Info & Intel

Following the dismantling of a Medicaid - Medicare fraud ring involving one Brooklyn clinic, two Queens clinics, and ten defendants; the US Attorney for the Southern District of New York has announced the first conviction in the case.
After all defendants pled guilty, Victor Lipkin, owner of one of the clinics, was one of the first to be sentenced.
Lipkin will serve five years and will pay in excess of $8 million in restitution and forfeiture. In addition to his prison term, Lipkin...

Remember the old adage, “Crime doesn’t pay”? A Savannah woman learned that expensive lesson this week after being sentenced to over 3 years for Medicaid Fraud. U.S. District Court Judge William Moore sent Barbara Wallace to prison for 41 months after she pleaded guilty to defrauding Georgia’s Medicaid program.
According to the Department of Justice, Wallace was the manager of a company called MBA Diabetic Footwear Solutions. Prosecutors say that Wallace helped...

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...

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...

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...

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...

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...

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...