Appeals court sides with Medicare in fight over drug price power
Court upholds drug price negotiation program, rejecting BMS and Janssen challenge Philadelphia, PA – A federal appeals court has upheld the Biden administration’s authority to …
Court upholds drug price negotiation program, rejecting BMS and Janssen challenge Philadelphia, PA – A federal appeals court has upheld the Biden administration’s authority to …
RICHMOND, VA – A 72-year-old licensed clinical social worker from Mechanicsville has been ordered to pay more than $1.2 million after pleading guilty to healthcare …
NEWARK, N.J. – Diopsys, Inc., a medical device manufacturer based in Middletown, Pennsylvania, will pay up to $14.25 million to resolve allegations that it caused …
NEW YORK – A 2010 video of Senate Majority Leader Chuck Schumer (D-NY) has reignited discussions about waste, fraud, and abuse in Medicare, as lawmakers …
WASHINGTON DC — Several doctors, medical practices, and a marketing company have agreed to pay a total of $1.9 million to settle allegations that they …
California Man Convicted in $4 Million Medicare Fraud
**DETROIT, MI** – A federal jury convicted a man from California for defrauding Medicare of over $4 million through fraudulent urine drug testing claims. Sherif Khalil, 50, of Redondo Beach, was found guilty of submitting claims for tests that were not requested by doctors.
Khalil owned Spectra Clinical Labs, a toxicology lab in Gardena, California, and was involved in a scheme where he paid marketers for obtaining expensive drug test orders from doctors. The payments were disguised by channeling them through marketing companies under Khalil’s control.
Medicare paid out over $4 million for these unnecessary tests, resulting from the illegal kickbacks. Khalil faces sentencing on August 7, with potential penalties of up to 20 years for health care fraud and five years for conspiracy related charges.
The case was announced by officials from the Justice Department, the FBI, and the Department of Health and Human Services. Trial Attorneys prosecuted the case as part of the Health Care Fraud Strike Force Program.
HOUSTON — Dr. Rajesh Bindal, a 53-year-old neurosurgeon from Sugar Land, has agreed to pay $2,095,946 to settle allegations that he submitted false claims to …
According to court documents and evidence presented at trial, Adarsh Gupta, M.D., 51, of Sewell, signed thousands of prescriptions for orthotic braces for over 2,900 …
COLUMBIA, S.C. — Andrew Chmiel, a 48-year-old resident of Mt. Pleasant, received a nine-year federal prison sentence for his involvement in a scheme exceeding $100 …
MEMPHIS, TN – Nathan Lucas, D.P.M., a 59-year-old podiatrist from Memphis, has been convicted by a federal jury for orchestrating a fraudulent scheme that targeted …
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A federal grand jury in Baton Rouge returned an indictment today charging a Louisiana man for his role in a scheme to defraud Medicare and …
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A Florida man was sentenced today to four years and six months in prison and ordered to pay $21.7 million in restitution for his role …
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By David Morgan WASHINGTON (Reuters) – U.S. Senator Rick Scott on Friday revised his plan to end all federal programs after five years to exclude …
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Biden Pledges To Prevent Medicare Cuts — But He’s Cutting Medicare Advantage Right Now Laurel Duggan on February 8, 2023 President Joe Biden pledged to …
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Damian Williams, the United States Attorney for the Southern District of New York, announced that MATTHEW TAYLOR WITKOWSKI pled guilty today to a one-count criminal …
Earlier today, in federal court in Central Islip, Morris Barnard, a gastroenterologist practicing in Great Neck, New York, was sentenced by United States District Judge …
Vanessa Roberts Avery, United States Attorney for the District of Connecticut, Phillip Coyne, Special Agent in Charge for the U.S. Department of Health and Human …
Benton, Ill. – A federal grand jury in Benton, Illinois, returned a six-count indictment charging Theresa Kelly, 56, of Herrin, Illinois, with engaging in a …
TOPEKA, KAN.– A federal grand jury in Topeka returned an indictment charging a Kansas woman and three Florida residents in connection with a scheme to …
KANSAS CITY, Mo. – A Lenexa, Kansas, man and woman have been indicted by a federal grand jury for their roles in a $2.9 million …
Fairview Heights, Ill. – HealthOne Critical Care Transport Service, Inc. d/b/a MedicOne Medical Response (“MedicOne”) of Marion, Illinois, has agreed to pay $302,124.37 in a civil …
Gregory J. Haanstad, United States Attorney for the Eastern District of Wisconsin, announced that on November 18, 2022, David Guerrero, Jr., was sentenced to 32 …
ATLANTA – The U.S. Department of Justice announced charges against 10 defendants in multiple states in connection with multiple business email compromise (BEC), money laundering, …
By Mark Miller (Reuters) – A new report from the U.S. Senate Finance Committee documents a range of fraudulent and misleading marketing practices used to …
PHILADELPHIA – United States Attorney Jacqueline C. Romero announced that Muhamad Aly Rifai, 49, of Easton, PA, was charged by Indictment with four counts of …
HOUSTON – The last convicted in a large-scale multi-year home health fraud conspiracy has been ordered to federal prison, announced U.S. Attorney Jennifer B. Lowery. …
SYRACUSE, NEW YORK – Oswego Hospital has agreed to pay $98,694.36 to resolve allegations that it knowingly violated the False Claims Act by: (1) improperly …
TOMS RIVER, NJ – If you are 65 years of age or older in Toms River, the township is offering Medicare enrollment assistance. The Toms …
(Reuters) -Shares of drugstore operator CVS Health fell as much as 10% and insurer Centene slumped 8%, leading declines in major U.S. health insurers after …
KANSAS CITY, Mo. – A former Joplin, Mo., physician pleaded guilty in federal court today to falsely certifying that products and tests were medically necessary …
PITTSBURGH, Pa. – A resident of Fort Lauderdale, Florida, was charged in federal court with one count of conspiracy related to the submission of fraudulent …
By Mark Miller (Reuters) – U.S. seniors tell pollsters that high inflation is one of their top worries – and that makes sense. Aside from …
Damian Williams, the United States Attorney for the Southern District of New York, and Scott J. Lampert, Special Agent in Charge of the U.S. Department …
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