Tag:

Healthcare fraud

$50M Scheme: Pelham Manor Man Charged By Feds $50M Scheme: Pelham Manor Man Charged By Feds
$50M Scheme: Pelham Manor Man Charged By Feds A 44-year-old Westchester man has admitted to a healthcare fraud scheme that cost Medicare nearly $50 million in losses, federal officials announced. Pelham Manor resident Manishkumar Patel pleaded guilty on Friday, April 26 to charges connected to a healthcare fraud and kickback scheme involving the sale of fraudulent prescriptions, according to the US Attorney's Office for the Southern District of New York. Earlier Report - $10M Scheme: Pelham Manor Man Nabbed For Selling Fraudulent Prescriptions, Feds Say According to federal officials, between 2019 and 2022, Patel and a …
Kickbacks Convinced Doc To Scam Medicare Out Of Nearly $21 Million: NJ Feds Kickbacks Convinced Doc To Scam Medicare Out Of Nearly $21 Million: NJ Feds
Kickbacks Convinced Doc To Scam Medicare Out Of Nearly $21 Million: NJ Feds A doctor pocketed cash kickbacks from lab companies and others for filing more than $20.7 million in bogus Medicare claims for medically unnecessary -- and often expensive -- COVID and cancer genetic tests, among other scams, a federal grand jury in Newark has charged. Alexander Baldonado, 68, of Queens already was awaiting trial dating back to charges brought a few years ago when grand jurors in Newark this week returned a superseding indictment that digs deeper into the allegations. Baldonado approved lab tests billed to Medicare in exchange for cash payoffs "from a laboratory representat…
$1.6M Scheme: Glastonbury Psychologist Admits Submitting Fraudulent Medicaid Claims $1.6M Scheme: Glastonbury Psychologist Admits Submitting Fraudulent Medicaid Claims
$1.6M Scheme: Glastonbury Psychologist Admits Submitting Fraudulent Medicaid Claims A 75-year-old psychologist from Connecticut has admitted to submitting false Medicaid claims as part of a more than $1.6 million scheme, federal officials announced.  Hartford County resident Michael Pines of Avon, a Glastonbury-based psychologist, pleaded guilty to healthcare fraud charges on Wednesday, Jan. 31, the US Attorney's Office for the District of Connecticut announced.  According to federal officials, Pines, who owned and operated Michael B. Pines, Ph.D., P.C., provided psychotherapy to young children, adolescents, and adults and had been individually enrolled…
Kings Point Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims Kings Point Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims
Kings Point Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims A New York doctor has been indicted for his alleged involvement in a kickback scheme that involved him defrauding Medicaid and giving patients unnecessary tests, officials announced. New York Attorney General Letitia James announced on Wednesday, Nov. 22 the indictment of Long Island resident Payam Toobian, M.D., alongside his company, America’s Imaging Center, Inc., for over 10 years of alleged Medicaid fraud. Through his corporation, Toobian, age 51, of King's Point, ran Empire’s Imaging, a diagnostic radiology center based in Queens. From January 2006 to August 2017, the AG’s Office …
Worcester Doc Who Prescribed Highly Addictive Drugs 'Like Candy' Convicted: Feds Worcester Doc Who Prescribed Highly Addictive Drugs 'Like Candy' Convicted: Feds
Worcester Doc Who Prescribed Highly Addictive Drugs 'Like Candy' Convicted: Feds A Worcester psychiatrist was convicted of illegally prescribing highly addictive drugs like Xanax, Klonopin, and Adderall, federal authorities announced. One FBI agent said the doctor gave out these prescriptions "as casually as Halloween candy." Mohamad Och, age 67, was found guilty of illegally prescribing a Schedule II drug and one count of illegally prescribing a Schedule IV narcotic following an 11-day trial, the US Attorney for Massachusetts said. He potentially faces decades in jail when he is sentenced in February.  Och owned and ran Island Counseling Center…
$10M Scheme: Pelham Manor Man Nabbed For Selling Fraudulent Prescriptions, Feds Say $10M Scheme: Pelham Manor Man Nabbed For Selling Fraudulent Prescriptions, Feds Say
$10M Scheme: Pelham Manor Man Nabbed For Selling Fraudulent Prescriptions, Feds Say A 44-year-old Westchester man faces healthcare fraud charges after generating fake prescriptions and using them to bill Medicare for at least $10 million of false claims, federal officials announced. Pelham Manor resident Manishkumar Patel, age 44, was arrested on Tuesday morning, Oct. 31 in connection with a healthcare fraud and kickback scheme involving the sale of fake prescriptions, the US Attorney's Office for Southern District of New York announced.  According to federal officials, between 2019 and 2022, Patel and a co-conspirator would fraudulently sell the prescriptions an…
$695K Scheme: Former New London Counselor Convicted Of Submitting False Medicaid Claims $695K Scheme: Former New London Counselor Convicted Of Submitting False Medicaid Claims
$695K Scheme: Former New London Counselor Convicted Of Submitting False Medicaid Claims A former New London County counselor has admitted to submitting thousands of dollars of fraudulent claims to Medicaid for therapy services he never provided, officials said.  Former East Lyme resident Jeffrey Slocum, age 55, pleaded guilty to healthcare fraud and kickback charges on Wednesday, Aug. 16, the US Attorney's Office for the District of Connecticut announced.  According to federal officials, between 2017 and 2022, Slocum, who now lives in Johnstown, Pennsylvania, was a licensed professional counselor with a New London office located at 300 State St.  …
$70K Fraud Scheme Racks Up Charges For Union City Woman: Prosecutor $70K Fraud Scheme Racks Up Charges For Union City Woman: Prosecutor
$70K Fraud Scheme Racks Up Charges For Union City Woman: Prosecutor A 47-year-old Hudson County woman was arrested in a $70,000 healthcare fraud scheme, authorities said. Nicole Saunders, of Union City, failed to report income from a business she owns, resulting in an unlawful payment of more than $70,000 in medical benefits from NJ FamilyCare between 2017 and 2021, Hudson County Prosecutor Esther Suarez said. Saunders was arrested Tuesday, July 25, by members of the Hudson County Prosecutor’s Office Insurance Fraud Unit. She was charged with theft by deception and false reporting to Medicaid. Saunders was released on a summons pending her&n…
Ex-Nurse Avoids Jailtime For Stealing Boston Patients' Opioids: Feds Ex-Nurse Avoids Jailtime For Stealing Boston Patients' Opioids: Feds
Ex-Nurse Avoids Jailtime For Stealing Boston Patients' Opioids: Feds A former nurse who admitted to stealing opioids from her patients and a locked medicine cabinet at two Boston-area hospitals will not serve any jail time, federal authorities announced.  Lisa Tarr, 33, of St. Petersburg, Fla., was sentenced to five years of probation, with the first year being spent in home detention, the US Attorney for Massachusetts said. Tarr pleaded guilty last year to four counts of unlawfully obtaining controlled substances by fraud, deception, and subterfuge. Tarr was a student nurse at a Boston-area hospital in August 2018, where she told investigators she…
$8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims $8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims
$8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims A Westchester man will spend years in prison after billing more than $8 million in false transportation service claims as part of a multi-million-dollar Medicaid fraud scheme.  Yonkers resident Julio Alvarado, age 63, was sentenced to 95 months in prison on Wednesday, March 29 for leading the scheme which ended up defrauding Medicaid out of millions of dollars, according to the US Attorney's Office for the Southern District of New York.  According to federal officials, Alvarado was responsible for billing more than $8 million in fraudulent transportation services for Medicaid…
'Cheated': Recovery Centers Across Mass Close, Operators Charged With Millions In Fraud: Feds 'Cheated': Recovery Centers Across Mass Close, Operators Charged With Millions In Fraud: Feds
'Cheated': Recovery Centers Across Mass Close, Operators Charged With Millions In Fraud: Feds Instead of fostering recovery, the operator of a chain of addiction treatment centers used his position to launder money, steal millions of dollars, and write prescriptions under doctors' names without permission, said the US attorney's office.  Michael Brier, of Newton, used his position as operator of Recovery Connections Centers of America to rake in millions of dollars from Medicare, Medicaid, and other such organizations by falsifying healthcare claims, back-dating documents, and writing prescriptions using the names of doctors without their permission, according to Unite…
Stealing From Critical Ill Patient: Pittsfield Nurse Who Took Fentanyl Going To Jail, Feds Say Stealing From Critical Ill Patient: Pittsfield Nurse Who Took Fentanyl Going To Jail, Feds Say
Stealing From Critical Ill Patient: Pittsfield Nurse Who Took Fentanyl Going To Jail, Feds Say A 37-year-old Pittsfield nurse who admitted she stole fentanyl from a critically ill patient's IV using a syringe will spend the next three months in federal prison, authorities said.  Jessica Lotto pleaded guilty in May to one count of acquiring a controlled substance by fraud, deceit, or subterfuge, the US Attorney's Office said. A judge sentenced her to three months behind bars on Friday, Feb. 17.  Investigators said Lotto was caring for a critically ill patient at Berkshire Medical Center in 2019 when she siphoned off some of the powerful painkiller. The patient was sedat…
Passaic Woman Conspired To Obstruct Federal Investigation Into Fraudster Dentist Bros: Feds Passaic Woman Conspired To Obstruct Federal Investigation Into Fraudster Dentist Bros: Feds
Passaic Woman Conspired To Obstruct Federal Investigation Into Fraudster Dentist Bros: Feds A 26-year-old Passaic County woman was charged in a federal indictment with conspiring to obstruct a grand jury investigation into a pair of Pennsylvania brothers accused of running a multi-million criminal enterprise, authorities said. Susan Malpartida was named in the 42-count indictment against Bhaskar and Arun Savani, who were charged with racketeering, money laundering, healthcare fraud, and a litany of other felony offenses that could see them locked up for hundreds of years each if convicted, the Justice Department announced. A multi-year investigation into the brother…
Great Neck Doctor Sentenced For Million-Dollar Medicare Fraud Scheme Great Neck Doctor Sentenced For Million-Dollar Medicare Fraud Scheme
Great Neck Doctor Sentenced For Million-Dollar Medicare Fraud Scheme A Long Island doctor is heading to federal prison after admitting that he bilked the Medicare system out of more than a million dollars as part of an elaborate fraud scheme. Morris Barnard, age 59, of Great Neck, was sentenced to 2 ½ years behind bars in federal court in Central Islip on Thursday, Jan. 5. It followed his March 2022 guilty plea to healthcare fraud. Earlier Report: New Details: Nassau Doctor Admits To Million-Dollar Medicare Scheme Prosecutors said between October 2015 and February 2020, Barnard, a gastroenterologist practicing in Great Neck, submitted over $3 million i…
Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG
Former MassHealth Employee Sentenced For Racking Up $112K In Fake Services: AG A 28-year-old man from Lowell was sentenced to two years in jail for cheating MassHealth out of more than $100,000 as an employee, Attorney General Maura Healy announced on Thursday, Sept. 22.  Investigators determined that Abdinafa Maow, who worked as a Personal Care Attendant for MassHealth, got paid for services that he never performed between 2015 and 2020, Healy said. He along with his relative, Abdikadir Maow, were previously indicted on one count of false Medicaid claims and larceny over $1,200.  Overall, the duo received more than $112,000 for these fa…
Lowell Nurse Pleads Guilty To $100M Medicare, MassHealth Fraud, Kickback Scheme: Feds Lowell Nurse Pleads Guilty To $100M Medicare, MassHealth Fraud, Kickback Scheme: Feds
Lowell Nurse Pleads Guilty To $100M Medicare, MassHealth Fraud, Kickback Scheme: Feds A 42-year-old Lowell nurse pleaded guilty in federal court earlier this month to a scheme that prosecutors say defrauded at least $100 million from Medicare and MassHealth.  Winnie Waruru admitted in court on Sept. 8 to conspiracy to commit healthcare fraud, aiding and abetting healthcare fraud, conspiracy to pay and receive kickbacks, and multiple counts of lying to federal investigators, the U.S. Attorney's Office.  Waruru worked as a licensed practical nurse for Arbor Homecare Services LLC, where investigators said she and a co-owner of the business, Faith Newton, failed to train staff,…
Avon Doctor Admits To Getting Kickbacks In Exchange For Ordering Unnecessary Procedures Avon Doctor Admits To Getting Kickbacks In Exchange For Ordering Unnecessary Procedures
Avon Doctor Admits To Getting Kickbacks In Exchange For Ordering Unnecessary Procedures A Connecticut eye doctor was paid handsomely from a five-year fraudulent medical billing scheme that netted millions of dollars. Hartford County resident Donald Salzberg, age 67, of Avon, pleaded guilty Thursday, July 14, to one count of conspiracy to commit health care fraud and one count of conspiracy to receive kickbacks in federal court in Boston. Prosecutors said that between 2014 and 2019 Salzberg, who owned and operated an ophthalmology practice in West Hartford, conspired with a principal for a medical diagnostics company to order hundreds of unnecessary brain scans. Salzburg and h…
Pittsfield Nurse Admits To Stealing Fentanyl From Critical Care Patient Pittsfield Nurse Admits To Stealing Fentanyl From Critical Care Patient
Pittsfield Nurse Admits To Stealing Fentanyl From Critical Care Patient A Western Massachusetts nurse has admitted to stealing fentanyl that was being administered to a patient in a hospital's critical care unit. Berkshire County resident Jessica Lotto, age 36, of Pittsfield, pleaded guilty on Tuesday, May 31, to one count of acquiring a controlled substance by fraud, deceit, or subterfuge, according to an announcement from Rachael Rollins, United States Attorney for the District of Massachusetts. She was charged in November of 2021, Rollins said.  According to the announcement, while working at Berkshire Medical Center in February of 2019, Lott…
Colchester Native Convicted Of Killing His Wife, Three Children, Family Dog Colchester Native Convicted Of Killing His Wife, Three Children, Family Dog
Colchester Native Convicted Of Killing His Wife, Three Children, Family Dog A physical therapist from Connecticut has been convicted of killing his wife, three children, and the family dog by a jury. Anthony Todt, a New London County native who grew up in Colchester, was found guilty on Thursday, April 14 in Kissimmee, Florida, located just minutes from Disney World.  Todt, age 46, reportedly commuted between Florida to Connecticut to his Colchester business, Family Physical Therapy. The former physical therapist was arrested in 2020 for drugging and stabbing to death his wife Megan, age 42, along with their children, Alek, age 13, Tyler, age 11, and Zoe…
Philadelphia Nurse Admits Failing To Provide Care That Could've Saved Patient's Life: AG Philadelphia Nurse Admits Failing To Provide Care That Could've Saved Patient's Life: AG
Philadelphia Nurse Admits Failing To Provide Care That Could've Saved Patient's Life: AG A 34-year-old Philadelphia nurse admitted failing to provide checks on a nursing home resident who died hours after suffering a fall and serious head injury, and then trying to hide it, authorities announced. Christann Gainey, 34, pleaded guilty to neglect of a care-dependent person and tampering with records in connection with the death of 84-year-old Herbert R. McMaster Sr., State Attorney General Josh Shapiro said. Gainey failed to administer a total of eight required neurological checks on McMaster, a resident of Cathedral Village, after he suffered an unwitnessed fall at…
CFO Sentenced For $33M Healthcare Scheme Involving Westchester Company CFO Sentenced For $33M Healthcare Scheme Involving Westchester Company
CFO Sentenced For $33M Healthcare Scheme Involving Westchester Company A 50-year-old woman will spend more than five years in prison and surrender millions of dollars after being sentenced for a “widespread” $33 million healthcare fraud scheme involving a Westchester auto dealership, federal officials announced. Connecticut resident Erin Verespy, of Trumbull in Fairfield County, was sentenced to 66 months in prison for her role in a $33 million scheme to misappropriate client healthcare funds and defraud multiple lenders through her role as the Chief Financial Officer of Employee Benefit Solutions (EBS), an insurance firm in Wilton. Earlier story - Four From …
CFO From Trumbull Sentenced For $33M Healthcare Scheme CFO From Trumbull Sentenced For $33M Healthcare Scheme
CFO From Trumbull Sentenced For $33M Healthcare Scheme A Fairfield County woman will spend more than five years in prison and surrender millions of dollars after being sentenced for a “widespread” $33 million healthcare fraud scheme, federal officials announced. Trumbull resident Erin Verespy, age 50, was sentenced to 66 months in prison for her role in a $33 million scheme to misappropriate client healthcare funds and defraud multiple lenders through her role as the Chief Financial Officer of Employee Benefit Solutions (EBS), an insurance firm in Wilton. Earlier story - Four From Fairfield County Charged In $17 Million Insurance Firm Scheme I…
Doctor From Rye Charged For 'Prolific Seven-Year Fraud Scheme,' Feds Say Doctor From Rye Charged For 'Prolific Seven-Year Fraud Scheme,' Feds Say
Doctor From Rye Charged For 'Prolific Seven-Year Fraud Scheme,' Feds Say An eye doctor from Westchester who had practices throughout the Hudson Valley and Fairfield County who was previously charged with healthcare fraud has been sentenced for attempting to exploit the COVID-19 pandemic through loan fraud. Westchester resident Ameet Goyal, age 58, of Rye, who operated The Eye Associates Group, with practices in Rye, Mount Kisco, Wappingers Falls in Dutchess County, and Greenwich, has been sentenced to 96 months in prison for orchestrating a seven-year fraud scheme and for obtaining government loans intended for small businesses during the pandemic. In addition t…
NJ Doc Took Bribes From Pharma Company For Toxic Fentanyl Prescriptions: Feds NJ Doc Took Bribes From Pharma Company For Toxic Fentanyl Prescriptions: Feds
NJ Doc Took Bribes From Pharma Company For Toxic Fentanyl Prescriptions: Feds A doctor from Central Jersey is accused of taking bribes and kickbacks in exchange for prescribing potentially fatal doses of fentanyl, authorities said. Mukaram Gazi, 51, of Marlboro in Monmouth County was charged with conspiracy to pay and receive kickbacks, receiving kickbacks, health care fraud and conspiring to unlawfully distribute dangerous narcotics, according to Acting U.S. Attorney Rachael A. Honig. According to Thursday's indictment: Gazi owned a urology practice with offices in Freehold, Hamilton, Howell and Toms River.  Gazi received more than $130,000 in bribes and…
Dental Office Manager In Region Admits To Role In Medicare Fraud Scheme Dental Office Manager In Region Admits To Role In Medicare Fraud Scheme
Dental Office Manager In Region Admits To Role In Medicare Fraud Scheme A Massachusetts woman has pleaded guilty to her participation in a scheme to defraud the Massachusetts Medicaid program commonly known as MassHealth. Robin Cronin, age 58, of Worcester, pleaded guilty to one count of conspiracy to commit health care fraud and one count of health care fraud, according to the US Attorney's Office. In January 2020, Cronin was indicted along with Dr. Anthony DiStefano and Dr. Scott Cale, dentists practicing in Worcester, for their roles in the Medicare fraud scheme. According to the indictment, from 2014 to 2018, the dental services that DiStefano personally d…
Bucks Man Claiming To Be Navy SEAL Scams VA Out Of $300K Bucks Man Claiming To Be Navy SEAL Scams VA Out Of $300K
Bucks Man Claiming To Be Navy SEAL Scams VA Out Of $300K A Bucks County man was sentenced to three years and four months in prison for falsely identifying as a military hero in order to receive federal government benefits, authorities said. In July 2020, Richard Meleski, 58, pleaded guilty to one count of healthcare fraud, two counts of mail fraud, one count of stolen valor, and related charges, according to the U.S. Department of Justice. The Chalfont resident was accused of fraudulently claiming to have served as an elite Navy SEAL and falsely saying that he had been captured by the enemy in order to secure healthcare benefits from the Vet…
COVID-19: Feds Charge Rockland Doctor, Wife With $1.3M Genetic Testing Scheme COVID-19: Feds Charge Rockland Doctor, Wife With $1.3M Genetic Testing Scheme
Covid-19: Feds Charge Rockland Doctor, Wife With $1.3M Genetic Testing Scheme COVID-19 hardly fazed a Rockland doctor who, with his wife, continued to collect bribes and kickbacks in exchange for ordering millions of dollars in genetic tests from his offices in Pennsylvania, a federal grand jury in Newark, New Jersey charged. Yitzchok “Barry” Kurtzer, age 61, and Robin Kurtzer, age 60, both of Monsey, collected monthly cash kickbacks and bribes ranging in exchange for “collecting DNA samples from Medicare patients and sending them for genetic tests to clinical laboratories in New Jersey and Pennsylvania,” beginning in 2018, Acting US Attorney for New Jersey Rachael Ho…
Philadelphia 'Pill Mill' Doc Who Exchanged Opioids For Sex Gets 5 Years Philadelphia 'Pill Mill' Doc Who Exchanged Opioids For Sex Gets 5 Years
Philadelphia 'Pill Mill' Doc Who Exchanged Opioids For Sex Gets 5 Years An 80-year-old Philadelphia doctor was sentenced to five years behind bars for illegally distributing opioids to patients for cash, and often in exchange for sex, authorities announced. Myron Rodos, of Ambler, pleaded guilty in November 2019, admitting that he illegally gave an additional 6,130 oxycodone (30 mg) pills and 3,670 methadone (10 mg) pills to patients in exchange for sex and money at his North Philadelphia "pill mill," Acting United States Attorney Jennifer Arbittier Williams said. The charges resulted from a lengthy FBI investigation that produced audio and video recording…
Authorities: Ring Got 30,000 Painkiller Pills With Prescription Blanks Swiped From NJ Hospitals Authorities: Ring Got 30,000 Painkiller Pills With Prescription Blanks Swiped From NJ Hospitals
Authorities: Ring Got 30,000 Painkiller Pills With Prescription Blanks Swiped From NJ Hospitals Using prescription blanks stolen from hospitals in Bergen and Passaic counties, a crew used a single pharmacy to get its hands on 30,000 high-dose oxycodone pills, including a year’s worth of painkillers prescribed to a dead man, authorities charged. The volume eventually gave them away, state and federal law enforcement officials said. Milagros Santiago, 43, of Haledon, was working as a pharmacy technician at St. Joseph’s Regional Medical Center in Paterson when she swiped prescription blanks, state Attorney General Gurbir S. Grewal said. The forged blanks were then filled at Panther Vall…
COVID-19: Healthcare Network In Area May Have Fraudulently Obtained Vaccine, State Says COVID-19: Healthcare Network In Area May Have Fraudulently Obtained Vaccine, State Says
Covid-19: Healthcare Network In Area May Have Fraudulently Obtained Vaccine, State Says An investigation is underway into allegations that a Hudson Valley healthcare provider may have fraudulently obtained COVID-19 vaccines and diverted them to members of the public. New York Health Commissioner Dr. Howard Zucker said late Saturday afternoon, Dec. 26 that the state was made aware of the reports against the Parcare Community Health Network, located in Monroe in Orange County. Zucker said Parcare "may have fraudulently obtained COVID-19 vaccine, transferred it to facilities in other parts of the state in violation of state guidelines and diverted it to members of the public…
COVID-19: Westchester Doctor Accused Of Illegally Receiving Government-Guaranteed Loans COVID-19: Westchester Doctor Accused Of Illegally Receiving Government-Guaranteed Loans
Covid-19: Westchester Doctor Accused Of Illegally Receiving Government-Guaranteed Loans An eye doctor from Westchester who had practices throughout the Hudson Valley and Fairfield County who was previously charged with healthcare fraud is facing new charges for allegedly attempting to exploit the novel coronavirus (COVID-19) crisis. Ameet Goyal, 57, of Rye, who operates The Eye Associates Group, with practices in Rye, Mount Kisco, Wappingers Falls, and Greenwich, was arrested and charged by federal officials for allegedly fraudulently billing patients last year. Earlier story - Area Doctor Billed Patients $8M For Surgeries He Didn't Do, Feds Say According to U.S. Attorne…