Articles Tagged with False Claims

Medicaid fraudWaveney Blackman, the owner of durable medical equipment company WaveCare Health services, has been charged with one act of healthcare fraud for filing claims to Medicaid for products that were never purchased through her business. Blackman pleaded guilty to these charges after one month and has been sentenced to 42 months in prison and ordered to forfeit $9.4 million, the sum of WaveCare’s proceeds from fraudulent claims.

During the years of 2010 to 2016, Blackman filed multiple claims to Medicaid for incontinence products, wound care supplies, and other pieces of durable medical equipment that resulted in revenue of $9.4 million. None of these products were ever given to Medicaid clients or even requested by one. These fraudulent claims were filed by Blackman herself, along with the assistance of her employees through a WaveCare biller.

Within one month of being charged, Blackman signed a plea agreement that detailed the illegal actions taken, as well as the proceeds she received from them. The government has seized a Mercedes, seven properties, and money traced to two separate bank accounts, and the judge ordered Blackman to pay the total of $9.4 million WaveCare reportedly received in fraudulent claims. She will also be sentenced to 42 months in prison.

Baylor University Medical Center has agreed to pay over $907,000 to settle claims with Uncle Sam, filed by a whistleblower to settle allegations that it submitted false claims to Medicare and TRICARE for various radiation oncology services including intensity modulated radiation therapy. The government says Balor double billed Medicare for several procedures; billed for high reimbursement radiation oncology services when a less expensive service should have been billed;and improperly billed for radiation treatment delivery without the corroboration of physician supervision.Jeffrey Newman represents whistleblowers.