News

A programmer editing code on a laptop display. Healthcare fraud concept.

Healthcare Software Company Owner Convicted in $1B Medicare Fraud Conspiracy

A federal jury in Florida has convicted the owner of a healthcare software company for his role in a massive $1 billion Medicare fraud conspiracy involving fraudulent doctors’ orders, illegal kickbacks, and medically unnecessary durable medical equipment. According to the Department of Justice, Brett Blackman, founder and owner of HealthSplash and operator of the DMERx […]

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Wooden gavel with drugs on table. Healthcare fraud concept.

Takeda Agrees to Pay $13.6M to Resolve False Claims Act Kickback Allegations

Takeda Pharmaceuticals U.S.A., Inc. has agreed to pay approximately $13.6 million to resolve allegations that it violated the False Claims Act and Anti-Kickback Statute by providing improper payments and benefits to healthcare providers to encourage prescriptions of the antidepressant Trintellix. According to the Department of Justice, federal investigators alleged that Takeda used paid speaker programs,

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Healthcare provider examining leg veins. Healthcare fraud concept.

California Vascular Practice and Physician to Pay $6.73M in False Claims Act Settlement

A California vascular practice and its physician owner have agreed to pay more than $6.73 million to resolve allegations under the False Claims Act involving medically unnecessary vascular procedures billed to Medicare. According to the Department of Justice, Serrano Kidney & Vascular Access Center and physician Dr. Feliciano Serrano allegedly performed excessive angioplasty, stent, and

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Doctor analyzing genetic samples. Healthcare fraud concept.

Two Sentenced in $522M Genetic Testing Fraud and Medicare Kickback Scheme

Two Georgia men have been sentenced to federal prison for their roles in a massive $522 million genetic testing fraud and kickback scheme that targeted Medicare, Medicaid, and private insurers. According to the Department of Justice, Reyad Salahaldeen received more than 12 years in prison after pleading guilty to conspiracy to commit healthcare fraud and

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Doctor examining a medical scan. Healthcare fraud concept.

Mobile PET Scan Provider to Pay $8.3M in False Claims Act Kickback Settlement

A California-based mobile PET scan provider has agreed to pay more than $8.33 million to resolve allegations under the False Claims Act that it paid unlawful kickbacks to referring cardiologists in exchange for patient referrals. According to the Department of Justice, Modern Nuclear Inc. (MNI) allegedly paid physicians excessive supervision fees tied to PET scan

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Medical professional wrapping a patient's wound. Healthcare fraud concept.

Pasadena Wound Care Clinic Accused of Medicare Fraud After $2M Federal Seizure

Federal authorities have seized more than $2 million from a Pasadena-based wound care clinic accused of submitting fraudulent claims to Medicare for skin graft procedures and related services that allegedly were never performed. According to the Department of Justice, the clinic, Expert Wound Care PC, billed Medicare more than $46.6 million over a seven-month period

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Doctor using calculator for billing. Healthcare fraud concept.

Clarksville Pediatric Therapy Clinic Agrees to $300K False Claims Act Settlement Over TRICARE Billing

A Clarksville, Tennessee pediatric therapy clinic has agreed to pay $300,000 to resolve allegations that it violated the False Claims Act through improper billing practices involving TRICARE, the federal healthcare program serving military members and their families. According to the U.S. Attorney’s Office for the Middle District of Tennessee, Pitts Therapies, LLC, doing business as

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Model of an eye on a doctor's desk. Healthcare fraud concept.

Eye Practice and Physician Owner Agree to $415K False Claims Act Settlement

A Massachusetts eye care practice and its physician owner have agreed to pay $415,000 to resolve allegations under the False Claims Act involving improper billing to Medicare and other federal healthcare programs. According to the Department of Justice, the government alleged that the practice submitted claims for services that did not comply with federal billing

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Therapist holding a pen and clipboard, working with kids. Healthcare fraud concept.

Behavioral Therapist Pleads Guilty to Healthcare Fraud for Inflated Insurance Claims

A behavioral therapist in Georgia has pleaded guilty to healthcare fraud after submitting inflated insurance claims for services provided to children receiving behavioral health treatment. According to the Department of Justice, the defendant billed Medicaid and private insurers for services that were exaggerated in duration or not performed as claimed, resulting in improper reimbursements. Prosecutors

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Person using foot bath device. Healthcare fraud concept.

Florida Man Pleads Guilty in Healthcare Fraud and Kickback Scheme Involving Foot Bath Devices

A Florida man has pleaded guilty to participating in a healthcare fraud and kickback scheme involving the marketing and billing of medically unnecessary foot bath devices to federal healthcare programs. According to the Department of Justice, the defendant conspired with others to generate fraudulent claims to Medicare and other programs by promoting the devices to

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