US authorities have reached a settlement to resolve a whistleblower case alleging that a New York state health insurer systematically defrauded the federal Medicare program by exaggerating how sick members were in order to boost profits. The settlement was disclosed …
Four men have been charged with defrauding New York auto insurers by allegedly submitting more than $10 million in fraudulent claims for psychological services —and then laundering the proceeds of that fraud through a network of illicit check cashers. Damian …
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 …
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 …
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 …
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 …
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 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, …
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 …
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 …
