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Health Care Investigations Archives

NY health care provider accused of fraud, pays $10M to settle

Allegations of health care fraud can cause serious harm to a health care provider’s reputation. As such, it is not surprising that those who find themselves the subject of an investigation or face accusations of this form of fraud seriously consider accepting a settlement agreement in the hopes that they can move on with business and put the whole ordeal in the past.

Brooklyn medical assistant sentenced to 3 years in jail for fraud

A Brooklyn medical assistant faced accusations of providing medical services without the necessary license. The accusations also claimed the care provided was unnecessary and given to the patient solely for the purpose of filing false claims with Medicare and Medicaid.

Long Island doctor convicted of Medicare fraud headed to prison

A suburban New York City surgeon has been sentenced to spend 13 years in a federal prison for submitting false claims to Medicare. The Long Island doctor was convicted of health care fraud, making false statements related to health care matters and money laundering by a federal jury in a trial that lasted 11 days.

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.

Kool Smiles and management company settle False Claims case

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 pediatric dental services and for services that were never performed. This allegedly violated the False Claims Act.

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 acting District Attorney Eric Gonzalez.

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 over it all.

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.

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 postponed until the bribery trial was concluded.

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