Medicare fraud News

Indiana-Based Health Network Settles Medicare Fraud Case, Agrees to Pay $345 Million

INDIANAPOLIS (AP) – An Indianapolis-based health network has agreed to pay the government $345 million to resolve charges it defrauded Medicare by overpaying doctors who referred patients to its facilities, prosecutors said Tuesday. The agreement settles allegations that senior management …

States Warn of DNA Testing Fraudsters Stealing Personal Information

Authorities in several states are warning about an alleged scam in which people visit senior-living communities and low-income neighborhoods, offering to perform DNA tests and collecting information from people in government health programs. The alleged DNA-testing scams appear to be …

Florida Eye Doctor Convicted of 67 Counts in Medicare Fraud Scheme

A prominent Florida eye doctor accused of political corruption was convicted of Medicare fraud Friday, increasing the odds that federal prosecutors could pressure him to testify against New Jersey Democratic Sen. Bob Menendez. Dr. Salomon Melgen was found guilty on …

West Virginia Doctor Gets 8 Years in Drug, Health Care Fraud Case

A pain clinic doctor in Beckley, West Virginia, has been sentenced to eight years in federal prison for illegally prescribing a controlled substance and submitting false health care claims. Dr. Jose Gordinho was sentenced Wednesday in federal court in Beckley. …

Tennessee Doctors Sued for Operating Pill Mill, Defrauding Government

The United States government and the state of Tennessee have sued a Lenoir City chiropractor and a Manchester doctor, accusing them both of fraud and operating pill mills. Officials with the U.S. Attorney’s office in Nashville say the men are …

Northern West Virginia Forms Group to ID Health Care Fraud

State and federal authorities have created a multi-jurisdictional working group to identify and deal with health care fraud in northern West Virginia. U.S. Attorney William J. Ihlenfeld II and representatives of the FBI, the IRS and the state Medicaid Fraud …

Texas Hospital Should Forfeit $32M in Ike Funds, Report States

A federal review says a Houston, Texas hospital should forfeit $32 million in government grants for Hurricane Ike recovery due to misuse of the money. Riverside General Hospital was named in the Office of Inspector General report released this week. …

Florida Governor Orders Random Audits of 100-Plus Hospitals

Florida Gov. Rick Scott is ordering state health officials to audit more than 100 hospitals as part of his ongoing battle with hospitals, which he says are driving up Medicaid costs. The state had asked hospitals and insurers to prove …

Miami Home Health Company Settles Medicare Fraud Scam for $17M

A Miami home health company has agreed to pay $17 million for allegedly paying doctors to refer Medicare patients. Department of Justice officials said the settlement with Hebrew Homes Health Network Inc. is the largest involving alleged violations of the …

Second Largest Georgia Hospital to Settle False Medicare Billing Charges for $20M

Federal prosecutors say a central Georgia hospital system has agreed to a multimillion dollar settlement to resolve allegations of fraudulent Medicare billing. Authorities say the Medical Center of Central Georgia has agreed to pay $20 million to settle claims that …