Feb 28, 2025 | False Claims Act, Government Investigations, Health Care, Health Care Fraud
Back in January, we wrote about a district judge in Massachusetts who granted summary judgment in favor of a False Claims Act (FCA) defendant, ruling that the “but for” causation standard should be applied when violations of the Anti-Kickback Statute (AKS)...
Feb 25, 2025 | Health Care, Health Care Fraud, Healthcare Transactions
On February 20, 2025, Gregory Schreck, 50, of Johnson County, Kansas, pleaded guilty to orchestrating an internet-based operation that defrauded Medicare and other federal health care benefit programs of more than $1 billion. Schreck, vice president at healthcare...
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 | False Claims Act, Fraud Investigations, Government Investigations, Health Care Fraud, Medicare and Medicaid
The DOJ announced that SVCMC Inc., formerly known as Saint Vincent’s Catholic Medical Centers of New York (SVCMC), will pay $29 million to resolve allegations of violating the False Claims Act. According to the DOJ, the medical center knowingly retained...
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...
