Info & Intel


Convicted Florida Medicaid Fraudsters Will Pay $26 Million in Restitution and Penalties

Convicted Florida Medicaid Fraudsters Will Pay $26 Million in Restitution and Penalties

Former WellCare CEO Todd Farha and former CFO Paul L. Behrens must pay the SEC $26 million in connection with a scheme to avoid returning $40 million in Florida Medicaid payments. Both defendants have been convicted of health care fraud and have entered into a consent judgment with the SEC. 
In 2009 WellCare had paid $40 million in restitution and $40 million to the United States. In a related qui tam case, WellCare also paid $137.5 million in civil fines and penalties to Florida,...

Crackdown on Michigan Medicaid Fraud Scheme Involving Prescription Drugs Lands Pharmacist in Prison

Crackdown on Michigan Medicaid Fraud Scheme Involving Prescription Drugs Lands Pharmacist in Prison

Nadeem Iqbal, a 56-year-old pharmacist from Detroit, has been found guilty of Michigan Medicaid fraud and will serve four and a half years in prison after law enforcement seizes $1.4 million from his bank accounts.
The conviction and forfeiture are related to Iqbal´s participation in a large-scale scheme involving the illegal billing and sale of pain medication in the black market. 
There are a total of 44 defendants in the $122 million fraud case involving opioids,...

New Mexico's Attorney General Hector Balderas Announces Initiative to Uncover Medicaid Fraud and Neglect at Long-term Care Facilities

New Mexico's Attorney General Hector Balderas has recently announced a new initiative to identify and fight Medicaid fraud, abuse and neglect.
By collaborating with state agencies and Medicaid providers and focusing on known patterns of fraud, law enforcement has pledged to protect America's most vulnerable population, including elderly and disabled individuals, shielding them from exploitation and abuse. 
Sources say the new crackdown on Medicaid fraud will not be limited to...

412 Charged in $1.3 Billion Opioid-related Medicaid and Medicare Fraud Schemes

The Trump administration has a clear intent on stopping drug-related crimes. Attorney General Jeff Sessions just announced a nationwide crackdown on over 400 individuals, including about 50 doctors, who are being accused of defrauding government health programs of $1.3 billion.
About 30% of the people charged are accused of crimes related to opioid substances. According to the prosecutors´ allegations, the defendants billed Medicaid and Medicare for drugs that were never purchased,...

Florida Recovery Center Pressures FL Addicts to Scam Medicaid & Medicare Millions

Florida Recovery Center Pressures FL Addicts to Scam Medicaid & Medicare Millions

Out of the 412 defendants who have been charged in the Department of Justice’s huge national health care bust, Eric Snyder and Christopher Fuller, of Palm Beach, Florida, have been identified as two of the most outrageous scammers. The duo allegedly cheated Medicaid and other insurers out of $58 million.
Snyder ran a drug and alcohol dependency treatment center called Real Life Recovery, as well as a sober home called Halfway There Florida in Palm Beach County,...

Ring of Michigan Fraudsters Scams Medicare Out of $132 Million Says DOJ

Ring of Michigan Fraudsters Scams Medicare Out of $132 Million Says DOJ

A group of seven health care providers and professionals in Detroit, Michigan have been charged with fraud for scamming Medicare out of $132 million in reimbursements for medically unnecessary drugs.
According to the DOJ (Department of Justice) the defendants were led by ringleader Mashiyat Rashid, a venture capitalist from West Bloomfield Township who used the money to buy a $7 million mansion and NBA tickets.
The charges are part of the Justice Department’s recent health...

Nonprofit Mental Health Care Provider Head & Therapist Plead Guilty to New Jersey Medicaid Fraud

Nonprofit Mental Health Care Provider Head & Therapist Plead Guilty to New Jersey Medicaid Fraud

The executive director of Nueva Vida Behavioral Health Center and one of its therapists have admitted to their roles in defrauding New Jersey Medicaid, The scheme was exposed after Nueva Vida´s offices, located in the vicinity of Camden City Hall, were raided by federal agents in August 2016.
Before a federal judge in Camden, New Jersey, Cesar Tavera, 53, the head of Nueva Vida, a nonprofit provider of mental health services to Camden´s least privileged inhabitants, and...

Mississippi Pharmacist Charged with Health Care Fraud in Multi-Million Dollar Scheme

Mississippi Pharmacist Charged with Health Care Fraud in Multi-Million Dollar Scheme

The Department of Justice’s giant health care fraud bust has resulted in 412 medical professionals being charged—including Dr. John Eastham Clark and Charlene Anita Severio of Louisiana Spine & Sports, a pain management clinic located in Baton Rouge, Louisiana.
Clark was the co-owner of Louisiana Spine & Sports and Severio was the billing supervisor. Together, they allegedly ran a Medicare-defrauding scheme that cheated taxpayers out of $4.4 million dollars over the...

Pharmacist at Louisiana Pain Clinic Allegedly Scams Medicare Out of Millions

Pharmacist at Louisiana Pain Clinic Allegedly Scams Medicare Out of Millions

The Department of Justice’s giant health care fraud bust has resulted in 412 medical professionals being charged—including Dr. John Eastham Clark and Charlene Anita Severio of Louisiana Spine & Sports, a pain management clinic located in Baton Rouge, Louisiana.
Clark was the co-owner of Louisiana Spine & Sports and Severio was the billing supervisor. Together, they allegedly ran a Medicare-defrauding scheme that cheated taxpayers out of $4.4 million dollars over the...

Billing New Mexico Medicaid for Dead & Fake Patient Care: Fraud Investigation – Angel Touch Personal Care

Billing New Mexico Medicaid for Dead & Fake Patient Care: Fraud Investigation – Angel Touch Personal Care

Angel Touch Personal Care, a home caregiver business based in Albuquerque, New Mexico, is under investigation for Medicaid fraud. According to investigators from the New Mexico Attorney General, among many other violations, Angel Touch billed government health programs for dead and non-existent patients.
Last May, a team of investigators, who had been looking into the activities of the non-medical care provider since 2014, raided Angel Touch´s offices on 2818 4th Street NW in...

Medicaid Fraud Hotline: 888.742.7248 or Report Online