Angeles, pled guilty Monday before Chief United States District Judge
Lisa Godbey Wood to his role in the laundering of $1.5 million
defrauded from Medicare through a phony medical business in Brunswick,
Georgia. Earlier this month, Arthur Manasarian, 48, also an Armenian
national from Los Angeles, pled guilty before Chief Judge Wood to his
role in the Medicare fraud scheme.
August 17, 2011; U.S. Department of Justice
Four Individuals Convicted in $4.7 Million Louisiana Medicare Fraud
Scheme
WASHINGTON - The owner of a Baton Rouge, La., durable medical
equipment (DME) company, a medical doctor and two patient recruiters
were each convicted late yesterday for their roles in a $4.7 million
Medicare fraud scheme, announced the Department of Justice, the FBI,
the Department of Health and Human Services and the Medicaid Fraud
Control Unit (MFCU) of the Louisiana State Attorney General's Office.
August 17, 2011; U.S. Attorney; Southern District of Florida
Miami Mother Sentenced to Jail in $12.3 Million Health Care Fraud
Scheme
MIAMI, FL - Wifredo A. Ferrer, United States Attorney for the Southern
District of Florida, John V. Gillies, Special Agent in Charge, Federal
Bureau of Investigation, Miami Field Office, and Christopher B.
Dennis, Special Agent in Charge, U.S. Department of Health and Human
Services, Office of Inspector General, Office of Investigations,
announced yesterday's sentencing of Isabel Torres, 48, of Hialeah,
Florida, on health care fraud charges.
August 11, 2011; U.S. Attorney; Western District of Kentucky
Baptist Healthcare, Inc. and Hardin Memorial Hospital to Pay
$8,900,000 to Settle Improper Billing of Medicare
LOUISVILLE, KY - The United States Department of Justice, United
States Attorneys' Offices for the Western and Eastern Districts of
Kentucky, and Office of Inspector General of the Department of Health
and Human Services today announce the $8,900,000 settlement with
Baptist Healthcare Systems, Inc. and Hardin County, Kentucky d/b/a
Hardin Memorial Hospital. As part of this settlement, Baptist
Healthcare Systems, Inc. has agreed to pay the United States
$5,785,000 to resolve claims that the company improperly billed
Medicare. Hardin Memorial Hospital, under the management of Baptist
Healthcare Systems, Inc., has agreed to pay the United States
$3,115,000 to resolve claims that the hospital improperly billed
Medicare.
August 10, 2011; U.S. Department of Justice
Los Angeles Jury Convicts Two Church Pastors and Their Employee of
$14.2 Million Medicare Fraud Scheme
WASHINGTON - Two pastors of a now defunct Los Angeles church and a
woman they employed at their fraudulent durable medical equipment
(DME) supply companies were convicted late yesterday of conspiracy and
health care fraud charges in connection with a $14.2 million Medicare
fraud scheme, announced the Departments of Justice and Health and
Human Services (HHS).
August 10, 2011; U.S. Attorney; District of Maryland
Peninsula Regional Medical Center Agrees To Pay $1.8 Million To
Resolve Allegations That It Failed To Prevent Medically Unnecessary
Cardiac Stent Procedures By Dr. John R. McLean
Baltimore, Maryland - Peninsula Regional Medical Center ("PRMC") in
Salisbury Maryland has agreed to pay $1.8 million to settle
allegations under the False Claims Act that it was aware of, but
failed to take action to prevent medically unnecessary cardiac stent
procedures by John R. McLean, formerly a cardiologist with privileges
at PRMC.
August 10, 2011; U.S. Attorney; Eastern District of Pennsylvania
Physician And Pharmacist Among Those Arrested In Drug Conspiracy And
Health Care Fraud Case
PHILADELPHIA - A 498-count indictment1 was unsealed today charging 53
defendants, including a Montgomery County physician and a Northeast
Philadelphia pharmacist, in a multimillion dollar drug conspiracy
involving phony prescriptions, phony patients, and an alleged drug
trafficking organization.
August 10, 2011; U.S. Attorney; Southern District of Florida
Miami Woman Is Tenth Person Arrested For Her Role In Leading $27
Million Health Care Fraud Conspiracy
MIAMI -- Wifredo A. Ferrer, United States Attorney for the Southern
District of Florida, John V. Gillies, Special Agent in Charge, Federal
Bureau of Investigation, Miami Field Office, and Christopher B.
Dennis, Special Agent in Charge, U.S. Department of Health and Human
Services, Office of Inspector General, Office of Investigations,
announced today's arrest of Elizabet Lombera, 39, of Miami Lakes,
Florida.
August 9, 2011; U.S. Attorney; District of Colorado
Two Former Western Colorado Doctors Indicted For Illegally Prescribing
Controlled Substances - Prescriptions Doctors Wrote Were Responsible
For a Total of Four Deaths
DENVER - Two Western Colorado doctors, Sam Jahani, M.D., age 49 of
Cleveland, Texas, and Eric Peper, D.O., age 53 of Summerland Key,
Florida, were indicted by a federal grand jury on August 3, 2011, on
charges related to health care fraud, money laundering and dispensing
controlled substances in which four cases resulted in death. Jahani
was arrested by federal agents without incident in Texas. Peper has
yet to be arrested. Jahani will make an appearance in U.S. District
Court in Beaumont, Texas this afternoon. No court appearance has yet
been set for Peper.
August 8, 2011; U.S. Attorney; Southern District of Florida
Miami Home Health Nurse Sentenced To Ten Years' Imprisonment For
Health Care Fraud
Wifredo A. Ferrer, United States Attorney for the Southern District of
Florida, John V. Gillies, Special Agent in Charge, Federal Bureau of
Investigation (FBI), Miami Field Office, and Christopher B. Dennis,
Special Agent in Charge, U.S. Department of Health and Human Services,
Office of Inspector General (HHS-OIG), Office of Investigations,
announced today's sentencing of Armando Santos, 46, of Miami. In May
2001, a federal jury in Miami convicted Santos of one count of
conspiracy to commit health care fraud, in violation of Title 18,
United States Code, Section 1349; four counts of health care fraud, in
violation of Title 18, United States Code, Section 1347, and two
counts of false statements related to health care matters, in
violation of Title 18, United States Code, Section 1035. Chief U.S.
District Judge Federico Moreno sentenced Santos to the statutory
maximum of 10 years' imprisonment as to each of the fraud charges, and
five years' imprisonment as to each of the false statement charges.
The counts of conviction are to run concurrent to one another.
August 8, 2011; U.S. Attorney; District of Maryland
Oncologist Pleads Guilty To Purchasing Misbranded Drugs
Isabella Martire, M.D., age 52, of Laurel, Maryland, an oncologist in
solo practice in Laurel, pleaded guilty to introducing a misbranded
drug into interstate commerce. The guilty plea was announced by United
States Attorney for the District of Maryland Rod J. Rosenstein;
Special Agent in Charge Antoinette V. Henry of the Food & Drug
Administration - Office of Criminal Investigations, Metro Washington
Field Office; and Special Agent in Charge Nicholas DiGiulio, Office of
Investigations, Office of Inspector General of the Department of
Health and Human Services.
August 5, 2011; U.S. Attorney; Southern District of Texas
Recruiter in Multi-Million Dollar Health Care Fraud Scheme Pleads
Guilty to Conspiracy to Violate the Anti-Kickback Statute
HOUSTON - An accused recruiter in a multi-million dollar health care
fraud scheme scheduled for trial on Monday, has instead pleaded guilty
to conspiracy to violate the Anti-Kickback Statute, United States
Attorney José Angel Moreno announced today. Birdie Leroy Revis, 60, of
Houston, pleaded guilty before United States District Judge David
Hittner this morning to conspiracy to violate the Anti-Kickback
Statute. Trial had been scheduled to begin with jury selection on
Monday, Aug. 8, 2011.
August 5, 2011; U.S. Attorney; Southern District of Indiana
Hogsett Announces Indianapolis Man Charged In Health Care Fraud
Scheme
INDIANAPOLIS - Joseph H. Hogsett, United States Attorney announced,
that earlier this week, William Maultsby, 52, Indianapolis, Indiana,
was charged with health care fraud, following an investigation by the
U.S. Health and Human Services Inspector General and Indiana Attorney
General Medicaid Fraud Control Unit.
August 5, 2011; U.S. Attorney; Central District of California
Orange County Medical Center And Doctor Who Bilked Medicare Agree To
Pay $7.5 Million To Settle Fraud Case
Pacific Coast Hematology, Inc., a medical group in Orange County, and
Dr. Glen Justice, who was the primary physician at the group, have
agreed to pay the United States $7.5 million to settle a civil lawsuit
alleging that they submitted false claims to the Centers for Medicare
and Medicaid Services.
August 4, 2011; U.S. Attorney; Southern District of Texas
Nursing Home Administrator Arrested for Health Care Fraud and Taking
Kickbacks
HOUSTON - An employee of a Houston area nursing home has been arrested
as a result of the return of a sealed indictment by a Houston grand
jury charging him with conspiracy, health care fraud and violations of
the anti-kickback statute arising from a scheme to unlawfully bill
federal health care programs for ambulance transport, United States
Attorney Jos� Angel Moreno along with Texas Attorney General Greg
Abbott announced today.
August 2, 2011; U.S. Attorney; Western District of Kentucky
Owners Of Durable Medical Equipment Companies Indicted For Submitting
False Billings To Medicare
A federal grand jury in Louisville, Kentucky has returned a 13 count
indictment charging the owners of two durable medical equipment
companies with conspiracy, health care fraud, submitting false claims
and wire fraud announced David J. Hale, United State Attorney for the
Western District of Kentucky.
August 2, 2011; U.S. Department of Justice
Miami-Area Resident Pleads Guilty to Participating in $200 Million
Medicare Fraud Scheme
A Miami-area resident pleaded guilty today in U.S. District Court in
Miami for his role in two separate fraud schemes that resulted in the
submission of more than $200 million in fraudulent claims to Medicare,
announced the Department of Justice, the FBI and the Department of
Health and Human Services (HHS).
August 2, 2011; U.S. Attorney; Eastern District of Michigan
Twenty-Six Indicted In Drug Distribution Investigation That Led To
Uncovering Massive
Health Care
Fraud
An indictment returned by a federal grand jury in Detroit was unsealed
today, charging twenty-six individuals for their participation in a
large-scale health care fraud and drug distribution scheme, United
States Attorney Barbara L. McQuade announced today. McQuade was joined
in her announcement by Special Agent in Charge Robert L. Corso of the
Drug Enforcement Administration, Special Agent in Charge Andrew G.
Arena of the Federal Bureau of Investigation, and Lamont Pugh, Special
Agent in Charge of the Inspector General of the Department of Health
and Human Services.
August 1, 2011; U.S. Attorney; Southern District of Georgia
U.S. Files Suit against United Distributors and an Ohio Company for
Defrauding the Medicare Program
SAVANNAH, GA - The United States has filed a complaint under the False
Claims Act (FCA) against United Distributors, Inc., Commerce Benefits
Group, Inc., Thomas Patton of Avon Lake, Ohio, and Linnie Reaves of
Smyrna, Georgia. The complaint, entered today in the United States
District Court in Savannah, alleges that the defendants violated the
FCA by knowingly causing the submission of false and fraudulent claims
for payment to the Medicare program.

July 2011
July 28, 2011; U.S. Attorney; Eastern District of Michigan
Southfield Family Practice Doctor, Dr. Gwendolyn Washington, Pleads
Guilty to Illegal Prescription Drug Trafficking and Health Care Fraud
Dr. Gwendolyn Washington, M.D., age 67, pleaded guilty today to four
felony counts involving drug trafficking and health care fraud, United
States Attorney Barbara L. McQuade announced. McQuade was joined in
the announcement by Andrew G. Arena, Special Agent in Charge, Federal
Bureau of Investigation, Detroit Field Division and Lamont Pugh, III,
Special Agent in Charge, Department of Health and Human Services,
Office of Inspector General.
July 27, 2011; U.S. Attorney; Southern District of Florida
Miami Husband and Wife Charged with Home Health Care Fraud
Wifredo A. Ferrer, United States Attorney for the Southern District of
Florida, John V. Gillies, Special Agent in Charge, Federal Bureau of
Investigation (FBI), Miami Field Office, and Christopher B. Dennis,
Special Agent in Charge, U.S. Department of Health and Human Services,
Office of Inspector General (HHS-OIG), Office of Investigations, Miami
Regional Office, announced the indictment of Elizabeth Acosta Sanz and
Luis Alejandro Sanz, both of Miami, Florida, on charges of conspiracy
to commit health care fraud, health care fraud, conspiracy to pay
kickbacks, the payment of kickbacks, conspiracy to commit money
laundering, and money laundering, in violation of Title 18, United
States Code, Sections 1349, 1347, 371 and 1956, respectively.
July 27, 2010; U.S. Attorney; District of Connecticut
Walgreens Pays $140,000 To Settle Allegations Under The False Claims
Act
United States Attorney David B. Fein and Connecticut Attorney General
George Jepsen today announced that The Walgreen Co., a nationwide
retail pharmacy chain, has entered into a civil settlement with the
federal and state governments in which it will pay $140,000 to resolve
allegations that it violated the False Claims Act and common law.
July 26, 2011; U.S. Attorney; Western District of Texas
Seven Former Texas Medicaid Medical Transportation Program Call Center
Employees Arrested On Federal Health Care Fraud Charges
United States Attorney John E. Murphy, Special Agent in Charge Cory B.
Nelson, Federal Bureau of Investigation -San Antonio Division, Special
Agent in Charge George M. Fields, Department of Health and Human
Services Office of Inspector General-Dallas Field Division and Texas
Attorney General Greg Abbott announced that federal, state and local
authorities arrested 18 individuals this morning, including seven
former Texas Medicaid Medical Transportation Program San Antonio call
center employees, in connection with a health care fraud investigation
focusing on more than 1,000 fraudulent transportation claims totaling
approximately $200,000.
July 26, 2011; U.S. Attorney; District of Maryland
Salisbury Cardiologist Convicted Of Implanting Unnecessary Cardiac
Stents
A federal jury in Baltimore convicted cardiologist John R. McLean, age
59, of Salisbury, Maryland, today on six health care fraud offenses in
connection with a scheme in which Dr. McLean submitted insurance
claims for inserting unnecessary cardiac stents, ordered unnecessary
tests and made false entries in patient medical records, in order to
defraud Medicare, Medicaid and private insurers.
July 26, 2011; U.S. Department of Justice
Two Brooklyn, N.Y., Pharmacists Charged in $3 Million Health Care
Fraud Scheme
Two defendants who co-owned and operated two Brooklyn, N.Y.,-area
pharmacies were arrested today on health care fraud charges for their
alleged participation in a scheme to defraud Medicare Part D that
resulted in more than $3 million in fraudulent billings, announced the
Department of Justice, FBI and the Department of Health and Human
Services and its Office of Inspector General.
July 26, 2011; U.S. Department of Justice
U.S. Government Intervenes in False Claims Lawsuit Against Nurses'
Registry and Home Health Corporation
The United States has intervened in a lawsuit against Nurses' Registry
and Home Health Corporation in the U.S. District Court for the Eastern
District of Kentucky, the Justice Department announced today. The
lawsuit was filed in March 2008 by two former Nurses' Registry
employees, Alicia Robinson-Hill and David Price, and alleges among
other things that Nurses' Registry made false claims to Medicare for
medically unnecessary home health services.
July 26, 2011; U.S. Attorney; District of Minnesota
Brooklyn Park Man Pleads Guilty To Defrauding Medicaid
July 25, 2011; U.S. Attorney; Central District of California
Orange County Doctor Sentenced To 18 Months In Prison For Billing For
Cancer Meds That Were Never Provided
July 21, 2011; U.S. Department of Justice
Patient Recruiter for Miami Health Care Agency Pleads Guilty in $25
Million Medicare Fraud Scheme
July 20, 2011; U.S. Attorney; District of Massachusetts
Dorchester Pharmacist Convicted For Defrauding Medicare And Medicaid
July 20, 2011; U.S. Attorney; Northern District of Illinois
U.S. Arrests Owners Of Home Health Care Business And Suspended
Podiatrist On Charges Alleging Medicare And Visa Fraud
July 20, 2011; U.S. Attorney; District of Colorado
Alpha Sleep Diagnostic Centers And Its Subsidiaries Settles
Allegations Of Submitting Improper Claims For Payment To Medicare
July 18, 2011; U.S. Attorney; Middle District of Louisiana
Baton Rouge Man Sentenced To Four-Year Prison Term For Health Care
Fraud
July 15, 2011; U.S. Attorney; Eastern District of Tennessee
Physician Receives One Year Prison Sentence for Health Care Fraud and
Tax Offenses
July 14, 2011; U.S. Attorney; Central District of Illinois
Indictment Charges Two Doctors with Defrauding Medicaid, Insurance
Companies of $24 Million in Operation of Weight-Loss Clinics
July 14, 2011; U.S. Department of Justice
Owner of Fraudulent Physical Therapy Company Pleads Guilty to Medicare
Fraud Scheme
July 14, 2011; U.S. Department of Justice
Manager of Miami Health Care Agency and Registered Nurse Plead Guilty
in $25 Million Health Care Fraud Scheme
July 13, 2011; U.S. Department of Justice
Three Miami-Area Residents Plead Guilty to Participating in $200
Million Medicare Fraud Scheme
July 13, 2011; U.S. Attorney for the Middle District of Tennessee
Tenncare Fraud Settlement Announced
July 13, 2011; U.S. Attorney; Western District of Washington
Lakewood Oncologist And Wife Indicted For Health Care Fraud, False
Statements, Obstruction And Money Laundering
July 12, 2011; U.S. Department of Justice
Patient Recruiter Sentenced to 27 Months in Prison in Connection with
Detroit-Area Infusion Therapy Schemes
July 11, 2011; U.S. Attorney, District of New Jersey
Toms River, New Jersey Man Admits Posing As A Doctor, Treating Elderly
Patients In Medicare Fraud Scheme
July 8, 2011; U.S. Attorney's Office; Southern District of New York
Leader of Armenian Organized Crime Ring Pleads Guilty in Manhattan
Federal Court to Racketeering
July 8, 2011; U.S. Attorney's Office; District of Connecticut
New Milford Clinical Social Worker Pays $210,000 to Settle Allegations
Under the False Claims Act
July 8, 2011; U.S. Department of Justice
Co-Owner of Two Health Care Companies Convicted on Multiple Health
Care Fraud Charges
July 7, 2011; Federal Bureau of Investigation, Atlanta Division
Atlanta Radiologist Guilty of Fraudulently Passing off Diagnoses
Prepared by Non-Physician Employees
July 6, 2011; U.S. Attorney's Office; Middle District of Pennsylvania
Convicted Carbondale Physician Excluded from Participation in All
Federal Health Care Programs
July 6, 2011; U.S. Department of Justice
Brooklyn Neurologist Pleads Guilty in Health Care Fraud Scheme
July 6, 2011; U.S. Attorney; District of Maryland
Gambrills Podiatrist Pleads Guilty To Fraudulently Billing Medicare
Over $1.1 Million
Top


June 2011
June 30, 2011; U.S. Attorney's Office; Middle District of North
Carolina
Winston-Salem Couple Sentenced
June 30, 2011; U.S. Attorney; Middle District of Louisiana
Baton Rouge Man Sentenced To Lengthy Prison Term For Health Care
Fraud
June 30, 2011; U.S. Department of Justice
Miami-Area Psychiatrist Pleads Guilty for Role in $200 Million
Medicare Fraud Scheme
June 30, 2011; U.S. Department of Justice
Las Vegas Physician to Pay U.S. $5.7 Million to Resolve False Claims
Act Allegations Related to Radiation Oncology Services and Other
Procedures
June 30, 2011; U.S. Attorney; Northern District of Illinois
Operator Of Two Home Health Care Businesses Indicted In Alleged $20
Million Medicare Fraud Scheme
June 29, 2011; U.S. Attorney's Office; Eastern District of Texas
Longview Medical Supplier Sentenced for Health Care Fraud Scheme
June 28, 2011; U.S. Attorney; District of North Dakota
Former Indian Health Service Employee Sentenced for Stealing Drugs
June 27, 2011; U.S. Department of Justice
Miami Doctor Sentenced to 235 Months in Prison for Medicare Fraud
Scheme
June 23, 2011; U.S. Attorney's Office; Middle District of Louisiana
Gonzales Woman Sentenced for Fraud
June 23, 2011; U.S. Department of Justice
Three Brooklyn Physical Therapy Clinic Employees Plead Guilty in a
$3.4 Million Health Care Fraud Scheme
June 22, 2011; U.S. Department of Justice
Owners of Houston Health Care Company Plead Guilty to Medicare Fraud
June 22, 2011; U.S. Department of Justice
Owner of Houston Health Care Company Pleads Guilty in Connection with
$1.3 Million Medicare Fraud Scheme
June 22, 2011; U.S. Attorney for the District of Maryland
Baltimore Woman Pleads Guilty To Bank Fraud And Aggravated Identity
Theft
June 21, 2011; U.S. Department of Justice
Owner of Detroit-Area Medical Clinic Sentenced to Prison for Role in
$1.12 Million Diagnostic Testing Fraud Scheme
June 21, 2011; U.S. Attorney's Office; Central District of California
Manager of Tujunga Business Sentenced to Over Four Years in Federal
Prison in Medicare
Fraud Scheme
June 20, 2011; U.S. Department of Justice
Owner of Houston Health Care Company Pleads Guilty to Defrauding
Medicare
June 16, 2011; U.S. Attorney Office; Eastern District of Michigan
Troy Physician And Her Husband Indicted For Health Care Fraud
June 16, 2011; U.S. Attorney's Office; District of Minnesota
Brooklyn Park Man Charged with Defrauding Medicaid
June 15, 2011; U.S. Attorney's Office; District of Connecticut
Wallingford Man Sentenced to Federal Prison for Role in Oxycontin
Distribution Conspiracy
June 14, 2011; U.S. Department of Justice
United States Files Suit Against Florida-Based Bay Area Sleep
Associates LLC and Its Owner
June 13, 201; U.S. Attorney's Office; Southern District of Illinois
St. Clair County Chiropractor Ordered to Pay Restitution of $1.9
Million
June 13, 2011; U.S. Attorney's Office; District of New Jersey
Cliffside Park, New Jersey Man Sentenced to Two Years in Prison for
Conspiring to Illegally Sell More than $2 Million in Prescription
Drugs
June 10, 2011; U.S. Attorney's Office; Eastern District of Texas
Lufkin Physician Arrested For Health Care Fraud Violations
June 10, 2011; U.S. Attorney's Office; Southern District of Illinois
Former NBA Basketball Player Sentenced for Failure to Pay Child
Support
June 10, 2011; U.S. Department of Justice
Two Officers of Fraudulent Physical Therapy Company Plead Guilty in
Tampa, Fla., to Medicare Fraud
June 10, 2011; US Department of Justice
Danish Pharmaceutical Novo Nordisk to Pay $25 Million to Resolve
Allegations of Off-Label Promotion of Novoseven
June 10, 2011; U.S. Attorney's Office, Eastern District of New York
Novo Nordisk Pays $1.725 Million to Resolve Claims that its Sales
Representatives Paid Pharmacists for Access to Confidential Patient
Information
June 9, 2011; US Department of Justice
U.S. Subsidiary of Belgian Pharmaceutical Manufacturer Pleads Guilty
to Off-Label Promotion; Company to Pay More Than $34 Million
June 8, 2011; US Department of Justice
Florida Radiology Clinic and Former Owners to Pay $3 Million to
Resolve Medicare False Claims Act Allegations
June 7, 2011; U.S. Attorney's Office, Northern District of Texas
City of Dallas to Pay $2.47 Million to Resolve Allegations that it
Caused Improper Medicare and Medicaid Ambulance Claims
June 7, 2011; US Department of Justice
Patient Recruiter Sentenced to 77 Months in Prison in Connection with
$9 Million Medicare Fraud Scam in Detroit
June 2, 2011; U.S. Attorney's Office, Eastern District of Louisiana
Marrero Woman Sentenced To Federal Prison for Health Care Fraud
June 2, 2011; U.S. Attorney's Office, District of Maryland
Army Doctor Indicted for Illegally Distributing Oxycodone
June 1, 2011; U.S. Attorney's Office, District of Connecticut
Hartford Physician Pays $2.2 Million to Settle Allegations under the
False Claims Act
June 1, 2011; U.S. Attorney for the Eastern District of New York
Health Care Company Agrees To Settle Civil Fraud Charges For $12.5
Million
Top


May 2011
May 27, 2011; U.S. Attorney's Office, Southern District of Texas
Federal Jury Convicts Houston Dr. and others in Medicare Fraud
Scheme
May 26, 2011; U.S. Attorney's Office, Middle District of Tennessee
United States Awarded $82.6 Million against Renal Care Group &
Fresenius Medical Care in Medicare Fraud Case
May 26, 2011; U.S. Attorney's Office, Southern District of Florida
Miami Nurse Convicted of Health Care Fraud and False Statements
Regarding Health Care Matters
May 26, 2011; U.S. Attorney's Office, Southern District of Florida
Doral Woman Convicted of Health Care Fraud and False Statements
Regarding Health Care Matters
May 26, 2011; US Attorney, District of North Dakota
Keplin Sentenced for Illegal Distribution of Indian Health Service
Drugs
May 26, 2011; US Department of Justice
Houston Federal Jury Convicts Patient Recruiter of Medicare Fraud
Involving Claims of Hurricane Damage to Power Wheelchairs
May 26, 2011; US Department of Justice
Areté Sleep to Pay the United States $650,000 to Resolve False Claims
Act Allegations
May 24, 2011; US Department of Justice
Miami-Area Owners and Operators of Medical Equipment Company Plead
Guilty to Medicare Fraud
May 23, 2011; U.S. Attorney's Office District of Connecticut
Former Haven Healthcare Administrator who Obstructed Federal
Investigation is Sentenced
May 19, 2011; California Attorney General
Attorney General Kamala D. Harris Announces $241 Million Settlement to
Recover Funds Quest Diagnostics Illegally Obtained from Medi-Cal
May 18, 2011; US Department of Justice
Houston Medical Equipment Company Owner Sentenced to 84 Months in
Prison for Health Care Fraud Scheme Involving More Than $2 Million in
False Billings
May 17, 2011; U.S. Attorney, Middle District of Florida
Occupational Therapist Assistant Charged with Healthcare Fraud and
Identity Theft in Connection with Medicaid Billings
May 16, 2011; U.S. Attorney, District of South Dakota
Agency Village Woman Sentenced for Health Care Fraud
May 13, 2011; US Department of Justice
Brooklyn Physical Therapist Pleads Guilty to Fraud Scheme Involving
False Billings to Medicare
May 12, 2011; U.S. Attorney, Western District of Washington
Two Plead Guilty in Scheme to Get Prescription Medication by Fraud
May 12, 2011; U.S. Attorney, District of New Jersey
Rahway, New Jersey Man Admits Posing as Licensed Physician in Medicaid
& Medicare Fraud Scheme
May 9, 2011; U.S. Attorney, District of Maine
Medical Doctor Sentenced to Prison for Medicare and Medcaid Fraud
May 9, 2011; U.S. Attorney, District of Maine
Antiguan Man Arraigned on Federal Identity and Government Benefit
Fraud Charges
May 6, 2011; US Department of Justice
Two Clinic Owners and a Money Launderer Convicted in $9.1 Million
Medicare Fraud Scheme in Detroit
May 5, 2011; Massachusetts Attorney General
Harrison Woman Sentenced for Stealing More than $4 Million from the
MaineCare Program
May 4, 2011; US Department of Justice
Houston Federal Jury Convicts Four Defendants in Connection with $5.2
Million Medicare Fraud Scheme
May 4, 2011; US Department of Justice
Pharmaceutical Giant, Serono, Agrees to Pay $44.3 Million to Settle
False Claims Act Case
May 3, 2011; US Department of Justice
Two Miami-Area Corporations Plead Guilty to More Than $200 Million
Medicare Fraud
May 2, 2011; U.S. Attorney, District of Maryland
Serono to Pay $44.3 Million to Resolve False Claims Act Allegations in
Connection with Promotion of Drug Rebif
May 2, 2011; U.S. Attorney, Southern District of Texas
DME Company Owner and Marketers Convicted of Defrauding Medicare of
Millions
Top


April 2011
April 27, 2011; U.S. Attorney, District of New Jersey
Hawthorne, New Jersey Man Admits Posing as Licensed Physician in
Medicaid & Medicare Fraud Scheme
April 27, 2011; Massachusetts Attorney General
Former Roxbury Pharmacist Pleads Guilty in Connection with Stealing
Over $550,000 from MassHealth
April 26, 2011, Federal Bureau of Investigation, New Orleans
Search Warrants and Arrest Warrants Executed on Organized Health Care
Fraud Crime Ring
April 26, 2011; U.S. Department of Justice
Oakland, California, Patient Recruiter Sentenced to 57 Months in
Prison for Causing the Submission of $1.2 Million in False Power
Wheelchair Claims to Medicare
April 26, 2011; U.S. Attorney, District of Connecticut
Masonicare Health Center Pays $447,776 to Settle Allegations under the
False Claims Act
April 25, 2011; U.S. Department of Justice
Three Miami-Area Medical Professionals Each Sentenced to Prison for
Roles in $23 Million Medicare Fraud Scheme
April 25, 2011; U.S. Attorney, Eastern District of North Carolina
Medical Corporation Pleads Guilty to Health Care Fraud
April 21, 2011; U.S. Attorney; Western District of North Carolina
Monroe Physician To Pay $750,000 To Settle Government Civil Fraud
Allegations

April 21, 2011; U.S. Department of Justice
Ohio-Based Cardinal Health Inc. to Pay U.S. $8 Million to Resolve
False Claims Act Allegations
April 21, 2011, Federal Bureau of Investigation, Houston
New Jersey Doctor and Office Manager Wife Plead Guilty to Medicaid and
Medicare Fraud Involving Fake Physicians
April 20, 2011; U.S. Department of Justice
Los Angeles-Area Man Pleads Guilty to Establishing Fraudulent Medical
Clinics and Using Stolen Doctor Identities to Defraud Medicare of up
to $13.6 Million
April 19, 2011; Alabama Attorney General
AG Strange Announces Settlement with CVS that Recovers $366,758 for
Alabama Medicaid Agency (PDF)
April 15, 2011; U.S. Department of Justice
CVS Pharmacy Inc. Agrees to Pay $17.5 Million to Resolve False
Prescription Billing Case
April 14, 2011; U.S. Attorney, District of Minnesota
Multiple Health Care Fraud Cases Filed in the District of Minnesota
(PDF)
April 14, 2011; U.S. Department of Justice
Miami Doctor Convicted in $23 Million Medicare Fraud Scheme
April 14, 2011; U.S. Department of Justice
Two Owners of Miami-Area Mental Health Care Corporation Plead Guilty
to Orchestrating $200 Million Medicare Fraud Scheme
April 13, 2011; U.S. Attorney, Northern District of Georgia
Autism Researcher Indicted for Stealing Grant Money
April 13, 2011; U.S. Attorney, District of Connecticut
Former Haven Health Care Bookkeeper Sentenced To 18 Months in Federal
Prison
April 11, 2011; U.S. Attorney, Eastern District of Wisconsin
Ricko International (doing business as) Dr. Comfort and Former CEO
Agree to Criminal and Civil Resolution of $27 Million for Health Care
Fraud Charges (PDF)
April 8, 2011, Federal Bureau of Investigation, Houston
Jury Convicts Houston Father and Daughter of Health Care Fraud
April 8, 2011; U.S. Attorney, Middle District of Florida
Villages Woman Sentenced to 15 Months for Medicare Fraud (PDF)
April 8, 2011, U.S. Department of Justice
Houston Registered Nurse Pleads Guilty in Connection with an Alleged
$5.2 Million Medicare Fraud Scheme
April 7, 2011, U.S. Department of Justice
Miami-Area Marketing Director Pleads Guilty for Her Role in Community
Mental Health Care Fraud Scheme Involving More Than $100 Million in
Fraudulent Medicare Claims
April 6, 2011; U.S. Attorney, Southern District of Iowa
Federal Search Warrant Executed in Newton, Iowa (PDF)
April 6, 2011; U.S. Attorney, District of South Dakota
Wisconsin Man Indicted for Failing to Pay Legal Child Support
April 6, 2011; U.S. Attorney, District of South Dakota
Iowa Man Indicted for Failing to Pay Legal Child Support
April 5, 2011; U.S. Attorney, Southern District of Indiana
Indianapolis Man Charged with Health Care Fraud (PDF)
April 5, 2011; U.S. Attorney, District of South Dakota
Nevada Man Indicted for Failing to Pay Legal Child Support
April 4, 2011; U.S. Department of Justice
North Carolina Hospital to Pay U.S. $1.9 Million to Resolve
Allegations Related to Kyphoplasty and Other Procedures
April 4, 2011; U.S. Attorney, District of South Dakota
Phoenix Man Sentenced For Failure to Pay Legal Child Support
April 4, 2011; U.S. Attorney, District of South Dakota
Arizona Man Sentenced for Failure to Pay Legal Child Support
April 1, 2011; U.S. Department of Justice
U.S. Files Complaint against Texas-Based Healthpoint Ltd. Under the
False Claims Act
Top


March 2011
March 31, 2011; U.S. Attorney, Northern District of Georgia
United States Files Complaint Against Medical Transport Corporation
March 29, 2011; U.S. Attorney, Central District of California
Owner of South L.A. Business Sentenced To Nearly Five Years in Prison
in $1.8 Million Medicare Fraud Scheme
March 29, 2011, Federal Bureau of Investigation, Washington Field
Office
FDA Chemist and Son Charged with Trading on Inside Information
March 29, 2011; U.S. Department of Justice
Los Angeles Woman Pleads Guilty to Participating in a Medicare Fraud
Scheme Using Fraudulent Medical Clinics and Stolen Doctor Identities
to Defraud Medicare of More Than $6.2 Million
March 28, 2011; U.S. Attorney, Southern District of Illinois
St. Clair County Chiropractor Sentenced to 70 Months Imprisonment for
Health Care Fraud and Money Laundering
March 28, 2011; U.S. Attorney, Southern District of Florida
Miami-Dade Family Charged with Health Care Fraud
March 28, 2011, U.S. Attorney, Northern District of Georgia
Physician Allegedly Used Purported Charitable Entity He Controlled to
Offer Kickbacks to Medicare Patients and Evade Income Taxes
March 25, 2011; U.S. Attorney, Southern District of Florida
Doctor Charged with Conspiring to Distribute Controlled Substances
March 25, 2011; U.S. Department of Justice
Miami Doctor Sentenced to 24 Months in Prison for Role in $37 Million
Medicare Fraud Scheme Involving Miami-Area Home Health Agencies
March 24, 2011, U.S. Attorney, Southern District of Indiana
Connersville Woman Sentenced for Medicaid Fraud
March 23, 2011, U.S. Attorney, Eastern District of Michigan
Monroe Doctor Arrested on Drug and Health Care Fraud Charges
March 16, 2011, Federal Bureau of Investigation, Jackson, Mississippi
Two Men Indicted in Health Care Fraud Scheme
March 15, 2011, U.S. Department of Justice
Departments of Justice and Health and Human Services Team up in
Detroit to Crack Down on Health Care Fraud
March 15, 2011, U.S. Attorney, Middle District of Pennsylvania
Former Podiatrist Charged with Health Care Fraud
March 14, 2011, New York Attorney General
A.G. Schneiderman Secures Criminal Conviction against Orleans County
Physician who Defrauded New York State
March 11, 2011, U.S. Attorney, Southern District of Illinois
Former NBA Player Pleads Guilty to Failure to Pay Legal Child Support
Obligations
March 11, 2011, U.S. Department of Justice
Houston-Area Resident Sentenced to 41 Months in Prison for Medicare
Fraud Scheme Involving Claims of Hurricane Damage to Power
Wheelchairs
March 11, 2011, U.S. Attorney, Southern District of Florida
Boynton Beach Doctor Sentenced on Health Care Fraud Charges
March 9, 2011, Federal Bureau of Investigation, Houston
Jury Convicts Durable Medical Equipment Business Owner for Fraud
March 7, 2011, U.S. Attorney, District of New Jersey
Cliffside Park, New Jersey Man Pleads Guilty to Conspiring to
Illegally Sell More Than $2 Million in Prescription Drugs
March 7, 2011, U.S. Attorney, Southern District of Texas
Leader of Florida-Based Medicare Fraud Ring Sentenced to Prison
March 7, 2011, U.S. Department of Justice
Las Vegas Woman Pleads Guilty to Acting as the Straw Owner of a Los
Angeles Medical Supply Company That Submitted More Than $3.5 Million
in False Claims to Medicare
March 4, 2011, U.S. Department of Justice
Owner of Detroit-Area Medical Clinic and Physician Sentenced to Prison
for $2.3 Million Infusion Therapy Scheme
March 4, 2011, U.S. Attorney, Eastern District of Texas
Medical Supplier Indicted for Wheelchair Scam
March 4, 2011, Federal Bureau of Investigation, Indianapolis
Terre Haute Man Charged with Health Care Fraud and Money Laundering
March 2, 2011, Federal Bureau of Investigation, Tampa
Five Former Executives Indicted on Health Care Fraud Charges
March 2, 2011, U.S. Department of Justice
Forest Pharmaceuticals Sentenced to Pay $164 Million for Criminal
Violations
Top


February 2011
February 25, 2011, U.S. Attorney, Southern District of Texas
Dr. Kiran Sharma Sentenced to Prison and Ordered to Forfeit more than
$43 Million in Cash/Property Gained through Fraud
February 24, 2011, U.S. Attorney, Northern District of Illinois
Bluecross Blueshield of Illinois to Pay $25 Million to Settle Civil
False Claims Act Allegations
February 24, 2011, U.S. Attorney, Middle District of Pennsylvania
State College Health Care Provider Sentenced to Jail for Making False
Statements in Connection with Benefit Payments
February 24, 2011, U.S. Attorney, Western District of North Carolina
Charlotte Woman Pleads Guilty to Health Care Fraud, Money Laundering
and Failure to File Tax Returns
February 23, 2011, U.S. Attorney, Southern District of Texas
Owner of New Hampshire DME Store Sentenced to Prison for Health Care
Fraud and Aggravated Identity Theft
February 23, 2011, U.S. Attorney, Western District of Tennessee
Memphis Woman Indicted on 214 Counts of Health Care Fraud
February 23, 2011, U.S. Attorney, Eastern District of Louisiana
Parent of Medicaid Recipient Convicted of Federal Health Care Fraud
February 22, 2011, U.S. Attorney, Northern District of Georgia
APS Healthcare Pays $13 Million to Settle False Claims Act Case
February 22, 2011, Attorney General of Georgia
APS Healthcare Pays $13 Million to Settle Investigation into False
Medicaid Claims
February 18, 2011, U.S. Attorney, Eastern District of California
Catholic Healthcare West Agrees to Pay $9 Million to Settle False
Claims Act Allegations
February 18, 2011, U.S. Department of Justice
Office Manager of Los Angeles Medical Supply Business Pleads Guilty to
Conspiring to Defraud Medicare of More Than $6 Million in Wheelchair
Scheme
February 17, 2011, U.S. Department of Justice
Medicare Fraud Strike Force Charges 111 Individuals for More than $225
Million in False Billing and Expands Operations to Two Additional
Cities
February 16, 2011, Attorney General of Indiana
Southern Indiana Psychologist Charged with Medicaid Fraud
February 16, 2011, U.S. Department of Justice
More Than 100 Members and Associates of Transnational Organized Crime
Groups Charged with Offenses Including Bank Fraud, Kidnapping,
Racketeering and Health Care Fraud
February 16, 2011, U.S. Attorney, Western District of Missouri
Operation Oxyclean: Independence Physician Pleads Guilty to $1 Million
Drug-Trafficking Conspiracy
February 15, 2011, U.S. Department of Justice
Twenty People Indicted in Florida for Health Care Fraud Scheme
Involving Approximately $200 Million in Medicare Billing
February 14, 2011, Attorney General of Oregon
Fugitive in Health Care Fraud Scheme Captured while Seeking Medical
Treatment in Oregon
February 14, 2011, U.S. Attorney, District of South Dakota
Cheyenne Vision Clinic, P.C. Settles Claims Brought Under the False
Claims Act
February 10, 2011, U.S. Department of Justice
Brooklyn-Area Medical Equipment Company Owners and Operators Plead
Guilty to Fraud Scheme Involving Diabetic Shoe Inserts
February 10, 2011, U.S. Department of Justice
Medical Assistant Sentenced to 36 Months in Prison for His Role in a
Fraudulent Home Health Scheme
(February 10, 2011, U.S. Attorney, Western District of North
Carolina)>
U.S. Attorney Announces Skilled Nursing Facility Fraud Settlement
(Not Posted to DOJ Site at this Time)
February 10, 2011, U.S. Attorney, Eastern District of Pennsylvania
Charges Filed in Healthcare Fraud Scheme
February 9, 2011, U.S. Attorney, District of Minnesota
Owner of Personal Care Assistance Company Sentenced for Paying a
Kickback for Medicaid Referrals and Making False Statements
February 4, 2011, U.S. Attorney, Western District of Oklahoma
Tecumseh Man Charged with Health Care Fraud in Sale of Prosthetics
February 4, 2011, U.S. Attorney, Southern District of Indiana
Indianapolis Woman Sentenced for Medicaid Fraud
February 4, 2011, U.S. Attorney, Northern District of West Virginia
Martinsburg Physician Convicted on 34 Counts of Health Care Fraud
February 4, 2011, U.S. Department of Justice
Eight Miami-Area Nurses Sentenced to Prison for $18.7 Million Medicare
Fraud Scheme Involving Home Health Care
February 1, 2011, U.S. Department of Justice
Ohio-Based Managed Care Plan Contractor CareSource & Entities to Pay
$26 Million to Resolve False Claims Allegations
February 1, 2011, Attorney General of Texas
Multi-jurisdictional Effort Seeks Forfeiture of $250,000 in Gold Coins
for Texas Medicaid Program
February 1, 2011, U.S. Attorney, Southern District of Texas
Dr. Arun Sharma Sentenced to Prison and Ordered to Forfeit more than
$43 Million in Cash/Property Gained through Fraud

http://oig.hhs.gov/fraud/enforcement/criminal/

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