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Health Care Fraud Blog

Covers fraud in Medicare, Medicaid and insurance benefits.
By Robert David, Esq.

Post Frequency: 0.6/day

Last Entry: March 02, 2011 at 00:22:24

Florida Passes Tougher Anti-Medicaid Fraud Law

Posted on April 28, 2009
In a move targeted to increase health care fraud enforcement by the State of Florida, the Florida legislature has recently passed legislation containing a number of new fraud provisions, including: * elevating Medicaid fraud from a third degree felony to...

Physicians, Fraud & COPD

Posted on April 23, 2009
There has been a substantial crackdown by federal and state authorities in Florida over the last several years with regard to Medicare and Medicaid payments related to respiratory conditions such as COPD. The enforcement has typically focused on the....

Florida Legislators Move to Prevent Doctor Shopping

Posted on April 23, 2009
Legislation before the Florida House and Senate would require a controlled substances reporting database containing all prescribing and dispensing information related to certain controlled substances. The purpose and intent of the statute is to prevent drug abuse and profit making...

Whistleblower to Collect $45M

Posted on April 16, 2009
As the results of a whistleblower lawsuit under the federal False Claims Act, a division of Quest labs of New Jersey entered a guilty plea in federal court to a felony charge of misbranding in Wednesday and agreed to pay...

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Ryan Haight Online Pharmacy Consumer Protection Act of 2008

Posted on April 13, 2009
One significant development in the area of medical and pharmacy practice was the passage last year of The Ryan Haight Online Pharmacy Consumer Protection Act of 2008. This Act modifies the Controlled Substances Act to address the facilitation of the....

Cutting Edge Medicare Fraud

Posted on April 10, 2009
Florida, New York and California are generally on the cutting edge of Medicare fraud, and many hours of law enforcement time is taken to uncover the next wave of perceived schemes. However, fresh from Georgia: hyperbaric oxygen therapy fraud....

Pharmacy Fraud, Past Present and Future

Posted on April 08, 2009
Many in the healthcare industry and the attorneys who represent them in South Florida notice trends in law enforcement and criminal prosecutions that are logically preceded by increased audit activity. There are generally surges in prosecutions following increased outlays in...

FEDS DISMISS INDICTMENT AGAINST 10 IN FORT LAUDERDALE INTERNET PHARMACY CASE

Posted on April 06, 2009
By Robert David Malove, Esquire Exclusive to the Health Care Fraud Blog FORT LAUDERDALE, FL (April 6, 2008) In a stunning development with implications in two large prosecutions, the United States dismissed with prejudice an Indictment against 10 individuals today...

Four Indicted in Puerto Rico on Medicare Fraud Charges

Posted on March 08, 2009
Reprinted from Caribbean Net News caribbeannetnews.com Federal grand jury in Puerto Rico hands down indictments in Medicaid fraud Published on Thursday, March 5, 2009 By Mar�a Miranda Sierra Caribbean Net News Puerto Rico Correspondent Email: miranda@caribbeannetnews...

Home Care Investigated in Florida

Posted on March 05, 2009
On March 5, 2009 the Miami Herald reported that ?State investigators began sweeps this week targeting fraud and abuse in the home healthcare industry in Miami-Dade, aiming to potentially save millions of dollars in questionable payments by Medicaid. ?They launched...

Owners of Two Miami Medical Clinics Plead Guilty

Posted on January 17, 2009
On January 14, 2009, the owners and operators of two Miami medical clinics, along with a phlebotomist at one of the clinics, have pleaded guilty to defrauding the Medicare program in connection with a $5.3 million HIV and cancer infusion...

Two Pharmed Directors Sentenced

Posted on January 07, 2009
On January 7, 2009, defendants Carlos De Cespedes and Jorge De Cespedes, brothers and majority shareholders of The Pharmed Group, Corp. (Pharmed), were sentenced by U.S. District Court Judge Patricia Seitz to 108 months? imprisonment as a result of their...

THOMPSON-WEST SELECTS FORT LAUDERDALE LAWYERS WEINTRAUB & MALOVE TO WRITE HEALTH CARE FRAUD PRACTICE GUIDE

Posted on November 02, 2008
FOR IMMEDIATE RELEASE FORT LAUDERDALE, FL (November 3) After conducting a nation-wide search, Thompson-West, the leader in legal information solutions, has selected Fort Lauderdale lawyers, Benson Weintraub and Robert David Malove to create the leading print authority and Westlaw resource...

ATTORNEY GENERAL HONORS MEDICARE STRIKE FORCE AT THE DEPARTMENT OF JUSTICE?S ANNUAL AWARDS CEREMONY

Posted on October 28, 2008
Today in Washington, D.C., the Attorney General?s Award for Distinguished Service was also awarded to employees from the Fraud Section of the Criminal Division of the Department of Justice, Deputy Chief Kirk Ogrosky; Trial Attorneys John S. Darden and Harold...

Healthcare in America: Guns or Butter?

Posted on October 25, 2008
By Benson Weintraub, Esq. FORT LAUDERDALE, FL (October 25, 2008) My interest in health care fraud originated as a white collar criminal defense lawyer in the federal courts with an abiding commitment to academic excellence, particularly in the criminal justice...

Collapse of Financial Markets and Its Impact Upon National Health Care Priorities

Posted on October 19, 2008
By Benson Weintraub, Esq. FORT LAUDERDALE, FL (October 19, 2008) Economic prognosticators theorized a maximization of wealth through a combination of largely unregulated commercial notes and instruments including sub-prime mortgages secured or subject to credit default swaps or government backed securities; irrespective, the taxpayers were ultimately left holding the billion dollar bag while the investment banks and financial institutions profited by a billion-dollar is the federal government?s subsidies and bailout...

MEDICARE FRAUD STRIKE FORCE INDICTS EIGHT MIAMI-DADE RESIDENTS FOR AIDS/HIV INFUSION FRAUD

Posted on October 07, 2008
Eight Miami-Dade County residents have been charged in a 16-count indictment for their alleged roles in a Medicare fraud scheme involving fake HIV infusion treatments. After the arrests, the Sept. 24, 2008, indictment was unsealed charging one count of health...

Medicare Fraud Strike Force Prosecutions Top $500M

Posted on September 25, 2008
Since the inception of Medicare Fraud Strike Force (MFSF) operations in 2007, federal prosecutors in Washington, D.C., have indicted 104 cases with 184 defendants in Los Angeles and Miami. Collectively, these defendants fraudulently billed the Medicare program for more than...

PHYSICIAN?S ASSISTANT PLEADS GUILTY TO ROLE IN $119 MILLION FRAUDULENT HIV INFUSION SCHEME

Posted on September 19, 2008
MIAMI, FL (September 18, 2008) - Thomas McKenzie, 53, a Miami physician?s assistant pleaded guilty today to defrauding the Medicare program in connection with a $119 million HIV infusion fraud scheme. McKenzie, pleaded guilty in Miami to one count of...

Healthcare Fraud Blog Publisher to Attend AHLA/HCCA Fraud and Compliance Forum

Posted on September 17, 2008
FORT LAUDERDALE, FL (September 17, 2008) Health care fraud blog publisher, attorney Robert David Malove, will be attending the 2008 Fraud & Compliance Forum in Baltimore next month. The AHLA/HCCA Fraud & Compliance Forum will provide practical guidance on the...

A COMPLIANCE OFFICER?S MUSE?

Posted on September 15, 2008
By Benson Weintraub, Esq. FORT LAUDERDALE, FL (September 15, 2008) In post-Depression era history, the federal government has yielded to systemic extensions of credit through extortionate means, most recently in bailing out Fannie and Freddie, the first of many economic...

Miami Physicians Plead Guilty and Admit Ordering $6.8M Worth of Unnecessary HIV Infusion Treatments

Posted on September 12, 2008
MIAMI, FL (September 11, 2008) - Miami physicians, Carlos Contreras, M.D., and Ramon Pichardo, M.D., each pleaded guilty today to defrauding the Medicare program in connection with a $6.8 million HIV infusion fraud scheme. To read the indictment in its...

Miami Still a Hotbed for Medicare Fraud - HIV Clinic Administrator Pleads Guilty for Role in a $14 Million Medicare Fraud Scheme

Posted on September 09, 2008
MIAMI, FL (September 9, 2008) ? Dilcia Marinez, 57, pleaded guilty today in U.S. District Court to her role in defrauding the Medicare program and laundering the proceeds of the crimes in connection with a $14 million HIV infusion fraud...

DME DEFENDANTS SENTENCED IN $148M MEDICARE FRAUD SCHEME

Posted on August 28, 2008
MIAMI, FL (August 28, 2008) - Defendants Mabel and Abner Diaz, of Miami Lakes, FL were each sentenced today to fourteen years? incarceration for conspiracy to commit health care fraud and health care fraud. Defendant Suleidy Cano, of Hialeah,...

MIAMI DME OWNER SENTENCED FOR MEDICARE FRAUD

Posted on August 28, 2008
Yesterday, U.S. District Court Judge Patricia A. Seitz sentenced Ariel Delgado, a Miami DME owner, to 30 months in prison, to be followed by three years of supervised release. The defendant was also ordered to forfeit $474,609 and pay restitution...

$211,000,000 INTERNET PHARMACY CASE

Posted on August 27, 2008
Exclusive COVERAGE BY Health CareFraud Blog DALLAS, TX (August 27, 2008) - The federal government?s largest health fraud case involving online pharmacies was scheduled to conclude today with the sentencing of Ryokesh Johar Saran (Joe Saran) before US District Judge...

Inspector General's Draft Report Says Medicare's Claims of Reduced Imroper Payments Misleading

Posted on August 20, 2008
Today, The New York Times reported that ?Medicare?s top officials said in 2006 that they had reduced the number of fraudulent and improper claims paid by the agency, keeping billions of dollars out of the hands of people trying to...

Inspector General's Draft Report Says Medicare's Claims of Reduced Improper Payments Misleading

ACFE Healthcare Fraud Seminar

Posted on August 19, 2008
CEO Magazine reports that healthcare costs are within the top three business concerns, and for good reason: U.S. healthcare spending has increased from a mere $27 billion in 1960 to $2 trillion in 2005. That is a 7,100 percent...

Hospital Owner and "Skid Row" Assessment Center Operator Arrested in Healthcare Fraud Scheme That Recruited Homeless and Fraudulently Billed Government for Unnecessary Services

Posted on August 14, 2008
According to the L.A. Times, the owner of a Los Angeles-area hospital and a man who acted as a recruiter were arrested August 6 on federal charges of defrauding Medicare and Medi-Cal by providing unnecessary health services to homeless people...

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