The U.S. Department of Justice announced recently that it has achieved a settlement with Kool Smiles dental clinics and their management company, Benevis. The clinics and management company are accused of charging Medicaid programs in 17 states for unnecessary...
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Health Care Investigations
Court rejects Medicare fraud appeals
"Upon thorough review and with the benefit of oral argument, we affirm on all issues," the U.S. Court of Appeals for the Eleventh Circuit said as it shot down the hopes of a doctor and three therapists. The four had appealed their convictions on conspiracy to commit...
Health care fraud alleged against 4 New York City doctors, others
New York's WNBC recently reported on an alleged health care scam that has cost taxpayers more than $100 million. “This massive scheme, which provided no patient care at all, wasted millions of taxpayer dollars dedicated to Medicaid and Medicare," said Brooklyn's...
Report: Steps needed to better fight health care fraud
It's understood that the federal government is an enormous labyrinth that stretches into every corner of the nation. There are about two million federal employees (not counting members of the armed forces), so it is impossible for any one person or agency to watch...
Clinical labs are increasingly under the regulators’ microscope
Where would today's medical profession be without clinical labs? So much of proper diagnosis, treatment and prevention of illness are dependent on the tests conducted on blood, urine and saliva in those labs in New York and elsewhere. Because the tests can be...
Stakes couldn’t be higher in health care fraud sentencing
Last month, New York City media outlets reported that the months-long bribery trial of Sen. Robert Menendez and co-defendant Dr. Salomon Melgen had ended in mistrial. Earlier this year, Melgen had been convicted of Medicare fraud, but sentencing in that case was...
Medicaid and Medicare fraud at Manhattan pharmacy alleged
It is invariably disturbing and even frightening to receive a subpoena or to be indicted as part of a civil or criminal investigation. A Manhattan pharmacy owner and a pharmacist at the Tribeca locale were recently indicted on grand larceny charges, according to a...
Menendez trial highlights Medicare fraud issues
Though the trial of Sen. Bob Menendez is competing for national media coverage with a number of other major news stories, it has brought attention to several important issues, including health care fraud. Menendez is charged with bribery in a case that revolves around...
New York doctors, therapists, others charged with health care fraud
State and federal agencies combined in an investigation involving two medical company owners, three physicians, three licensed physical and occupational therapists and a chiropractor. The New York Office of the Medicaid Inspector General teamed up with an assortment...

