Aging News Alert

Courts

 
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SCOTUS Rules Against Nursing Home Residents on Arbitration

In a 7-1 decision, the U.S. Supreme Court has ruled that claims for damages against defendant nursing homes must be adjudicated through private arbitration, rather than the court actions requested by the plaintiffs.

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Former ALJ Guilty in Fraudulent SSA Disability Payment Scheme

A former administrative law judge for the Social Security Administration (SSA) pleaded guilty in federal court this week for his role in a scheme to fraudulently obtain more than $550 million in federal disability payments from the SSA for thousands of claimants.

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Calif. Authorities Shut Down Massive Medical Kickback Scheme

Law enforcement authorities in California have shut down a $40 million fraudulent medical billing and kickback operation with the filing of charges against more than two dozen doctors, pharmacists, and business owners. Tanya Moreland King, 37, and her husband Christopher King, 38, both of Beverly Hills, own medical billing and medical management companies Monarch Medical Group Inc., King Medical Management Inc., and One Source Laboratoires Inc. The defendants are accused of masterminding a complex insurance fraud scheme of recruiting doctors and pharmacists to prescribe unnecessary treatment for workers' compensation insurance patients.

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Miami Doc Charged in Medicare Fraud, Illegal Pill-Pushing Plot

A physician licensed in Puerto Rico and who was practicing medicine in Miami has been charged in a 16-count indictment for his alleged participation in a multi-faceted $20 million health care fraud scheme involving the submission of false and fraudulent claims to Medicare and Medicaid and the illegal distribution of oxycodone and other controlled substances.

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Two Miami Women Guilty in Home Health Care Fraud

Mildrey Gonzalez, 61, of Miami, pleaded guilty to one count of conspiracy to commit health care fraud and one count of health care fraud before U.S. District Judge Jose E. Martinez of the Southern District of Florida. Milka Alfaro, 40, also of Miami, pleaded guilty to one count of conspiracy to commit health care fraud and wire fraud before Judge Martinez.

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Unlicensed Doc Convicted in $1.3 Million Medicare Fraud Scheme

A federal jury in Houston this week convicted an unlicensed medical professional who was posing as a physician for his participation in a $1.3 million Medicare fraud scheme.

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12th Defendant in Medicare Mental Health Fraud Scheme Convicted

It didnít take long for a federal jury to convict the final defendant of 12 involved in a conspiracy to pay and receive kickbacks relating to the Medicare program. The jury deliberated for just four hours following a three-day trial before convicting Cheryl Waller, 70, of Houston, on one count of conspiracy to pay and receive kickbacks and one count of receiving kickbacks.

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$50 Million Medicare Fraud Scheme Ends with Multiple Arrests

The unsealing Friday (March 3) of a federal indictment has led to the arrest of five people and the issuance of a fugitive warrant for a sixth person in connection with a mullti-million dollar healthcare fraud scheme. Additionally, federal authorities have filed a civil lawsuit against City Medical Associates, a Bayside, NY-based business allegedly used as part of the fraudulent enterprise, seeking treble damages and civil penalties under the False Claims Act.

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DME Company Owner Convicted in Medicaid Fraud Scheme

A federal jury in McAllen, TX has convicted the owner of an area durable medical equipment (DME) company on all counts for her scheme to defraud Texas Medicaid through fraudulent billings. The jury deliberated for six hours following a seven-day trial before convicting Maria Garza, 41, of McAllen, on all 18 counts as charged.

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Miami Area Home Health Agency Administrator Sentenced to Prison

The administrator of a Miami-area home health agency has been sentenced to 10Ĺ years in prison for his role in a $2.5 million Medicare fraud scheme.

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