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 | 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...
