Pharmacy Chain Owner Convicted of Health Care Fraud

The owner of a pharmacy chain has been convicted of defrauding Medicaid and Medicare by submitting false claims for prescription refills, according to The Associated Press (AP). Reddy Vijay Annappareddy, 46, was found to have defrauded the programs of $1.5 million, the AP reported. Annappareddy Read More …

HHS Inspector General assesses new healthcare fraud alert topics

Clinically integrated networks, clinical trials and continuing medical education are the subject of OIG debate in semiannual report.   This week the OIG published its annual solicitation of recommendations for new or modified safe harbor provisions under the federal anti-kickback statute. This week the Department of Read More …

Physician, Home Health Agency Nursing Director sentenced in $3M Medicare fraud conspiracy

DALLAS physician and a home health agency manager were sentenced this week for their roles in a $3 million Medicare fraud conspiracy, announced U.S. Attorney Sarah R. Salda of the Northern District of Texas. Joseph Megwa, M.D., 60, of Arlington, Texas, and Ebolose Eghobor, R.N., Read More …

I Am Not A Citizen, Can I Be Deported for Medicaid Fraud?

We all know of the typical case of Medicaid Fraud Investigation: someone receiving benefits gets a letter from 250 Church Street stating they are under Medicaid Fraud Investigation and are to appear for a Medicaid Fraud interview. Many people fear that they will have to Read More …

10 Arrested For Alleged $70 Million Medicaid, Medicare Fraud Ring – Avenue V Clinic Shut Down

Ten people – including three Brooklynites – were arrested and charged for their roles in an alleged $70 million scheme to defraud Medicaid and Medicare by submitting phony claims to the programs through three sham medical clinics, including one based on Avenue V. The bust Read More …

NYC doctor known for radio ads settles Medicare fraud case

Gilbert Lederman, a former director of radiation oncology at Staten Island University Hospital, agreed to pay $2.35 million to resolve claims that he defrauded Medicare by seeking reimbursement for an experimental cancer treatment he claimed to have pioneered in the United States. Lederman, whose radio Read More …

Ambulette Companies: Logistics Care and Medicaid Fraud Investigations

Medicaid and Medicare are government programs funded to aid elderly and disabled people, but it has been increasingly abused by people, providers, and professionals. Health care fraud is not only affecting the economy by increasing our national debt, but it is also harming individuals who Read More …

Receiving A Medicaid Fraud Letter… What Should I Do?

What is Medicaid? Medicaid is a federal and state health coverage program that provides health care to people who are unable to pay for it themselves. It is offered free of charge to those who meet the strict eligibility requirements. The Medicaid Fraud Investigation Process Read More …

SUNY resolves Medicaid fraud allegations

New York Attorney General Eric Schneiderman announced a memorandum of understanding on Friday with the State University of New York (SUNY) to resolve allegations of Medicaid fraud. Schneiderman’s Medicaid Fraud Control Unit (MFCU) alleged that the Daniel Squire Oral Diagnostic & Treatment Center, which is Read More …