Articles Posted in Healthcare Fraud

shutterstock_505244407-300x188Pennsylvania cardiologist who sued his former colleagues and UPMC Hamot will receive $6 million as part of the $20.75 million whistleblower settlement.

According to GoEarie, Tullio Emanuele, M.D., claimed Hamot and the other defendant, Medicor Associates Inc., knowingly submitted claims to the Medicare and Medicaid programs that violated the Anti‑Kickback Statute and the Physician Self-Referral Law (the “Stark Law”).

Emanuele practiced with Medicor from 2001 to 2005. He contended that Hamot violated federal law between 2004 and 2010 by submitting claims, primarily to Medicare, while the hospital was paying millions of dollars a year to Medicor, an independent physician-owned group that remains in business.

opioid-300x200DOJ Takes a Step That Could Help in The Opioid Crisis

This week the Justice Department made a big move that could be a game changer for the nation’s opioid crisis. According to, the DOJ will make a large swath of data on painkillers available, hoping the intel will be used in the fight against big pharma.

The DOJ has made its position clear when it comes to chasing after the legal makers and distributors of these drugs. Attorney General Jeff Sessions even went so far to create an Opioid Fraud Unit in order to target 12 federal districts the DOJ believes have been hardest hit by the opioid epidemic. The Opioid Fraud Unit uses data to find and target doctors or clinics they suspect are overprescribing opioids. They also want to go after pharmacists who are not properly distributing the pills. But with the release of this new data, they are hoping to help with settlement talks between the drug companies and the local governments suing them over the nation’s opioid epidemic.

 Massachusetts whistleblower case

VA physician Dr. Sarah Kemble,  Chief of Medicine for the U.S. Department of Veterans Affairs for the central and western Massachusetts region revealed on her deathbed that the medical care for veterans at the Northampton Medical Center is substandard, especially regarding psychiatric care. Dr. Kemble wrote a 23-page affidavit revealing the inside information give days before she died of cancer in December. The VA’s Office of Accountability and Whistleblower Protection has is now investigating.

The Northampton Medical Center advertises itself as a 24-7 urgent care hospital but, according to the affidavit, this is not true and in addition, there are no lab service, radiology, clinical pharmacist or appropriate psychiatric service available during nights or weekends.

j-300x198Steven M. Butcher, 39, owner of MedMax LLC, which provided marketing services for compounded medications, pleaded guilty before U.S. District Judge John Michael Vazquez in Newark federal Court for conspiracy to commit healthcare fraud and violate the Anti-Kickback Statute.

Butcher used his company, MedMax,  to convince people to obtain unneeded compound medications and then bill the costs to various private and federal healthcare insurance plans.  MedMax was a marketing company for compound medications.  Butcher also paid several kickbacks from 2014 to 2015 for many individuals to fraudulently bill a health care benefit program that primarily serviced military families, called TRICARE, for unnecessary compound medications.

Compounded pharmacies prepare personalized medications based on specific prescriptions that include instructions for exact strength and dosage.

Medicare fraudFighting Medicaid Fraud

Hearing the term Medicaid fraud may conjure up images of lawyers and government officials, but the true cost is actually much closer to home for many people. Fraud and abuse in Medicaid cost taxpayers billions of dollars every year. Funds intended to help the sick end up being wasted.

But worse than the wasted time is the risk to patients caught up in unnecessary procedures that just line the pockets of unscrupulous health care companies. Imagine if you found out that your child had an unnecessary surgery just so that agency could make a few hundred dollars.

1-1-300x198Upcoding In The ER Could Be Stealing U.S. Tax Dollars

It’s an old and shady practice that has been in the forefront of Medicare and Medicaid fraud for years. Upcoding can hit taxpayers hard and drive emergency room bills to the thousands.

What is Upcoding?

Ri Bravo Texas Mayor Francisco Pena, a licensed physicians has been indicted with federal charges of money laundering and conspiring with three others to defraud Medicare of $150 million in allegedly phony hospice and home health care services. The 11-count indictment unsealed Wednesday charges Dr. Pena with taking kickbacks to refer patients for services for which they did not qualify.

Charged with bribing Pena and other medical directors in the conspiracy are Merida Health Care Group owners Rodney Mesquias, 47, of San Antonio; Henry McInnis, 47; and Jose Garza, 40, both of Harlingen.  All four men are charged with conspiracy to commit health care fraud and conspiracy to commit money laundering. Mesquias and McInnis also are charged with obstructing justice by producing false and fictitious records to a federal grand jury, and instructing the others to do so.

Prosecutors say the men fraudulently kept patients on hospice services for years in order to allow them to continue to bill Medicare. Pena was elected to a four-year term as mayor of Rio Bravo, pop. 4,794, in November 2014. Rio Bravo is on the Rio Grande, 14 miles south of Laredo.

healthcare-fraud-300x180Wyoming Psychologist Will Serve Prison Time for Health Care Fraud

A Wyoming Psychologist has admitted he committed health care fraud by falsely filing Medicaid claims. Gibson Buckley Condie, 57, of Powell, Wyoming has been sentenced to three years in prison and ordered to approximately $2.28 million in restitution, according to

The Scheme

The Justice Department Nets Billions in 2017 Through Healthcare Fraud Caseshealthcare fraud

The Department of Justice announced that in 2017 it recovered $2.4 billion from federal healthcare fraud cases. According to Health Payer Intelligence, this total added up to well over half of all the money recovered by the DOJ fraud investigations.

Healthcare fraud investigations account for 64% of the $3.7 billion recovered by DOJ across all industries, including housing and mortgage sectors, small business contracts, military contracts, and additional areas of oversight that fall under the False Claims Act.

hep-300x200It Will Now be Easier for Medicaid Patients to Get Treatment for Hepatitis C in Colorado

Controversial Medicaid restrictions are being pulled back in Colorado. Now, patients seeking treatment for Hepatitis C will no longer have to be in an advanced state of liver failure to have access to certain drugs and procedures. The move comes after a lawsuit called into question the state’s practice of only providing meds to the sickest of patients.

Lawsuits Filed