health care fraud News

Three Weeks Before Trial, Former Georgia Commissioner Oxendine Pleads Guilty

ATLANTA (AP) — A former Georgia insurance commissioner who made a failed Republican run for governor has pleaded guilty to conspiring to commit health care fraud. John W. Oxendine of Johns Creek entered the guilty plea Friday in federal court …

Man Pleads Guilty to One of New York’s Biggest No-Fault Insurance Frauds Ever

A New Jersey man has pleaded guilty to orchestrating a $60-$70 million fraud targeting no-fault automobile insurance companies in New York. U.S. Attorney Damian Williams reported that Bradley Pierre of Closter, New Jersey, pleaded guilty to conspiracy to commit bribery …

Owner of Chain of Addiction Clinics Charged With Insurance Fraud

The owner of a chain of clinics treating substance abuse disorders in Massachusetts and Rhode Island, and one of the company’s employees, were charged last week with cheating health insurers out of millions of dollars while depriving patients of needed …

Georgia Ex-Insurance Chief Oxendine Denies Knowing of Fraud, Seeks Dismissal of Charges

Former Georgia Insurance Commissioner John Oxendine denies knowingly being involved in any fraud scheme and has moved to have the criminal charges brought against him dismissed. A November 4 defense filing in federal court in Atlanta claims that the indictment …

Nurse Practitioner Pleads Guilty in $4.4M Health Care Fraud

A nurse practitioner has pleaded guilty to fraudulently billing commercial health insurers and Medicare nearly $4.4 million for services that he never provided to patients as he had claimed, federal prosecutors said. Alexander A. Istomin, 56, routinely submitted fraudulent claims …

Former Kentucky Lawmaker Sentenced to Prison in Fraud Case

Former Kentucky lawmaker Robert Goforth was sentenced Monday to two years and one month in federal prison for health care fraud and money laundering. Goforth, who resigned from the Kentucky House in 2021, also faces two years of supervised release, …

Ex-Owner of Virginia Assisted Living Facility Pleads Guilty to Fraud

The former owner of a Richmond, Virginia, assisted living facility pleaded guilty to health care fraud after spending more than $800,000 meant for residents’ care on travel, gambling expenses and personal debts, federal prosecutors said. Mable Jones owned and operated …

Oklahoma Pharmacist Pleads Guilty to Fraud; Agrees to Pay $1M Restitution

Prosecutors say an Oklahoma pharmacist has agreed to pay more than $1 million in restitution after pleading guilty to health care fraud. Federal court records show 37-year-old Jeffrey Scott Terry pleaded guilty to two felony counts of health care fraud …

Florida Pharmacist Convicted in $100M Pharmacy Fraud Scheme

A Florida pharmacist was sentenced last month to 120 months in prison followed by three years supervised release for his role in a massive compounding pharmacy fraud scheme, which impacted private insurance companies, Medicare and TRICARE, according to a statement …

New Jersey Doctor Sentenced for Cheating Medicare, Insurers Out of $3M

A New Jersey doctor who defrauded Medicare and private insurers out of $3 million has been sentenced to three years in prison. Anthony Enrico, a podiatrist with offices in Paterson, Passaic, and Elizabeth, had pleaded guilty last October to health …