health care fraud News

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 …

Two Plead Guilty to $25M New Jersey Prescription Drug Scheme

Two men have pleaded guilty to defrauding New Jersey and health insurers out of $25 million by submitting claims for unneeded prescriptions. Matthew Tedesco and Robert Bessey pleaded guilty on Thursday to conspiracy to commit health care fraud. Authorities say …

Massachusetts and Rhode Island Doctor Pleads Guilty for Overprescribing Opioids

At Dr. Fathalla Mashali’s pain management clinics, the waiting rooms were often so packed with patients that people sat on the floor, leaned against walls and spilled into the hallways. That’s because, federal prosecutors say, Mashali was prescribing oxycodone and …

Pennsylvania Doctor Admits to Selling $5M Worth of Prescriptions to Addicts

A doctor has admitted his role in peddling prescriptions from a now-defunct clinic in Philadelphia, Penn., that specialized in helping drug addicts. Seventy-eighty-year-old Dr. Alan Summers pleaded guilty in federal court to charges including conspiracy, drug distribution, money laundering and …

Doctor Charged in Rhode Island with Pushing Painkiller, Receiving Kickbacks

A doctor has been indicted on charges accusing him of getting kickbacks on prescriptions of a highly addictive painkiller written for patients who didn’t need the drug. Jerrold Rosenberg, a pain specialist and clinical assistant professor at Brown University, pleaded …

False Claims Settlements in 2016 Top $4.7 Billion: Justice Department

The Department of Justice obtained more than $4.7 billion in settlements and judgments from civil cases involving fraud and false claims against the government in fiscal year 2016. This is the third highest annual recovery in False Claims Act history, …

Jury Convicts Houston Execs in Healthcare Fraud Scheme

A federal jury in Houston has convicted three executives from a physical therapy chain for their roles in submitting about $9.6 million in false and fraudulent claims for healthcare services that weren’t provided to patients. U.S. Attorney Kenneth Magidson in …

Massachusetts Woman, Son Get Probation for $100K Medicaid Scheme

A Worcester, Massachusetts, woman and her adult son have received probation for cheating the state Medicaid system out of nearly $100,000. The Telegram & Gazette reports that 68-year-old Beverly Cousin, a recipient of personal care attendant services through MassHealth, was …

Jury Convicts Florida Doctor of 162 Counts of Health Care Fraud

A federal jury has convicted a north Florida doctor of 162 counts of health care fraud. U.S. Attorney Christopher Canova said in a news release that 59-year-old Dr. Ona Colasante defrauded Medicare, Medicaid and Blue Cross Blue Shield of Florida …

Maryland Doctor Gets 9 Years in $3M Health Care Fraud Scheme

A Potomac, Maryland, physician who owned and operated a pain management clinic has been sentenced to 9 years in prison for a $3 million health care fraud scheme. Sixty-year-old Paramjit Singh Ajrawat was also ordered to forfeit and pay restitution …