Three East Texans indicted for Medicare Fraud – KYTX

See on Scoop.it – Medicare and Medicaid Whistleblower Rights Three East Texans indicted for Medicare Fraud KYTX (CNN/CBS) – Home buyers may have enjoyed record low mortgage rates over the past year, but they were paying a pretty penny when it came time to close the deal. WhistleblowerRights‘s insight: Ambulance fraud, at a high cost to the government. See on...

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US sues PharMerica over drug dispensing, Medicare fraud – Chicago Tribune (blog)

See on Scoop.it – Medicare and Medicaid Whistleblower Rights US sues PharMerica over drug dispensing, Medicare fraud Chicago Tribune (blog) According to the complaint, PharMerica between 2007 and 2009 dispensed controlled drugs several thousand times without first getting valid written prescriptions from… See on...

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Reporting Medicare fraud brings $18.1M reward

  Reporting Medicare fraud paid off for hospital administrator Randi Ferrare, who will get a $1.8 million Medicare fraud reward.  The reward is her share of the $10.1 million government settlement with Morton Plan Health System. Ferrare brought a Medicare Whistleblower suit under the Federal False Claims Act, alleging that the Florida hospital system over-billed Medicare.  Hospitals affiliated with Morton Plant Health Care billed certain cardiac procedures as inpatient care, when it should have been billed on a lower cost outpatient basis. The rates Medicare pays for inpatient care...

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Medicare fraud doctor recruited patients with fast food

A $5.4 million Medicare fraud scheme lands gynecologist Jonathan Agbebiyi in prison.  Agbebiyi was sentenced to 60 months in prison and ordered to pay nearly $3 million in restitution. He was a part of a conspiracy to bill Medicare for unnecessary neurological tests at three Michigan clinics.  Some of the unnecessary tests included sending an electrical current through the arms and legs of the patients. Explains the U.S. Department of Justice: Evidence at trial showed that the patients were not referred to the clinics by their primary care physicians, or for any other legitimate purpose,...

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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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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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