Government officials recently charged a dentist with over $1 million in fraudulent charges. After pleading guilty to the allegations, the dentist could find himself spending anywhere from 46 to 57 months in prison.The prosecution has reportedly requested a four-year...
Health Care Investigations
Will recent medical lab breaches lead to more audits?
A data breach impacted an estimated 20 million patients from three medical testing labs. The breach was connected to the collection agency used by the lab to manage billing. At this time, it appears the breach occurred for eight months before the lab became aware of...
Manhattan pharmacist accused of $11 million in insurance fraud
An investigation that spanned many months recently resulted in the arrest of a New York-licensed pharmacist accused of running a “medicine-for-case” scam. The Office of the Insurance Fraud Prosecutor recently announced the charges against this and 18 additional...
Former state employee sentenced for health care fraud crime
In 2018, the Department of Justice (DOJ) announced charges against a former state employee for health care fraud violations. The accused waived her right to an indictment and chose to take a plea deal. According to the agreement, the accused confessed to running two...
TX man skips trial, accepts plea deal in health care fraud case
A Texas man accused of health care fraud chose to skip a jury trial and accept a plea deal offered by the prosecution. The state accused the man of falsely submitting claims to Medicare and Medicaid under his father’s name. What happened in this Texas case? The case...
Texas court sends ambulance operator to prison for fraud
A Texas court recently sentenced a 46-year old local man after he pleaded guilty to charges of conspiracy to commit health care fraud. The accused owned and operated the ambulance company in the Houston area from 2009 through 2012.Outline of allegations: The ambulance...
Will the billion-dollar fraud case lead to even more charges?
The government recently announced a billion-dollar health care fraud case. The scam allegedly involved sending Medicare recipients shoulder, knee, ankle, wrist and back braces. In most cases, the patients did not need the braces. In others, the patients never received...
NY labs: New rule goes into effect in October
The Eliminating Kickbacks in Recovery Act of 2018 (EKRA) is a new federal law that applies to diagnostic and clinical labs throughout the country. The law is a part of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and...
DOJ accuses dozens of doctors of exchanging sex for prescriptions
The United States Department of Justice (DOJ) continues to crackdown on opioid prescription violations. Most recently, the government has accused multiple medical professionals of illegally prescribing these medications in exchange for financial gain and sexual...
Paramedic gets fired after following patient’s wishes
A paramedic alleges his employer terminated his position because he followed a patient’s request instead of adhering to conventional medical practices. The patient was suffering from a serious infection and asked the paramedic not to move forward with an...

