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Health Care Investigations Archives

2 lessons after man acquitted of health care fraud charges

The prosecution's case against Dr. Jorge Zamora-Quezada continues to provide learning opportunities for medical professionals throughout the country. In the most recent development, the government agreed to the acquittal of one of Dr. Zamora-Quezada's employees.

Accused of health care fraud? Cross examination is a powerful defense tool.

Those who face allegations of health care fraud can find themselves fighting an uphill battle. The government can gather evidence and witnesses to testify against you, but defensive strategies are available to help you defend your professional reputation. One strategy to use during a health care fraud trial: cross examination.

MBA student faces 20 years imprisonment for health care fraud

The United States Department of Justice recently announced criminal charges against an MBA student in connection to a health care fraud scheme. The health care fraud scheme involves allegations a health care technology company falsely inflated data and overbilled clients for advertisements. The government claims these practices resulted in over $1 billion in fraudulent gains.

NY man sentenced to 3 years, $10 mil for health care fraud

A New York man recently agreed to a plea deal with the government for allegations of health care fraud. According to his plea agreement, the accused requested blank prescriptions from a physician friend. The accused then put in the names of other patients and made copies of the prescriptions to help perpetrate a fraudulent scheme.

Medicare Fraud Strike Force arrests 5 New Yorkers

The Medicare Fraud Strike Force recently announced the arrest of five New Yorkers based on charges of health care fraud. The arrests were part of a larger coordinated health care fraud enforcement action that led to the arrest of 48 individuals throughout the Northeast in connection to a scheme involving over $800 million in false and fraudulent claims.

Want to run a successful diagnostic lab? These 2 tips can help.

Patients who seek services in the health care industry are starting to expect clarity from their providers. Whether seeking a dental cleaning, cancer screening or blood test, patients are more regularly asking about the service they will receive and the likely cost. Diagnostic and reference labs can make the most of this new trend in patient care with the following tips:

NY ambulance company owners take plea deal in fraud case

The Medicare Fraud Strike Force (MFSF) recently concluded an investigation of a New York based ambulatory company. The MFSF is part of a joint initiative between the Department of Justice (DOJ) and the United States Department of Health and Human Services (HHS) tasked with deterring fraud and enforcing applicable laws.

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