Monogram Health Professional Services PC and Monogram Health Inc., a Tennessee-based in-home care provider, have agreed to pay $2.4 million to resolve allegations that they violated the False Claims Act by submitting false diagnosis codes to inflate payments from the Medicare Advantage program. The settlement resolves claims that between January 2021 and December 2023, Monogram
Four members of a Bronx-based racketeering organization known as the “War Room” have been charged in a nine-count indictment for their roles in a wide-ranging conspiracy involving the fabrication of transportation data used to support at least $12 million in fraudulent Medicaid claims. Louis Trejo, Kenneth Garner, Harold Stevenson, and Erihk Belis are accused of
The former owner of a network of telemedicine companies has been sentenced to two years in federal prison for orchestrating a scheme that billed Medicare more than $110 million for medically unnecessary durable medical equipment and genetic testing. The defendant, who operated the companies from Massachusetts, was also ordered to pay restitution and forfeit assets
A former branch manager at a Brooklyn-based bank has been sentenced to federal prison for his role in laundering the proceeds of a healthcare fraud scheme that targeted Medicare. The defendant, whose name and sentence are detailed in the Justice Department’s announcement, was convicted of conspiring to launder money obtained through fraudulent Medicare billing. According
The United States has formally intervened in a qui tam whistleblower lawsuit accusing three Colorado healthcare companies and two individuals of systematically inflating reimbursements from Medicare and TRICARE. The defendants named in the government’s complaint are Front Range Urgent Care, Comfort Care Family Practice, QwikCareMD, Anita Weiscamp, and Dr. Steven L. Wenrich. According to the
Veloxis Pharmaceuticals Inc., a North Carolina-based drug manufacturer, has agreed to pay more than $46 million to resolve criminal and civil allegations that it paid illegal kickbacks to induce prescriptions of Envarsus XR, a kidney transplant immunosuppression drug. The resolution includes a deferred prosecution agreement filed in the District of Massachusetts charging the company with
A Michigan woman has pleaded guilty to billing Medicare for psychotherapy services that were never provided to residents of her adult day care center. Yolanda Matthews, 58, of Farmington Hills, admitted in court to submitting over $539,000 in false and fraudulent claims to Medicare as part of a scheme that exploited vulnerable beneficiaries. According to
Michigan Adult Day Care Owner Pleads Guilty to $539,000 Medicare Fraud Scheme Read More »
A Texas businessman, a Kentucky doctor, and a Kentucky woman have been sentenced to federal prison for their roles in a scheme that fraudulently billed Medicare and Kentucky Medicaid more than $4.8 million through a series of addiction treatment facilities. Michael Bregenzer, 53, of Houston, Texas, the CEO of Kentucky Addiction Centers, was sentenced to
Four Minnesota men have pleaded guilty to defrauding the state’s Medicaid program out of approximately $2.2 million through a scheme that targeted a housing assistance program for vulnerable individuals. Moktar Hassan Aden, 31, Mustafa Dayib Ali, 29, Khalid Ahmed Dayib, 26, and Abdifitah Mohamud Mohamed, 27, all of the Twin Cities area, operated out of
A former NFL player who owned a marketing company and was the beneficial owner of eight durable medical equipment companies was sentenced to 196 months in federal prison for orchestrating a years-long scheme to defraud Medicare and CHAMPVA of nearly $200 million. Joel Rufus French, 47, of Armory, Mississippi, was also ordered to pay $110,753,619
Former NFL Player Sentenced to Over 16 Years in Prison for $197M Medicare Fraud Scheme Read More »
