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false claims 132 articles

Tennessee Doctor Arrested for Opioid Fraud, False Claims

A Tennessee doctor faces 45 criminal charges related to opioid distribution, health care fraud, and money laundering, according to federal prosecutors. Dr. Samson Orusa, 56, of Clarksville, could be sentenced to up to 30 years if convicted of the federal charges. He was arrested Dec. 13 and indicted on 22 counts of unlawful distribution of a controlled substance outside the bounds of professional medical practice, 13 counts of health care fraud, and nine counts of money laundering, the U.S. Attorney’s Office for the Middle District of Tennessee announced. The government alleges that Dr. Orusa opened his pain clinic in 2014 ... Read More

Houston Psychiatrist Gets 12 Years For Health care Fraud Scheme

A Houston, Texas, psychiatrist convicted by a federal jury of engaging in a $155 million health care fraud scheme has been sentenced to more than 12 years in prison. Riyaz Mazcuri, 67, a former attending psychiatrist at Riverside General Hospital in Houston, received the sentence after a five-day trial that found him guilty on five counts of health care fraud and one count of conspiracy to commit health care fraud. In addition to the prison sentence, federal Judge Vanessa Gilmore in Houston ordered Dr. Mazcuri to pay $20.6 million in restitution to Medicare and $2.25 million in restitution to Medicaid. ... Read More

Maryland Woman Pleads Guilty to Medicare, Medicaid Fraud

A Maryland woman pleaded guilty to federal health care fraud charges for a scheme in which she falsely represented herself to be a medical equipment vendor for New York-based Medicare and Medicaid management programs. According to the U.S. Department of Justice, Suzanna Meliksetyan, 28, of Gaithersburg, Maryland, purported to operate multiple durable medical equipment companies so that she could submit bogus claims to Healthfirst, a non-profit, New York-based health maintenance organization that administers Medicare Advantage plans and New York Medicaid Managed Care plans. As part of her guilty plea, Ms. Meliksetyan admitted that she operated a number of scam medical ... Read More

Feds Bust Massive New York Medicare Fraud and Kickback Scheme

Three medical professionals have pleaded guilty to a massive health care fraud scheme that targeted Medicare and Medicaid with false and fraudulent claims costing U.S. taxpayers about $55 million. The U.S. Department of Justice said that Olga Proskurovsky and Yuriy Omelchenko, both 49 and of Brooklyn, New York, each pleaded guilty to one count of conspiracy to commit health care fraud. Isak Aharanov, 42, also of Brooklyn, pleaded guilty to two counts of conspiracy to commit money laundering and one count of conspiracy to defraud the U.S. According to court documents, Ms. Proskurovsky worked as a medical biller and Mr. Omelchenko ... Read More

Detroit Home Healthcare Company Owner Gets Eight Years For Medicare Fraud

The co-owner of a Detroit home health care company was sentenced today to 96 months in prison for his role in a Medicare fraud scheme that caused approximately $33 million in losses, the U.S. Department of Justice said. On July 27, 2015, Badar Ahmadani, 49, of Ypsilanti, Mich., was convicted at trial of one count of conspiracy to commit health care fraud and one count of conspiracy to pay and receive kickbacks. Mr. Ahmadani was sentenced Monday by U.S. District Judge Judith E. Levy of the Eastern District of Michigan, who also ordered him to pay more than $38,150,000 in restitution. ... Read More

Medical Supply Company Owner Sentenced To Five Years For Medicare Fraud

The former owner of a Los Angeles-based power wheelchair company was sentenced to more than five years in prison Oct. 24 for Medicare fraud, four months after the Ninth Circuit Court of Appeals voided a seven-year sentence. Under the re-sentencing order, Hakop Gambaryan, the former owner of Colonial Medical Supply Inc., must report to prison by Jan. 27 to serve a 63-month prison sentence for orchestrating a $3.3-million Medicare scam in which his company billed the health care program for medically unnecessary supplies. Mr. Gambaryan must also pay restitution of nearly $700,000. In July, the Ninth Circuit unanimously found that ... Read More

New Orleans Health care Providers Sentenced To Prison For Medicare Fraud

A federal court in New Orleans has sentenced the owner of a home health care company and a physician who served as its director to prison Wednesday for orchestrating a scheme to defraud Medicare out of millions of dollars. Chief U.S. District Judge Kurt D. Engelhardt of the Eastern District of Louisiana sentenced Elaine Davis, 60, of New Orleans to 96 months in prison for her role in a $34-million Medicare fraud scheme run by her company, Christian Home Health Inc. Dr. Pramela Ganji, 67, of Harahan, Louisiana, who served as the medical director of Christian Home Health from 2010 ... Read More

FDA warns maker of anti-aging creams to stop making false claims

The Food and Drug Administration (FDA) is not putting up with skin care companies that make outlandish claims about their products. The agency issued a warning letter to California-based Circuit Cosmeceuticals Inc., saying the company cannot make claims about the effectiveness of its anti-aging creams unless they were approved drugs. Sircuit claims that its Revelation eye serum “resembles the effects of Botox when applied to the skin” and “gives Botox-like results.” It also claimed that its Eye Tech emulsion can “impart Botox-like effect.” The company alleged that its products could stimulate collagen production, help blood vessels operate properly, and strengthen the immune system and ... Read More

Whistleblower Helps U.S. Recover $19.75 Million From 21st Century Oncology

Cancer care services provider 21st Century Oncology LLC has agreed to pay the U.S. $19.75 million to resolve allegations brought by a whistleblower that it violated the False Claims Act by billing federal health care programs for laboratory tests that were not medically necessary. The U.S. Justice Department said on Friday that a former 21st Century Oncology medical assistant filed the whistleblower complaint. The Justice Department chose to actively participate in prosecuting the claims after federal authorities investigated the whistleblower’s allegations. According to federal prosecutors, 21st Century submitted false claims to Medicare and Tricare for fluorescence in situ hybridization, also known ... Read More

Preparation is key to a successful whistleblower case

Fraud, abuse, mismanagement, and other forms of wrongdoing are all too common in both the private and public sectors of society these days – an unfortunate fact that elevates the role of the whistleblower in the fight against misconduct and corruption. With lawyers seeing more and more potential whistleblower cases pour in, it’s vital that whistleblowers properly document and state their case before taking it to a lawyer for review. After whistleblowers select experienced and competent legal counsel for their False Claims Act case, they should prepare a concise and well documented “pitch.” The Taxpayers Against Fraud (TAF) Education Fund ... Read More