Madison, WI - Former Janesville Pharmacy Owner Sentenced for Health Care Fraud

Mark Johnson, 55, Janesville, Wis., was sentenced on September 1, 2017 by U.S. District Judge James Peterson to 24 months in federal prison for health care fraud. Johnson will begin serving his sentence in October.

On August 4, 2016, Johnson’s arrest was announced in conjunction with the unsealing o... More...   $0 (09-07-2017 - WI)

Lincoln, NE - Nebraska Woman Sentenced in Health Care Fraud Case

Chandra Wrightsell, 47, of Omaha Nebraska, was sentenced on August 29, 2017 by Senior United States District Judge Richard G. Kopf for the crime of health care fraud. Wrightsell was sentenced to 18 months in prison, followed by 3 years of supervised release. She was also ordered to pay restitution to the Nebraska Department ... More...   $0 (09-07-2017 - NE)

New York, NY - Acting Manhattan U.S. Attorney Announces $13.4 Million Settlement Of Civil Healthcare Fraud Lawsuit Against US Bioservices Corp.

The United States settled a civil fraud case against US BIOSERVICES CORP. (“US BIO”) pursuant to which US BIO will pay a total of $13.4 million. The settlement resolves claims that US BIO violated the Anti-Kickback Statute and the False Claims Act... More...   $13400000 (09-06-2017 - NY)

Washington, DC - Novo Nordisk Agrees to Pay $58 Million for Failure to Comply with FDA-Mandated Risk Program - Payments Resolve Allegations Highlighted in DOJ Civil Complaint and Recently Unsealed Whistleblower Actions

Pharmaceutical Manufacturer Novo Nordisk Inc. will pay $58.65 million to resolve allegations that the company failed to comply with the FDA-mandated Risk Evaluation and Mit... More...   $58000000 (09-05-2017 - dc)

Houston, TX - Houston Home Health Agency Owner Sentenced to 480 Months in Prison for Conspiring to Defraud Medicare and Medicaid of More Than $17 Million

The owner and operator of five Houston-area home health agencies was sentenced on August 18, 2017 to 480 months in prison for conspiring to defraud Medicare and the State of Texas’ Medicaid-funded Home and Community-Based Service (HCBS) ... More...   $0 (08-22-2017 - TX)

Muskogee, OK Tulsa Man Sentenced To Time Served, $83,000 Restitution For Health Care Fraud

Steven William Delia, age 62, of Tulsa, Oklahoma, was sentenced to imprisonment, time served, 3 years supervised release, and ordered to pay $83,769.27 in restitution to the Oklahoma Health Care Authority for HEALTH CARE FRAUD, in violation of Title 18, United States Code, Section 1347.

The... More...   $0 (08-20-2017 - OK)

Boston, MA - Mylan Agrees to Pay $465 Million to Resolve False Claims Act Liability for Underpaying EpiPen Rebates

Pharmaceutical companies Mylan Inc. and Mylan Specialty L.P. have agreed to pay $465 million to resolve claims that they violated the False Claims Act by knowingly misclassifying EpiPen as a generic drug to avoid paying rebates owed primarily to Medicaid, the Justice Departme... More...   $0 (08-18-2017 - MA)

Dallas, TX - Dallas Doctor Sentenced on Health Care Fraud Conviction

A 60-year-old doctor from Rockwall, Texas, Jacques Roy, who was convicted in April 2016 of various health care fraud charges following a six-week-long trial, was sentenced on August 9, 2017 by U.S. District Judge Sam A. Lindsay to 420 months in federal prison and ordered to pay $268,147,699.15 in restitution, joint and s... More...   $0 (08-11-2017 - TX)

Richmond, VA - Woman Pleads Guilty to Medicaid Fraud and Identity Theft Charges

A Richmond woman pleaded guilty today healthcare fraud and aggravated identity theft.

According to court documents, Chermeca Harris, 36, was a Medicaid beneficiary and would misrepresent her health condition to health care providers, such as hospitals and ambulance services, in order to obtain health ... More...   $0 (08-10-2017 - VA)

Raleigh, NC - Pitt County Behavioral Health President Pleads Guilty to Medicaid Fraud Conspiracy and Perjury Charges

SHEPHARD LEE SPRUILL, II, 46, of Winterville, North Carolina, pleaded guilty on August 4, 2017 to Conspiracy to Commit Health Care Fraud, and Perjury. Under the terms of a plea agreement, SPRUILL faces up to 15 years in prison, $500,000 in fines, and 3 years of supervised r... More...   $0 (08-09-2017 - NC)

Macon, GA - Navicent Settles Ambulance Fraud Claims For Over $2.5MM

G.F. “Pete” Peterman, III, United States Attorney for the Middle District of Georgia, and Georgia Attorney General Christopher M. Carr announced on August 3, 2017 a civil settlement with The Medical Center of Central Georgia, Inc., d/b/a The Medical Center, Navicent Health (“Navicent”). Navicent agreed to pay to the Unite... More...   $2549742 (08-08-2017 - )

Richmond, VA - Maryland Man Pleads Guilty to Medicaid Fraud, Tax Evasion

A Maryland man pleaded guilty on August 4, 2017 to conspiring to defraud Medicaid and evading both his personal income taxes and his company’s employment taxes.

According to the statement of facts filed with the plea agreement, Lamar Taylor, 39, of Bowie, was the owner and operator of Alexandria-based Global... More...   $0 (08-04-2017 - VA)

Dallas, TX - Garland Couple Who Stole/Unlawfully Obtained Patient Identification Information Sentenced to Federal Prison Terms - Husband is a Former Parkland Hospital Employee and Wife is a Former Nurse at Baylor Medical Center in Dallas - Used Info toSolicit Patients for Their Home Health Agency

A former employee at Parkland Health and Hospital System in Dallas (Parkland), Viju Mathew, a... More...   $0 (08-03-2017 - TX)

Harrisburg, PA - Denver Woman Sentenced To 46 Months’ Imprisonment For Health Care Fraud

Tammie Sensenig, age 46, of Denver, Pennsylvania was sentenced July 25, 2017, by United States District Court Judge William C. Caldwell to serve 46 months’ imprisonment for health care fraud.

According to United States Attorney Bruce D. Brandler, as a result of prior convictions relating to M... More...   $0 (07-26-2017 - PA)

Danville, VA - Danville Doctor Pleads Guilty to Healthcare Fraud, Tax Evasion Charges - Edwin Fuentes Billed Patients for Services Not Administered

A Danville doctor, who billed various insurers for services he never administered to patients, pled guilty on July 18, 2017 in the United States District Court for the Western District of Virginia in Danville to healthcare fraud and tax evas... More...   $0 (07-25-2017 - VA)

Jefferson City, MO - Two University of Missouri Physicians Plead Guilty to Health Care Fraud

Two physicians at the University of Missouri School of Medicine in Columbia, Mo., pleaded guilty in federal court, in separate cases, to engaging in a health care fraud scheme that totaled more than $190,000.

Kenneth Loem Rall, 82, and Michael Edward Richards, 65, both of Columbia, Mo., e... More...   $0 (07-21-2017 - OK)

Appellant and his wife had been separated for three years when appellant agreed to let
her stay in his apartment temporarily. One evening, they got into a heated discussion about
appellant’s romantic involvement with another woman. Appellant became angry, jumped over
an ottoman and on top of Wife, and “grabbed, clawed, scratched, and pulled at her” while
attempting to throw h... More...   $0 (07-19-2017 - TX)

Appellant and his wife had been separated for three years when appellant agreed to let
her stay in his apartment temporarily. One evening, they got into a heated discussion about
appellant’s romantic involvement with another woman. Appellant became angry, jumped over
an ottoman and on top of Wife, and “grabbed, clawed, scratched, and pulled at her” while
attempting to throw h... More...   $0 (07-19-2017 - TX)

Cincinnati, OH - Three Companies and Their Executives Pay $19.5 Million to Resolve False Claims Act Allegations Pertaining to Rehabilitation Therapy and Hospice Services

Ohio based Foundations Health Solutions Inc. (FHS), Olympia Therapy Inc. (Olympia), and Tridia Hospice Care Inc. (Tridia), and their executives, Brian Colleran (Colleran) and Daniel Parker (Parker), have agreed to pay app... More...   $0 (07-18-2017 - OK)

Cincinnati, OH - Three Companies and Their Executives Pay $19.5 Million to Resolve False Claims Act Allegations Pertaining to Rehabilitation Therapy and Hospice Services

Ohio based Foundations Health Solutions Inc. (FHS), Olympia Therapy Inc. (Olympia), and Tridia Hospice Care Inc. (Tridia), and their executives, Brian Colleran (Colleran) and Daniel Parker (Parker), have agreed to pay app... More...   $0 (07-18-2017 - OH)

Miami, FL - Miami-Based Physician Pleads Guilty for Role in Pain Pill Diversion and Medicare Fraud Scheme

A licensed physician in Miami pleaded guilty in federal court July 11, 2017 for his role in a multi-faceted $4.8 million health care fraud scheme that ran from April 2011 to February 2017, involving the submission of false and fraudulent claims to Medicare and the illegal prescribing ... More...   $0 (07-13-2017 - FL)

E. Peter Healey (Pete) appeals from an adverse judgment rendered after a jury trial in this family dispute involving duty and money. Initially brought by his father, Edwin N. Healey (Bud), against Pete and his brothers Paul C. Healey and Mark J. Healey, the suit widened when Pete named his siblings, Elizabeth Healey (Liza) and Michael R. Healey (Mike) as third-party defendants. Pete asserts ten is... More...   $0 (07-12-2017 - TX)

Minneapolis, MN - Home Health Care Business Owner Sentenced To Two Years In Prison For Tax Fraud

Michael Tobak, 55, to two years in prison for filing a false tax return. TOBAK pleaded guilty on November 7, 2016, and was sentenced on June 29, 2017, before U.S. District Judge Joan N. Ericksen in U.S. District Court in Minneapolis, Minn.

According to the defendant’s guilty plea and ... More...   $0 (07-11-2017 - MN)

Sacramento, CA - Wal-Mart Pays $1.65M to Settle False Claims Act Allegations of Improper Medi Cal Billings

Wal-Mart Stores Inc. has paid $1.65 million to resolve allegations that it violated the federal False Claims Act when it knowingly submitted claims for reimbursement to California’s Medi‑Cal program that were not supported by applicable diagnosis and documentation requirements.... More...   $1650000 (07-09-2017 - CA)

Detroit, MI - Detroit Area Medical Biller Sentenced to 50 Months in Prison for Her Role in a $7.3 Million Dollar Healthcare Fraud Scheme

A Detroit-area medical biller was sentenced to 50 months in prison for her role in a $7.3 million Medicare and Medicaid fraud scheme involving medical services that were billed to Medicare and Medicaid but not rendered as billed.

Dawn Bentley, ... More...   $0 (06-30-2017 - MI)