Medicare Fraud Guilty Plea in $100 Million scheme

We’ve talked about Medicaid and Medicare fraud by way of “ghost patients.”  Medical providers bill Medicare or Medicaid for patients who do not exist or who didn’t receive the billed health care.  Now we’re moving on to “phantom clinics”. A man plead guilty on Friday to billing Medicare a whopping $100 million for health care clinics that did not exist.  Not only were the patients ghosts, but so were the doctors.  And there were at least 118 phantom clinics! If you have non-public information about Medicare fraud or other health care fraud, a...

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Medicaid fraud guilty pleas for unnecessary urine tests

Medicaid fraud scheme brings two guilty pleas from former executives of Calloway Laboratories.  The former CEO and former COO plead guilty on Friday. Medicaid fraud scheme cost Medicaid millions of dollars The elaborate Medicaid fraud scheme used “straw companies” to give kickbacks to sober houses.  In return, the sober houses ordered unnecessary drug screening urine tests from Calloway Laboratories.  The tests were neither ordered by a doctor nor medically necessary.  Medicaid was billed for the tests – costing millions of dollars.  Calloway Laboratories settled the...

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Medicare fraud whistleblowers to share in $5.25M

Medicare fraud whistleblowers will get a share of the $5.25 million settlement reached between the United States Department of Justice and a major pharmacy chain.  RxAmerica, a subsidiary of CVS Caremark, settled claims that it misrepresented the cost of prescription drugs to seniors under Medicare part D. Under the False Claims Act, a whistleblower receives a percentage of any monies recovered by the government.  The amount a whistleblower could receive ranges from 15 to 30 percent of the total monetary recovery by the government. If you have non-public information about Medicare fraud or...

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Ghost Patient Medicaid Fraud: NV woman sentenced

Medicaid fraud ghost patients A common form of Medicaid and Medicare fraud is the use of what is called ghost patients.  Health care providers submit claims to the government for health care services, medical devices, medical tests, pharmaceuticals, or procedures they never provide.  Either the patients do not exist at all, or the patients exist but did not receive the health care. If you have non-public information about ghost patient Medicaid fraud or other health care fraud, a whistleblower attorney can help you determine whether you have a case.  We can help evaluate whether you may be...

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Medical Equipment Medicaid Fraud: Wheelchair rip-off

A man has pled guilty to charging Medicaid for expensive power wheelchairs while actually providing cheap, basic wheelchairs to recipients.  Charging the government for more expensive medical equipment than actually provided is a common form of Medicaid Fraud called up-coding.  The man, Uche Ben Odunzeh, also billed Medicaid for medical supplies he never even provided.  Odunzeh, the owner of Empire Medical Services, submitted false claims to the government amounting to more than $275,000. If you have non-public information about medical equipment Medicaid fraud or other health care fraud,...

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