Feb 20, 2025 | DMEPOS, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid
If you are a DMEPOS supplier and are purchasing opt-in Medicare leads, you should be aware of Medicare’s prohibition against telephone solicitation of beneficiaries. In order to enroll as a Medicare DMEPOS supplier, and as a condition of payment, DMEPOS providers must...
Feb 17, 2025 | Fraud Investigations, Health Care, Health Care Fraud
A federal jury has found a New York doctor guilty of orchestrating a fraudulent scheme that led to the submission of over $24 million in false claims to Medicare. Dr. Alexander Baldonado, 69, of Queens, was convicted for his role in ordering medically unnecessary...
Feb 11, 2025 | Health Care, Health Care Fraud
The DOJ announced that four pharmacists have been sentenced for their roles in a massive healthcare fraud scheme that defrauded Medicare, Medicaid, and Blue Cross Blue Shield of Michigan out of over $13 million. The pharmacists will now face prison sentences ranging...
Feb 11, 2025 | Health Care, Health Care Fraud
On February 6, 2025, the Department of Justice (DOJ) announced that four pharmacists were sentenced in connection with a $13 million health care fraud case involving Medicare, Medicaid, and Blue Cross Blue Shield of Michigan. The individuals received varying sentences...
Feb 4, 2025 | Health Care, Health Care Fraud
In a recent case, Petros Fichidzhyan, a 43-year-old man from Granada Hills, California, has pleaded guilty to charges of health care fraud, aggravated identity theft, and money laundering in connection with a fraudulent scheme that deceived Medicare out of more than...
Jan 31, 2025 | Fraud Investigations, Government Investigations, Health Care, Health Care Fraud, White Collar Crime
Earlier this month, the Department of Justice announced that it had indicted the Chesapeake Regional Medical Center (CRMC) with healthcare fraud and conspiracy in relation to unnecessary gynecological and other procedures performed by one of its employed physicians....