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 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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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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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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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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