Committing Medicaid fraud is a severe crime that can impact the usage of public funds. This type of fraud can divert financial resources from vulnerable residents who rely on Medicaid for healthcare. Because of its significant impact on the community, authorities have...
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Healthcare Fraud
Who suffers in Medicaid fraud incidents?
Fraud is a serious crime that could negatively impact innocent people's lives. It is also true for health care fraud involving funds used to cover the medical needs of unsuspecting citizens. The New York State Office of the Medicaid Inspector General (OMIG) considers...
Detroit health system to pay $29.7 million for kickbacks
VHS of Michigan Inc. (doing business as, The Detroit Medical Center Inc. (DMC)), Vanguard Health Systems Inc. (Vanguard), and Tenet Healthcare Corporation (Tenet) all agreed to pay a total of $29,744,065 to the federal government for providing kickbacks some referring...
Bronx nursing home and staff to pay $3.46 million
A U.S. District Attorney for the Southern District of New York and Special Agent in Charge of the New York Regional Office of the U.S. Department of Health and Human Services announced that it settled a fraud lawsuit that alleges that Morris Park Nursing Home engaged...
Podiatrist sentenced for fraudulent Medicare billing
A federal judge sentenced a Michigan podiatrist to seven years in prison for orchestrating a scheme that fraudulently billed Medicare for nearly $2 million. He is also guilty of falsifying records and identity theft. The doctor operated a practice specializing in...
Justice Department launches fraud initiative tied to COVID-19 care
The Department of Justice announced a new coordinated enforcement action to fight COVID-19 healthcare fraud. The targets will include owners of medical businesses, medical professionals and others who attempted various schemes. The DOJ estimates that $490 million were...
2 doctors and others convicted in $31 million Medicare scheme
In January of 2023, Dr. Dean Zusmer and Dr. Lawrence Alexander, both of Miami, were convicted for being part of a scheme where they submitted $31 million in fraudulent claims. The doctors conspired with others to file claims for expensive but unnecessary medical...
A system of affiliated businesses exploit nursing home loophole
The pandemic was difficult for many, but some unscrupulous business owners used that time to their advantage. The Villages of Orleans Health & Rehabilitation Center (VOHRC) in western New York paid its landlord $16 million in rent. However, the landlord was also...
NY nursing home landlord and operator fined $7.1 million
The Saratoga Center for Rehabilitation and Skilled Nursing Care had been on the radar of state and federal governments for some time. The nursing home in Ballston Spa, New York, was on a watch list for two years before closing in February 2021. The Department of...
SEC awards $37 million to whistleblower
On December 19, the Securities and Exchange Commission announced a $37 million award to a whistleblower whose information led to successful enforcement and related actions. The SEC did not indicate what company the action was against, but the Wall Street Journal...
