Category Archives: Fraud & Abuse

Mother, Son Face Prison Time for Pharmacy Fraud

A mother and son based in Miami were sentenced today to 120 months and 30 months in prison, respectively, for their roles in spearheading a $9.5 million health care fraud conspiracy that targeted Medicare Part D. Assistant Attorney General Leslie … Continue reading

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2017 Trial for Alleged Leader in $1B Health Care Fraud

A fall 2017 trial date is set for a South Florida businessman accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme. Court records show a Miami federal judge on Wednesday scheduled 48-year-old Philip Esformes’ trial for Sept. 18. … Continue reading

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Walgreens Clinical Pharmacy Manager Pleads Guilty to Fraud Scheme

On Oct. 25, 2016, Amber Reilly, 33, of Jonesborough, Tenn., pleaded guilty to one count of healthcare fraud contained in a federal information, before the Honorable J. Ronnie Greer, U.S. District Judge.  Reilly was the former Clinical Pharmacy Manager at … Continue reading

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Whistleblowing Staffer Claims Hospital Center Dangerously Understaffed

A senior staffer with knowledge of the Intensive Care Unit and Trauma Center at the Prince George’s Hospital Center claimed severe understaffing is endangering patients’ lives while hospital operator Dimensions Healthcare has done little to solve the problem. “Signs and … Continue reading

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Former American Senior Communities Executives Indicted

United States Attorney Josh J. Minkler announced the indictment of four individuals for their roles in a vast fraud, kickback, and money laundering scheme involving Indiana nursing home chain American Senior Communities (ASC).  Those charged include James Burkhart, 51, of Carmel, … Continue reading

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Lifecare Settles Whistleblower Lawsuit for $145 Million

Life Care Centers of America Inc. (Life Care) and its owner, Forrest L. Preston, have agreed to pay $145 million to resolve a government lawsuit alleging that Life Care violated the False Claims Act by knowingly causing skilled nursing facilities … Continue reading

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Medicare Wastes Billions on Defective Medical Devices, Audit Finds

Medicare’s fiscal watchdog has documented $1.5 billion in spending on seven types of defective heart devices that doctors implanted in thousands of beneficiaries. In addition to the money Medicare paid to health care providers for services and procedures related to … Continue reading

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Former American Senior Communities Executives Indicted

United States Attorney Josh J. Minkler announced the indictment of four individuals for their roles in a vast fraud, kickback, and money laundering scheme involving Indiana nursing home chain American Senior Communities (ASC).  Those charged include James Burkhart, 51, of Carmel, … Continue reading

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Tenet Medicaid Settlement Triggers Class Action Lawsuit

Dive Brief: A Tenet Healthcare shareholder filed suit in a California federal court, claiming the Dallas-based hospital chain misled investors about its financial health after a $514 million Medicaid kickback settlement came to light. The putative class action lawsuit, filed … Continue reading

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Novartis Pays $35 Million to Settle False Claims Case

Novartis Pharmaceuticals Corporation has paid more than $35 million to resolve federal and state False Claims Act allegations resulting from the off-label marketing for Elidel. Elidel is a cream approved by the Food and Drug Administration to treat eczema in … Continue reading

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