A Georgia nurse practitioner who owned and operated two telemedicine companies has been sentenced to 120 months in federal prison for her role in a $136 million Medicare fraud scheme. Jean Wilson, 54, of Richmond Hill, was also ordered to pay $66 million in restitution for her participation in a conspiracy that involved paying illegal […]
The U.S. Attorney’s Office for the District of Delaware has filed a civil complaint against Alpha Care Medical, LLC, its owner Nihar Gala, and laboratory director Bo Wang for allegedly defrauding Medicare, Medicaid, TRICARE, and the Federal Employees Health Benefits Program through false laboratory testing claims. The lawsuit, filed as part of the Department of
Thomas K. Weir, 65, the majority owner of Oakley Pharmacy in Celina, Tennessee, was sentenced to 24 months in federal prison for his role in a years-long conspiracy to unlawfully dispense controlled substances and defraud Medicare and TennCare. Weir was also ordered to pay $1,419,974 in restitution and to forfeit the pharmacy building and warehouse
Five more individuals and two companies in the Western District of Kentucky have been charged in four separate cases as part of the Department of Justice’s 2026 National Health Care Fraud Takedown. The defendants face allegations including conspiracy to commit healthcare fraud, identity theft, misuse of DEA numbers, and acquiring controlled substances by misrepresentation. The
SSM Health Care has agreed to pay approximately $1 million to resolve allegations that its Saint Louis University Hospital pharmacy improperly waived patient copays, causing Medicare and the Federal Employees Health Benefits Program to overpay for prescriptions. The settlement, announced by the U.S. Attorney’s Office for the Eastern District of Missouri, resolves a qui tam
SSM Health Care Agrees to $1 Million Settlement Over Improperly Waived Pharmacy Copays Read More »
The U.S. Attorney’s Office for the Southern District of Florida has announced charges against 12 additional defendants as part of the 2026 National Health Care Fraud Takedown. The new cases include physicians, nurse practitioners, and other medical professionals accused of participating in schemes involving more than $22 million in fraudulent billing. Among those charged is
Two urologists—Dr. Robert Simon of New Jersey and Dr. Nicole Fleischmann of New York—have agreed to pay a combined $2.2 million to resolve allegations that they violated the False Claims Act by subjecting patients to medically unnecessary surgical procedures and then billing Medicare for them. The settlement, announced by the U.S. Attorney’s Office for the
The Justice Department has announced the 2026 National Health Care Fraud Takedown, charging 455 defendants—including 90 doctors and other licensed medical professionals—with schemes involving over $6.5 billion in false claims. The operation represents the largest coordinated enforcement action in Department history, spanning 56 federal districts across 45 states and territories with 50 state Medicaid Fraud
National Health Care Fraud Takedown Charges 455 Defendants in $6.5 Billion Scheme Read More »
Advanced Pathology Solutions PLLC, an Arkansas-based anatomic pathology laboratory, along with its management services organization and current and former owners Kevin Hannah, Donell Burkett, and Daniel Hunter Pledger, have agreed to pay $30 million to resolve allegations that they violated the False Claims Act. The government alleged that from 2015 through July 2022, APS provided
A Louisiana nurse practitioner was sentenced to 87 months in federal prison for her role in a scheme that caused more than $12 million in false claims to be submitted to Medicare for medically unnecessary cancer genetic tests. Scharmaine Lawson Baker, 59, of Fulshear, Texas, was also ordered to pay $1,508,868 in restitution and will
