James-Hoyer: Whistleblower News

Detroit Area Medical Biller Sentenced to 50 Months in Prison for Her Role in a $7.3 Million Dollar Healthcare Fraud Scheme

A Detroit-area medical biller was sentenced today to 50 months in prison for her role in a $7.3 million Medicare and Medicaid fraud scheme involving medical services that were billed to Medicare and Medicaid but not rendered as billed. Acting Assistant Attorney General Kenneth A. Blanco of the Justice Department’s Criminal Division, Acting U.S. Attorney more »

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Physician and Wife to Pay $1.2 Million to Settle False Claims Act Allegations

Dr. Anindya Sen and Patricia Posey Sen will pay $1.208 million to resolve state and federal False Claims Act allegations that their medical practice billed Medicare and Tennessee Medicaid (TennCare) for anticancer and infusion drugs that were produced for sale in foreign countries and not approved by the U.S. Food and Drug Administration (FDA) for more »

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Cardiac Monitoring Companies and Executive Agree to Pay $13.45 Million to Resolve False Claims Act Allegations

AMI Monitoring Inc. aka Spectocor, its owner, Joseph Bogdan, Medi-Lynx Cardiac Monitoring LLC, and Medicalgorithmics SA, the current majority owner of Medi-Lynx Cardiac Monitoring LLC, have agreed to resolve allegations that they violated the False Claims Act by billing Medicare for higher and more expensive levels of cardiac monitoring services than requested by the ordering more »

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Orlando Doctor and Infusion Clinic Owner Sentenced to Prison for Medicare Fraud

An Orlando medical doctor and an infusion clinic owner were sentenced to 64 months in prison and two years supervised release, and 90 months and two years supervised release, respectively, today for their roles in a $13.7 million Medicare fraud conspiracy that involved submitting claims for expensive infusion-therapy drugs that were never purchased, never provided more »

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West Des Moines Man Pleads Guilty to False Claims Act Investigation For Almost $900,000

A durable medical equipment store owner who provided false documents to the United States Attorney’s Office during a civil False Claims Act investigation pled guilty today in federal court in Cedar Rapids. James O’Connor, 64, from West Des Moines, Iowa, was convicted of one count of Making and Using False Documents, in violation of 18 more »

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Misr Sons Development S.A.E. Agrees to Pay $1.1 Million to Resolve False Claims Act Allegations

Misr Sons Development S.A.E. (Hassan Allam Sons, “HAS”), a construction company with its principal place of business in Cairo, Egypt, has agreed to pay $1.1 million to settle allegations that HAS submitted false claims in connection with U.S. Agency for International Development (USAID) contracts, the Justice Department announced today. “Contractors who misrepresent their eligibility for government contracts more »

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Cherry Hill Doctor And Son Admit Defrauding Medicare, Agree To $1.78 Million Settlement

A doctor and his chiropractor son admitted conspiring to defraud Medicare by using unqualified people to give physical therapy to Medicare recipients, Acting U.S. Attorney William E. Fitzpatrick announced. Robert Claude McGrath D.O., 65, and his son Robert Christopher McGrath, 47, both of Cherry Hill, New Jersey, each pleaded guilty before U.S. District Judge Robert more »

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Freedom Health Pays $32.5 Million to Settle False Claims Act Case

The James Hoyer law firm served as local counsel in a whistleblower case against Freedom Health, which provides managed care services.  Freedom agreed to pay a total of $32.5 million to resolve allegations that it engaged in illegal schemes to maximize payments from the government for it’s Medicare Advantage plans. Here is the Department of more »

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Whistleblower says Insurers Bilking Medicare Advantage

A high level whistleblower who worked for UnitedHealth Group says his company and other insurers have been bilking taxpayers by gaming the system to get higher payments.  Benjamin Poehling, a former finance director with United Health, told the New York Times the insurers falsely make it appear that some seniors are sicker than they truly are more »

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$18 Million Settlement: IU Health/HealthNet Whistleblower Case

Dr. Judith Robinson Cropped Picture

Dr. Judy Robinson with Tyler & Koger families. A whistleblower suit filed by Dr. Judith Robinson under the False Claims Act has led to an $18 million settlement with two of Indiana’s largest health care providers.  Indiana University Health and HealthNet have agreed to pay $18 million to the federal government and State of Indiana more »

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