Journey to Hope, Health and Healing, an opioid treatment provider, and its former CEO, Kenneth L. Richardson, Jr., have agreed to pay $10.2 million to resolve allegations that they submitted false claims to Rhode Island Medicaid and Medicare for substance use disorder treatment services that were never actually provided. The settlement, announced by the U.S. […]
Three East Tennessee residents have been sentenced to federal prison for their roles in a multi-million-dollar prescription fraud conspiracy that targeted Medicare Part D and private drug plans. Barbara A. Smith, 75, of Powell, received 37 months imprisonment, while Jared Grant Riddle, 47, and Brian M. Woods, 48, each received 33-month sentences. The defendants were
San Francisco-based Circle Medical Care of California, Circle Medical Technologies, and their Chief Medical Officer Dr. Nicole Tsang have agreed to pay $3,325,000 to settle allegations that they submitted false claims to federal healthcare programs and California commercial insurers. The settlement, announced by the U.S. Attorney’s Office for the Northern District of California, resolves claims
A federal grand jury in the Southern District of Florida has indicted a Miami woman for allegedly orchestrating a years-long scheme to obtain and sell confidential Medicare beneficiary identifier numbers for use in Medicare fraud schemes. A related criminal information also charged a former employee of a major South Florida health care network with conspiring
A federal court has entered a default judgment of more than $3.4 million against a Nebraska pharmacist and her pharmacy for submitting fraudulent bills to Medicare and Medicaid. The judgment, issued by the U.S. District Court for the District of Nebraska on May 29, 2026, came after Joan Kicken and AME P.C., doing business as
A Texas man has been sentenced to 90 months in federal prison for his role in a $59.9 million conspiracy to pay kickbacks and submit claims for medically unnecessary durable medical equipment to Medicare. Patrick Cassells, 65, of Fulshear, Texas, owned and operated three DME companies and concealed his involvement in one of those entities
Four pharmacies in Puerto Rico and their owners have agreed to pay a combined total of $4.6 million to resolve allegations of Medicare and Medicaid fraud. The settlements, announced by the U.S. Attorney’s Office for the District of Puerto Rico, concluded a series of investigations conducted between February and May 2026. The government alleged that
Five Florida ophthalmology practices have agreed to pay a combined total of nearly $6 million to resolve allegations that they violated the False Claims Act by billing Medicare and Medicaid for medically unnecessary cranial ultrasounds. The settlements involve Clay Eye Holdings LLC, Retina Macula Specialist of Miami LLC, Florida Eye Institute P.A., Miami Eye LLC,
The operators of a day treatment program for children in Kentucky have agreed to a $15.2 million civil judgment to resolve allegations that they submitted false claims to Medicaid for services that were not covered or not provided as billed. The claims arose from therapy sessions where children were reportedly engaged in non-covered activities including
Aetna, a national-level insurance company, has agreed to pay $117.7 million to settle allegations that it violated the False Claims Act by submitting inaccurate diagnosis codes for members enrolled in its Medicare Advantage plans. The government claimed that between 2011 and 2019, Aetna knowingly caused the submission of unsupported diagnoses to the Centers for Medicare
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