health care fraud News

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 …

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 …