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Podiatrist Sentenced in Upcoding Medicare Fraud Case for Patients Seen at...
Years ago, health care fraud cases would generally only be brought for outright fraud where there was ghost billing for patients not seen or other type of fraud. However, upcoded billing is now being...
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Lengthy Sentence Imposed Upon Patient Recruiter for Home Health Services...
A Houston, Texas patient recruiter and home health agency owner was sentenced to 188 months in prison today for her role in a $20 million scheme to pay illegal health care kickbacks to physicians and...
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Sacramento Man Sentenced to 3 Years in Prison for Causing Misbranded Drugs to...
The U.S. Food and Drug Administration (FDA) has stepped up criminal enforcement where misbranded drugs are being sold online to consumers. On May 29, 2019, Scott Edward Cavell of Sacramento was...
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Orange County Psychiatrist Sentenced to More than Four Years in Federal...
On June 19, 2019, a psychiatrist who practiced at a Santa Ana clinic was sentenced to 57 months in federal prison for issuing prescriptions for controlled substances, such as oxycodone, hydrocodone,...
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West Hollywood Doctor Charged With Health Care Fraud, False Statements and...
On July 2, 2019, a doctor James T. Lee, who operated a medical clinic in West Hollywood where he specialized in treating HIV patients was taken into custody in Vienna, Austria after waiving extradition...
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Director of California Cosmetic Surgery Center Who Fled Pending Trial Is...
Extraditions for health care fraud cases are more common now especially where the loss amounts are high. In a recent case, Linda Morrow, a Rancho Mirage woman married to a plastic surgeon, David...
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How to Write a Letter to the Court for Sentencing: Felicity Huffman Letter as...
Credit: SF GateIn cases, we have clients and friends, colleagues and family write character and support letters. These are not easy letters to write. I'll use the recent letter written by Felicity...
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Prosecutions for Immigration Fraud Are On the Rise: Federal Grand Jury...
While federal prosecutions for white collar crime have been cut in half the past three years, there is an increase in immigration fraud cases in large part due to the current administration's emphasis...
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Sugar Daddy Website Users: Pay Attention. San Diego Attorney Who Used Site...
Sugar Daddy websites that offer a “mutually beneficial relationship” are being investigated as part of human trafficking when they involve minors and young women. A recent case, has a San Diego...
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Former Merced Health Care Provider CEO Sentenced to 5 Years in Prison for...
Health care fraud prosecutions continue to focus on nonprofit and community health clinics. At times, the community health centers are not run as rigorously as hospitals or larger entities but they are...
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New Civil Qui Tam Lawsuit Filed Against South Dakota Neurosurgeon and His...
2016 Senate Report on PODsThe issue of physician owned distributorships (PODs) is still an issue with orthopedic surgeons and neurosurgeons. The Justice Department is still filing qui tam actions and...
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Los Angeles Orthopedic Surgeon Sentenced to 30 Months in Federal Prison for...
On November 22, 2019, an orthopedic surgeon specializing in spinal surgeries, Dr. Daniel Capen, was sentenced to 30 months in federal prison after he pleaded guilty. Dr. Capen pleaded guilty in August...
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Pittsburgh-area Lab Owner Charged with Paying Kickbacks in Connection with...
Genetic testing billed to Medicare, especially where telemedicine is used to generate the lab orders, has been a hot area of investigation by the U.S. Justice Department. A recent case illustrates the...
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San Francisco Acupuncturist Pleads Guilty To Health Care Fraud In False...
Federal prosecutors have focused investigations on the billing of labor union members’ health benefit plans especially in places like San Francisco where workers have generous union contracts. A recent...
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Northern California Physician Indicted for Prescribing Opioids to Patients...
Physicians continue to face charges for prescribing opioids to patients without a legitimate medical purpose. This is one area where physicians and advanced practitioners must exercise extreme caution....
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Recent Case Shows Investigation and Prosecution of Federal Fraud by SSI...
We receive a fair number of calls by people being audited because their parent has been living in a foreign country for months at a time while receiving Supplemental Security Income (SSI) from the...
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Former California Physician Sentenced to 2 Years in Federal Prison for...
Physicians who order home health where it is not medically necessary can be charged with Medicare fraud. If that same physician orders medications, especially controlled substances, without seeing the...
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California Doctor Who Bought Pacific Hospital in Long Beach Sentenced to 15...
On January 17, 2020, Dr. Faustino Bernadett, a physician who is also the former owner of Pacific Hospital in Long Beach hospital was sentenced to 15 months in federal prison for "misprision of a...
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Four Indicted in California for Billing Compound Cream Prescriptions to...
The government has been investigating pharmacies that dispense and bill compound creams for the past 5 years as well as the marketing companies that work with them. Much of the focus has been on...
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Sacramento Man Pleads Guilty to Medicare Kickback Scheme Involving Hospices...
Home health agencies are routinely investigated for kickbacks and a recent case involves cash kickbacks by an insider who was discharging patients. What providers fail to remember is that if there is...
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California Rehabilitation Therapy Company With 11 Skilled Nursing Facilities...
Qui Tam Case Involving SNFsSkilled nursing facilities (SNFs) which offer rehabilitation therapy services have a large number of billing specific rules and regulations. The charting for the SNFs is also...
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Case Study: Federal Embezzlement Charges Against California Controller. Top...
As attorneys specializing in white collar crime, we have represented businesses who wanted help in presenting a fraud case to the local police or FBI as well as representing those who have been charged...
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San Joaquin County Doctor Convicted of Prescribing Opioids Without Medical...
The problem with physicians prescribing opioid drugs to patients where there is not a proper medical and prescription history taken, lack of a proper medical examination to confirm the legitimacy of...
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Owner of Los Angeles Compounding Pharmacy Sentenced to 30 Months in Federal...
Compounding pharmacies have been under intense scrutiny by Medicare, private third-party insurance and workers’ compensation insurance carriers for almost ten years. The criminal cases take so long to...
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