News

TCD brain scan machine. Healthcare fraud concept.

New York Man Sentenced to 8 Months for Medicare Kickback and Healthcare Fraud

A federal court in Boston has sentenced Robert Seidman, 56, of Plainview, New York, to 8 months in prison for participating in a Medicare kickback scheme involving medically unnecessary transcranial doppler (TCD) tests. Seidman previously pleaded guilty to conspiracy to violate the Anti-Kickback Statute for his role in a network of referrals that drove unneeded […]

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"Medicaid" written in chalk on a small blackboard inside a stethescope. Healthcare fraud concept.

St. Louis County Home Healthcare Fraud: Owner and Associates Indicted in $1.46M Scheme

Federal prosecutors in the Eastern District of Missouri have charged the owner of a Bridgeton-based home healthcare company and three associates with a $1.46 million Medicaid fraud scheme that allegedly involved falsified billing to the Missouri Medicaid Program. According to the indictment unsealed in U.S. District Court, Daniell Green, 48, along with Dejuan Bingham, Kimberly

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A closeup of the text "false claims" on paper. Healthcare fraud concept.

New York Man Sentenced to 14 Months for Medicare Kickback Scheme

A federal court in Boston has sentenced Timothy Doyle, 45, of Selden, New York, to 14 months in prison for his role in a Medicare kickback and healthcare fraud scheme that generated millions in improper claims. Doyle pleaded guilty in January 2025 to one count of conspiracy to violate the Anti-Kickback Statute for his participation

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Doctor in handcuffs with money on table. Healthcare fraud concept.

Queens Adult Day Care and Pharmacy Medicare & Medicaid Fraud Charges in $120M Scheme

Federal prosecutors in the Eastern District of New York have unsealed a complaint charging Inwoo Kim and Daniel Lee, two men from Queens, with operating a major Medicare and Medicaid fraud scheme that allegedly siphoned approximately $120 million from taxpayer-funded health programs. According to the Department of Justice announcement, the defendants used ownership of a

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"Healthcare" written on a sticky note on top of several hundred dollar bills. Healthcare fraud concept.

Former NFL Player Convicted in $197M Medicare and CHAMPVA Healthcare Fraud Scheme

A federal jury in the Middle District of Florida recently convicted Joel Rufus French, a former NFL player and owner of multiple marketing and durable medical equipment companies, for his role in a massive Medicare and CHAMPVA healthcare fraud scheme. French orchestrated a years-long conspiracy to obtain nearly $197 million by selling patient information and

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Doctor holding hundred dollar bills. Healthcare fraud concept.

MultiCare Health System to Pay $3.7M in False Claims Act Healthcare Fraud Settlement

MultiCare Health System has agreed to pay $3.728 million to resolve allegations under the False Claims Act that it knowingly endangered patient safety and submitted fraudulent billing to Medicare, Medicaid, and other federal healthcare programs for medically unnecessary spinal surgeries performed at its facilities. The settlement announced by the U.S. Attorney’s Office for the Eastern

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Red notebook with 'MEDICAID' on it surrounded by pens, glasses, and stethoscope. Healthcare fraud concept.

Yadkinville Woman Sentenced for Multi-Million-Dollar Medicaid Fraud Scheme

A federal court in the Middle District of North Carolina has sentenced Kathy Briggs, 65, to 24 months in prison, followed by 13 months of home detention and two years of supervised release, for her role in a multimillion-dollar Medicaid fraud scheme. Briggs pled guilty to one count of health care fraud related to fraudulent

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Drugs surrounding money. Healthcare fraud concept.

North Carolina Rheumatologist Settles False Claims Act Allegations Over Unapproved Drugs

A North Carolina physician, Dr. Steven L. Mendelsohn, has agreed to pay $549,554.26 to resolve allegations under the False Claims Act that he submitted reimbursement claims to Medicare for arthritis drugs that were not approved by the Food and Drug Administration (FDA). According to the U.S. Attorney’s Office for the Western District of North Carolina,

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Gavel resting on stethoscope and pile of money. Healthcare fraud concept.

San Fernando Valley Rehab Center and Owner Ordered to Pay in Healthcare Fraud Case

A federal court in the Central District of California recently ruled against JMG Investments Inc. and its owner, Jeffrey Schwartz, finding that they violated the False Claims Act by improperly obtaining and retaining duplicate Paycheck Protection Program (PPP) loans during the COVID-19 pandemic. The court ordered the rehab center and its owner to pay $1,565,294.38

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Closed bag with dollar sign on it next to a shield. Healthcare fraud concept.

Record False Claims Act Healthcare Fraud Recoveries Exceed $6.8B in FY 2025

The U.S. Department of Justice has announced that False Claims Act (FCA) settlements and judgments exceeded $6.8 billion in fiscal year 2025, the highest annual total in the statute’s history. More than $5.7 billion of this record level of recovery stemmed from healthcare fraud-related matters, demonstrating the government’s continued emphasis on policing improper billing, unlawful

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