Medicare Whistleblower Pharmacy Receives Millions

A Medicare whistleblower pharmacy in Florida is leading the way in reporting Medicare fraud.  After numerous successful False Claims Act cases, Ven-a-care pharmacy is making millions in Medicare fraud rewards. Reporting Medicare Fraud in Florida A special report from Florida Trend details how the small pharmacy has become one of the most successful Medicare whistleblowers in the country.  Ven-a-care is responsible for exposing billions in over-charges to Medicare and Medicaid for prescription drugs. Explains the report: In August 2011, Attorney General Pam Bondi filed a three-paragraph...

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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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Abbott Labs Fined $700M for Off Label Marketing

For off label marketing of the drug Depakote, a federal district judge last week ordered Abbott Laboratories to pay a $500 Million criminal fine, to forfeit $198.5 Million, and to pay $1.5 Million to the Virginia Medicaid Fraud Control Unit. In May, Abbott Laboratories pled guilty to off-label marketing of Depakote for dementia and schizophrenia, uses not approved by the FDA.  It also settled allegations that it marketed Depakote for psychiatric illnesses in children, including conduct disorders, attention deficit disorder and autism, and other psychiatric illnesses in adults, including...

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Medicare Fraud Endangers Patient Health

Not only is Medicare fraud bankrupting the country, but it also endangers patients health.  NYTimes tells the story of a man who received the wrong motorized chair – a shoddier, more dangerous chair than the one he had ordered – due to fraud.  The Times explains the financial and health care costs: Medicare abuse and fraud like this costs taxpayers tens of billions of dollars every year. The Centers for Medicare and Medicaid Services, or C.M.S., estimated that in 2010, the two programs together made more than $65 billion in improper federal payments. An April 2012 study by a...

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Medicare Fraud Fought With New Tools

The Affordable Care Act, widely called “Obamacare,” provides new tools and funding for combatting Medicare fraud and Medicaid fraud.  The purpose is to reduce the costs of fraud to the government and taxpayers.  NPR explains: Medicare and Medicaid pay out some $750 billion each year to more than 1.5 million doctors, hospitals and medical suppliers. By many estimates, about $65 billion a year is lost to fraud…. Criminals use real patient IDs to bill for wheelchairs that were never delivered or exams never performed.  Dishonest doctors — a small percentage of physicians,...

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