Healthcare / Medical

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Medical Horror: Urologist Gets Life for Sexually Abusing Patients, Including Children

Darius A. Paduch, a former urologist employed by two prominent medical institutions in the New York City area, was sentenced to life in prison on Nov. 20 for sexually abusing patients, according to a public statement by the Department of Justice. Some of those patients were minors who were subjected to Paduch’s egregious assaults for […]

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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.

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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.

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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 […]

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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.

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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.

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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.

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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

Zakia Khan Founded Happy Familiy Social Adult Daycare According to the Facilities Website - 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.

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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

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

Medical Fraud

Walgreens to Pay More than $100 Million to Settle Claims of Billing Government for Undispensed Prescriptions

Billing government programs for prescriptions your customers never received can get you in hot water.

Report Jessika Saunders

Walgreens has Settled Lawsuits that It Charged Insurers for Undispensed Prescriptions Pictured is. Los Angles Location - The Daily Muck

Medical Fraud

CVS-Owned Subsidiary to Pay $60 Million for Medicare Advantage Kickback Scheme

Oak Street Health, a CVS subsidiary, agreed on Sept. 18 to pay $60 million to resolve allegations that it paid kickbacks to third-party insurance agents, according to a DOJ press release.

Report Jessika Saunders

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Healthcare / Medical

Medical Horror: Urologist Gets Life for Sexually Abusing Patients, Including Children

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

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

Walgreens to Pay More than $100 Million to Settle Claims of Billing Government for Undispensed Prescriptions

CVS-Owned Subsidiary to Pay $60 Million for Medicare Advantage Kickback Scheme

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