Jeffrey Newman Law discusses the most common types of medicare fraud.

Common Types of Medicare Fraud

Medicare fraud, which is a widespread problem in the United States, occurs when an individual, medical team, pharmaceutical company, or healthcare facility claims reimbursement for services to which they aren’t entitled. This practice costs the government and taxpayers billions of dollars each year, which is why the government requests that people report instances of Medicare […]

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U.S. Government joins healthcare fraud suit against Omnicare and CVS for billing invalid prescriptions to elderly and disabled

[T]he United States has filed a civil healthcare fraud lawsuit against OMNICARE, INC., and its parent company, CVS HEALTH CORPORATION.  The Government’s Complaint seeks damages and civil penalties under the False Claims Act for fraudulently billing federal healthcare programs for hundreds of thousands of non-controlled prescription drugs dispensed based on stale, invalid prescriptions to elderly […]

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Whistleblower reporting an instance of medicare fraud.

How to Report Medicare Fraud

Medicare fraud costs the government a tremendous amount of money each year. In fact, the government estimates that Medicare fraud costs approximately $60 billion a year. In order to combat this practice and encourage individuals to report Medicare fraud, the government offers those who report fraud, also known as “whistleblowers,” financial compensation. Therefore, if you […]

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Hospitals pay $20 million to settle allegations of false claims to Medicare, Medicaid and TRICARE and for unnecessary spinal surgeries

Sanford Health, Sanford Medical Center and the Sanford Clinic (collectively, Sanford)  have agreed to pay $20.25 million to resolve False Claims Act (FCA) allegations that they knowingly submitted false claims to federal health care programs, including Medicare, Medicaid and TRICARE, resulting from violations of the Anti-Kickback Statute and medically unnecessary spinal surgeries. The Anti-Kickback Statute […]

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Tenet Healthcare to pay $66 million to settle whistleblower suit asserting billing Medicare for docs who received kickbacks

Tenet Healthcare Corp. has agreed in principle to pay the federal government about $66 million to settle a whistleblower lawsuit alleging it billed public programs for medical services provided by physicians having improper financial relationships with a hospital partly owned by Tenet. Tenet disclosed the tentative settlement in its recent quarterly filing with the Securities and Exchange […]

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Owner of alcohol and drug rehab center pleads guilty to $48 million Medicaid fraud, operating a drug premises money laundering

Ryan Sheridan, former owner of Braking Point Recovery Centers in Austintown and Whitehall, pleaded guilty to a 60-count indictment. He and five associates were charged in February with conspiracy to commit health care fraud, health care fraud, use of a registration number issued to another to obtain a controlled substance, operating a drug premises, money […]

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Suburban youth counseling center owners indicted on fraud charges for allegedly defrauding Medicaid billing non-reimbursable services

SUMMER MATHESON and TERRENCE EWING, co-owners of Laynie Foundation Inc., and foundation employee RICHARD GRUNDY, have been indicted for fraudulently billed Illinois Medicaid for mental health services not provided. Matheson, Ewing and Grundy also used the Matteson-based foundation to seek payment from Illinois Medicaid for non-reimbursable activities, such as internal case reviews, staff training, clinical […]

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Mental health addiction counselor in Vermont charged with Medicaid fraud

A Vermont mental health addiction counselor Donald Skekel of Putney, has been charged with committing Medicaid fraud after he was allegedly reimbursed for counseling services he never provided. An affidavit from an investigator for the Vermont Attorney General’s Office, said Skekel billed Medicaid for more than 200 60-minute counseling sessions that never occurred between 2015 […]

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Doctor Indicted For Submitting Medicare and Medicaid Claims for Services Performed By Other Physicians

Dr. Antonio Reyes-Vizcarrondo was indicted for one count of conspiracy to commit health care fraud and one count of health care fraud following allegations that he submitted false claims to both Medicare and Medicaid. According to the Department of Justice, Reyes-Vizcarrondo submitted a total of 8,159 claims between 2008 and 2015, resulting in profits of nearly […]

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