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...
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 10, 2025 | Health Care Fraud
Dr. Adrian Dexter Talbot, a 59-year-old physician from Slidell, Louisiana, was sentenced to 87 months in federal prison for his involvement in an illegal drug distribution scheme. Talbot was found guilty of conspiring to distribute over 1.8 million doses of Schedule...
