Info & Intel


Former Assemblyman Arrested in New York Over $24 Million Pill Mill Medicaid and Medicare Fraud

Former Assemblyman Arrested in New York Over $24 Million Pill Mill Medicaid and Medicare Fraud

Alec Brook-Krasny, a former Brooklyn assemblyman known for his public crusade against opioid addiction, has been indicted over allegations that he participated in a scheme to defraud Medicaid and Medicare, involving the sale of illicit prescriptions.
According to investigators, Brook-Krasny and other defendants persuaded patients to undergo needless testing in exchange for oxycodone prescriptions. The pills prescribed, which allegedly add up to 6.3 million, would later be resold in the...

Bad Landlord Arrested for $1.5 Million New York Medicaid Fraud

Kester Atumonyogo, owner of Monack Medical Supply has just been arrested in New York. Both Atumonyogo and his company are accused of defrauding Medicaid and Medicaid-managed Healthfirst. New York State Attorney General Eric Schneiderman announced the arrest in a recent press release.
43-old Atumonyogo allegedly devised a scheme to steal $1.5 million from Medicaid and Healthfirst, using a false social security number to enroll Monack as a Medicaid provider. Later, the company billed...

Owner of Compassionate Medical Supply Pleads Guilty to Texas Medicaid Fraud

Ana Ramirez-Ambriz, the owner of Compassionate Medical Supply, has pled guilty of Texas Medicaid fraud. Ramirez-Ambriz confessed to having filed false Medicaid claims in the amount of $4.5 million between 2007 and 2013.
According to the Department of Justice, Medicaid was cheated out of $3.1 million, which is the amount that was effectively paid out.
Based in Edinburg, Texas, the medical supply company owner was directly responsible for filing fraudulent Medicaid claims for...

Honest Mistakes or Blatant Medicare Fraud? Fla Trial Begins

Honest Mistakes or Blatant Medicare Fraud? Fla Trial Begins

The Medicare fraud trial of Salomon Melgen is underway. After several false starts, it appears the trial is finally on the move. The 62-year-old West Palm Beach ophthalmologist faces a 46 count indictment. If convicted, he could spend the rest of his life behind bars.
As the trial began, Assistant United States Attorney Carolyn Bell told jurors that Melgen stole millions of dollars from the federal Medicare program. “This is a case about a doctor who lied to Medicare for...

Top 10 states for Medicaid Fraud Recoveries - Fiscal Year 2016

Top 10 states for Medicaid Fraud Recoveries - Fiscal Year 2016

During fiscal year 2016, there were 1,564 convictions and $1.8 billion in recoveries in connection with Medicaid fraud. This represents a significant increase from the $744 million recovered in 2015.
Medicaid Fraud Control Units operate in every US state except for North Dakota. In recent years, law enforcement has focused on thoroughly investigating Medicaid fraud allegations and enforcing increasingly stringent regulations to protect taxpayer funds.
According to the Office of the...

Whistleblower Tip Leads to Medicaid Fraud Conviction

Whistleblower Tip Leads to Medicaid Fraud Conviction

A whistleblower tip lead to the successful Medicaid fraud prosecution of the owner of a Minnesota home care business. Mankato area resident Rebecca Swanson pleaded guilty to six counts of felony theft. The state’s Medicaid Fraud Control Unit claims that Swanson defrauded Minnesota’s Medicaid program by $417,000.
According to prosecutors, Swanson ran a home healthcare company called Mybeck. Her company dispatched personal care assistants to client homes. In many cases the...

Tenet Healthcare Exec Indicted on $400 Million Georgia, South Carolina Medicare / Medicaid Fraud

Tenet Healthcare Exec Indicted on $400 Million Georgia, South Carolina Medicare / Medicaid Fraud

Medicaid fraud only seldom leads to the indictment of a company executive. When John Holland, once the Senior VP of Tenet Healthcare Corporation, was indicted over a massive fraud scheme involving Medicare, Georgia Medicaid, and South Carolina Medicaid, there was much reason for anti-fraud activists to feel hopeful.
Holland allegedly participated in a kickback scheme to secure referrals to hospitals within Tenet´s large network of facilities. The indictment is especially significant...

Florida Dermatologist to Pay $18 Million in Ghastly Medicare Fraud Scheme

Florida Dermatologist to Pay $18 Million in Ghastly Medicare Fraud Scheme

The conduct of Dr. Gary Marder of Palm Beach, Florida was sickening. According to a whistleblower lawsuit filed against him in 2013, Marder was telling healthy patients that they suffered from life threatening skin cancer. Worse, he was prescribing dangerous radiation treatments to these patients. Radiation applied to healthy skin, of course, can cause cancer.
After a 3 year court battle, Dr. Marder’s reign of terror is over for good. A federal court in Florida entered judgment...

Iowa Nursing Facility Pays $100K to Resolve Worthless Care Allegations

Iowa Nursing Facility Pays $100K to Resolve Worthless Care Allegations

A Le Mars, Iowa nursing facility, Abbey of Le Mars, Inc., and others with financial interests in facility operations, have agreed to pay $100,000 to resolve allegations of Iowa Medicaid Fraud after allegedly submitting false claims for payment to Iowa Medicaid for grossly substandard care of 16 residents over a period of six years.
Federal authorities have terminated Abbey of Le Mars’ participation in Iowa Medicaid and Medicare programs and the Iowa Department of Inspections and...

Phony CPR Certifications Leads to Prison; $7 mm Restitution

Phony CPR Certifications Leads to Prison; $7 mm Restitution

Dwaine and Dynetta Woods had the perfect healthcare business. Based in Louisiana, the husband and wife operated a personal care service company, Millennium Health Care Services. Exactly 10 years ago, an audit showed that Millennium was not properly training its workers. Instead of correcting the problem, the Woods made things worse by creating forged documents and CPR certifications for their workers. Now Dwaine Woods is headed for a Louisiana state prison for the next 10...

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