Medical Fraud

All Latest Medical Fraud News

Virginia Hospital Indicted For Unnecessary Hysterectomies, Defrauding Medicare

Chesapeake Regional Medical Center (CRMC) in Virginia was indicted by a federal jury for allegedly committing healthcare fraud and conspiring to defraud the government. Prosecutors assert that the hospital enabled Dr. Javaid Perwaiz, an OBGYN, to perform medically unnecessary hysterectomies.

Report Strahinja Nikolić | Feb 25, 2025

A_Federal_Court_Has_Indicted_Chesapeake_Regional_Medical_Center_Shown_Here_For_Medically_Unnecessary_Hysterectomies_and_Defrauding_Medicare

Medical Fraud

Texas Pharmacist Pleads Guilty in Wide-Ranging Compound Drugs Kickback Scheme

John Ageudo Rodriguez, 55, from McAllen, Texas, pleaded guilty on Jan. 16 to conspiracy charges involved with paying kickbacks for prescription referrals, according to a DOJ press release.

Report Jessika Saunders | Feb 18, 2025

Pharr_Family_Pharmacy_Previously_Owned_by_John_Ageudo_Rodriguez_Has_Been_Ordered_to_Repay_Millions_in_a_Comounded_Drug_Scam

Medical Fraud

UCHealth to Pay $23 Million to Resolve False Claims Act Violations

University of Colorado Health, doing business as UCHealth, has agreed to pay for allegedly violating the False Claims by automatically upcoding emergency room visits, according to a Justice Department press release.

Report Strahinja Nikolić | Dec 17, 2024

UCHealth_Has_AGreed_to_Pay_23_Million_To_Resolve_Claims_it_Violated_the_False_Claims_Act

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Medical Fraud

Feds: Florida Ophthalmology Practice Paid Kickbacks, Defrauded $1.3 Million

An ophthalmology practice called Brandon Eye, which has offices in Brandon, Sun City and Plant City, Fla., has agreed to pay $1.3 million to resolve violations of the federal False Claims Act and a similar state statute, according to a Nov. 12 Justice Department press release.

Report Strahinja Nikolić | Dec 16, 2024

An_Eye_Doctor_Puts_Drops_in_the_Eyes_of_a_Worried-Looking_Patient

Bribery

Feds: QOL Medical Paid “Kickbacks” in the Form of Free Breath Testing Kits

Frederick E. Cooper and his pharmaceutical company QOL Medical agreed to pay $47 million to resolve allegations that they caused the submission of false claims to federal health care programs by offering kickbacks in the form of free Carbon-13 breath testing services, to induce claims for QOL’s drug Sucraid, according to a Justice Department press […]

Report Strahinja Nikolić | Dec 11, 2024

A Man In a Lab Coat With His Hands Behind His Back and Holding 1000 in 100 Bills.

Medical Fraud

Preying on the Vulnerable: Tennessee Clinic Owner Coerced Patients to Have Unnecessary Back Injections, Overbilled $35 Million

Michael Kestner, a 72-year-old owner of Pain MD and MedManagement, Inc. clinics in Franklin, Tenn., has been convicted of orchestrating a healthcare fraud scheme that involved pressuring vulnerable patients into receiving unnecessary back injections, primarily targeting individuals undergoing opioid addiction treatment.

Report Strahinja Nikolić | Nov 18, 2024

Six Injectors Stab a Moldy Apple Representing the Medically Unnecessary Pain Management Injections Given by Michael Kestners Medical Clinics For The Purpose of Overbilling the Government - The Daily Muck

Medical Fraud

Pharmacy Owner/Aspiring Screenwriter Overbills Healthcare Insurers for $41 Million in OTCs never received

Ivor Jallah, a 37-year-old pharmacy owner from Dallas, Texas, has been sentenced to federal prison for his involvement in a massive healthcare fraud scheme.

Report Strahinja Nikolić | Nov 15, 2024

Hollywood Actor Nicolas Cage Poses With Ivor Jallah Convicted of Running A Healthcare Scam. - The Daily Muck

Medical Fraud

Man Pleads Guilty to Falsifying and Not Performing Covid-19 Tests

Zishan Alvi, a 45-year-old man from Inverness, Illinois, pleaded guilty on Sept. 30 to his role in a COVID-19 testing fraud scheme, according to a press release by the Justice Department.

Report Strahinja Nikolić | Nov 5, 2024

Zishan Alvi Owner of Lab Elite and Shown in a Promotional Photo Has Pleaded Guilty to a COVID-19 Fraud Scheme - The Daily Muck

Medical Fraud

Brooklyn Adult Day Care and Home Care Business Charged in $68 Million Medicaid scheme

Eight defendants were charged on Oct. 8 with a total of 14 counts of crimes related to a $68 million Medicaid fraud scheme.

Report Jessika Saunders | Nov 1, 2024

Zakia Khan Founded Happy Familiy Social Adult Daycare According to the Facilities Website - The Daily Muck

Negligence

Feds Say Two Veterans Homes Violate Residents’ Rights by Not Providing Adequate Care

Can veterans homes violate civil rights by not providing adequate care?

Report Strahinja Nikolić | Oct 30, 2024

New Jersey Veterans Memorial Home Has Been Accused by the Feds of Violating Residents Civil Rights by Providing Them Inadequate Care - The Daily Muck

Medical Fraud

Healthcare Agency that Billed for Unnecessary Inpatient Psychiatric Services Settles With Feds for $20 Million

Acadia Healthcare, one of the biggest for-profit chains of psychiatric hospitals, has agreed to settle fraud claims alleged by the federal government, according to a Sept. 26 Justice Department statement.

Report Strahinja Nikolić | Oct 28, 2024

Park Royal Hospital in Fort Myers Fla. Is an Inpatient Psychiatric Hospital Owned by Arcadia Healthcare - The Daily Muck

Medical Fraud

Feds: Free Urine Collection Cups Represented ‘Kickbacks’ to Doctors Illegally Billing Federal Health Programs for Unneeded Tests

As of Oct. 2, 2024, Precision Toxicology, doing business as Precision Diagnostics, has settled accusations of False Claims Act violations by agreeing to repay $27 million to the federal government.

Report Jessika Saunders | Oct 24, 2024

A Pharmacy Stands Behind Three Different Surin Samples Representing a Settlement Acknowledging Violations of the Anti-Kickback Statute Signed by Precision Diangnostics - The Daily Muck

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Medical Fraud

Virginia Hospital Indicted For Unnecessary Hysterectomies, Defrauding Medicare

Texas Pharmacist Pleads Guilty in Wide-Ranging Compound Drugs Kickback Scheme

UCHealth to Pay $23 Million to Resolve False Claims Act Violations

Feds: Florida Ophthalmology Practice Paid Kickbacks, Defrauded $1.3 Million

Feds: QOL Medical Paid “Kickbacks” in the Form of Free Breath Testing Kits

Preying on the Vulnerable: Tennessee Clinic Owner Coerced Patients to Have Unnecessary Back Injections, Overbilled $35 Million

Pharmacy Owner/Aspiring Screenwriter Overbills Healthcare Insurers for $41 Million in OTCs never received

Man Pleads Guilty to Falsifying and Not Performing Covid-19 Tests

Brooklyn Adult Day Care and Home Care Business Charged in $68 Million Medicaid scheme

Feds Say Two Veterans Homes Violate Residents’ Rights by Not Providing Adequate Care

Healthcare Agency that Billed for Unnecessary Inpatient Psychiatric Services Settles With Feds for $20 Million

Feds: Free Urine Collection Cups Represented ‘Kickbacks’ to Doctors Illegally Billing Federal Health Programs for Unneeded Tests

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