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A federal jury has found a patient recruiter guilty for her role in a scheme involving approximately $1.1 million in fraudulent Medicare claims for home health care that were procured through the payment of kickbacks.
An indictment has been unsealed charging the owner and sole practitioner of a medical clinic with conspiracy to illegally distribute prescription drugs, according to U.S. Attorney Matthew Schneider. Charged in the indictment is Dr. Afzal Beemath, 42, of Waterford, MI.
A federal jury this week found a physician and two clinic owners and operators guilty for their roles in a $17 million Medicare fraud scheme. John P. Ramirez, M.D., 64; Ann Nwoko Shepherd, 62; and Yvette Nwoko, 30, all of Houston, TX, were each convicted of one count of conspiracy to commit health care fraud after a six-day trial.
Following a six-day trial in Los Angeles, Kanagasabai Kanakeswaran, M.D., 65, of Lancaster, CA, is convicted of one count of conspiracy to pay and/or receive kickbacks for Medicare referrals and four counts of receiving kickbacks for Medicare referrals.
A Texas-based rehab services firm is alleged to have paid kickbacks to skilled nursing facilities and physicians in connection with care provided to Medicare beneficiaries as a way of improperly promoting its rehabilitation therapy business.
A Pennsylvania-based operator of long‑term care and rehabilitation hospitals, Post Acute Medical, LLC, and certain affiliated entities through which it operates facilities (collectively known as PAM), have agreed to pay the United States, as well as the states of Texas and Louisiana, a total of $13,168,000 – $13,031,502 goes to the United States, $114,016 goes to Texas, and $22,482 goes to Louisiana. The settlement will resolve claims that PAM violated the False Claims Act and the Texas and Louisiana false claims statutes.
Dr. Vidal Sheen, 58, of St. Louis County, MO, is guilty of obstructing an investigation by the FBI regarding whether he billed the Medicare program and private insurers for “face to face” office visits performed on dates when he was actually traveling outside of Missouri and sometimes outside of the United States.
The Justice Department on Friday (June 29) announced the largest ever health care fraud enforcement action involving 601 charged defendants across 58 federal districts, including 165 doctors, nurses and other licensed medical professionals, for their alleged participation in health care fraud schemes involving more than $2 billion in false billings.
Caris Healthcare has agreed to resolve allegations it violated the False Claims Act by knowingly submitting false claims and knowingly retaining overpayments for the care of patients who were ineligible for the Medicare hospice benefit because they were not terminally ill.
A Philadelphia personal injury law firm, Rosenbaum & Associates, and its principal, Jeffrey Rosenbaum, Esq., have entered into a settlement agreement with the United States to resolve allegations that they failed to reimburse the United States for certain Medicare payments the government had previously made to medical providers on behalf of firm clients who sought medical care.
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