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November 3, 2008

Newport insurance agent gets 10 years for $2.5 million fraud

ocregister.com | 11/3/08 | $2.5 million  | suspect:  Anthony David Medina | Multiple Customers

A Newport Beach insurance agent was sentenced today to 10 years in state prison after he admitted defrauding 18 business owners who paid him more than $2.5 million, prosecutors said.

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October 30, 2008

OC Doctor Indicted In $2.3 Million Medicare Fraud

lawfuel.com | 10/24/08 | $2,300,000 | suspect:  Mark Thomas Paskewitz | victim:  Medicare

 A doctor has been indicted for fraudulently billing Medicare for approximately $2.3 million in physical therapy services. The indictment, which was returned Wednesday afternoon by a federal grand jury in Santa Ana, alleges that the “physical therapy” was performed by unlicensed individuals without any supervision by the doctor, consisted only of massages, and followed the payment of kickbacks to induce Medicare beneficiaries to go to the doctor’s clinic.

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Florida Bank VP pleads guilty to money laundering

bizjournals.com | 10/24/08 | $400,000 | suspect:  Javier J. Ortiz | victim:  Medicare

A Wachovia Bank assistant vice president has pleaded guilty to conspiracy to commit money laundering in connection with a 2006 Medicare fraud scheme.

 

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October 8, 2008

Rampant Medicare fraud suspected in Miami

usatoday.com | 10/5/08 | Julie Appleby

Home health care costs charged to Medicare in the Miami area have risen 20 times the national average in the  past five years, prompting a federal investigation of suspected fraudulent billing.  Miami-Dade County is on track to cost Medicare a projected $1.3 billion for home health care services this fiscal year, up 1,300% in just five years, government data show.

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September 30, 2008

Consumer Groups Urge California to Approve Auto Repair Fraud Legislation

insurancejournal.com | 9/29/08 | Staff Writer

The Center for Auto Safety, Consumer Action and Consumers Union are united in urging California Gov. Arnold Schwarzenegger to sign Assembly Bill AB 2825, designed to protect motorists from auto body repair fraud. The legislation was passed by a strong bipartisan legislative vote and is awaiting action by the Governor.

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Suburban trio's $1.5 million health care fraud scheme collapses

startribune.com | 9/29/08  | Paul Walsh

A 51-year-old Eden Prairie man has admitted in federal court that he conspired with his wife and another person to commit health-care fraud involving about $1.5 million.

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Nutritionist in fraud case ordered to repay $178,000

herald-mail.com | 9/27/08 | Ahdrew Schotz

A nutritionist convicted of fraudulent Medicaid billing was sentenced to five years of probation and ordered to pay back about $178,000.

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September 22, 2008

Guilty Plea in $119 Million HIV Infusion Fraud Scheme

marketwatch.com | 9/18/08 | Press Release

Miami physician's assistant Thomas McKenzie pleaded guilty today to defrauding the Medicare program in connection with a $119 million HIV infusion fraud scheme, Acting Assistant Attorney General Matthew Friedrich of the Criminal Division and U.S. Attorney R. Alexander Acosta of the Southern District of Florida announced.

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September 17, 2008

New York Hospital to Pay $89 Million to Settle Fraud Claims

law.com | 09-16-2008 | Mark Hamblett

New York's Staten Island University Hospital will pay $88.9 million to settle allegations it had defrauded Medicare, Medicaid and an insurance program covering the military, authorities announced Monday.

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September 12, 2008

Regenerations founder gets 10 years, owes Medicaid $3.3M

indystar.com | 9/10/08 | Jon Murray

Regenerations, an Indianapolis nonprofit, started out small in 2005. That first year, it reported providing psychotherapy for 20 disabled people on a $30,000 budget.  But Varnador K. Sutton had grander plans for his nonprofit.  Over the next two years, a bogus Medicaid billing scheme netted more than $3 million in taxpayer money for Regenerations, which prosecutors said was nothing more than a shell. As that cash streamed in, Sutton made seven-figure investments and real estate deals, and bought a 2007 Lincoln MKX and 2006 Jaguar.

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August 18, 2008

Amerigroup to Pay $225 Million to Settle Case

online.wsj.com | 8/16/08 | Brent Kendall

Amerigroup Corp. has agreed to pay $225 million to settle claims that it defrauded the Illinois Medicaid program, state and federal prosecutors said Thursday.

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August 13, 2008

FBI: LA hospitals used homeless in medical fraud

ap.google.com | 8/13/08 | SHAYA TAYEFE MOHAJER

 LOS ANGELES (AP) — For hundreds of homeless people, posing as phony hospital patients provided them a clean bed and cash. For the hospitals that processed them, it meant a full patient-load and a paycheck from the government.

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August 5, 2008

Man receives longest insurance fraud sentence in county history

mercurynews.com | 8/5/08 | Liz Fernandez

A onetime San Jose baker is heading to prison for nine years for orchestrating an auto insurance fraud ring - the longest sentence given to an insurance fraud defendant in Santa Clara County history.

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July 15, 2008

Wife accused over 'back from the dead' canoeist

afp.com | 7/15/08 | Staff Writer

LONDON (AFP) — The wife of a "back-from-the-dead" man who resurfaced five years after vanishing in an apparent canoe accident convinced everyone he was dead, including her own children, a court heard Monday.

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July 13, 2008

Paulsboro woman pleads guilty in insurance fraud case

nj.com | 7/11/08 | South Jersey News Online

TRENTON, N.J. -- A Paulsboro woman pleaded guilty today to stealing over $190,000 from an insurance company, the New Jersey Attorney General and Criminal Justice Director announced today.

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July 9, 2008

Probe finds dead doctors used in Medicare Scams

ap.google.com | 7/9/08 | Hope Yen

WASHINGTON (AP) — Sellers of wheelchairs, drugs and other medical supplies collected as much as $93 million in fraudulent Medicare claims based on prescriptions from doctors who actually were dead, some for 10 years or more, a congressional investigation has found.

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July 6, 2008

Funeral home owner guilty of fraud

lacrossetribune.com | 7/4/08 | Anne Jungen

The owner of a local funeral home was convicted Thursday of fraud after collecting $55,000 in state funds for 27 funerals while also charging families for the services.

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June 19, 2008

Man gets prison time for $100 million health fraud

chicagotribune.com | 6/17/08 | Ryan J. Foley

A former health care executive was sentenced Tuesday to five years in prison for helping his Philippines-based company swindle $100 million from the U.S. military health insurance program.

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June 10, 2008

Denver pastor pleads in insurance fraud case

ap.google.com | 6/7/09 | Ivan Moreno

CENTENNIAL, Colo. (AP) — A prominent Denver-area pastor accused of falsifying insurance ocuments to funnel money to church groups he controlled pleaded guilty Thursday to felony theft and was sentenced to serve probation and pay restitution.

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June 2, 2008

Nine indicted for HIV infusion fraud schemes

bizjournals.com | 5/30/08 | Staff Writer

Three Miami area doctors and six others were charged in four separate indictments for their roles in HIV infusion fraud schemes totaling $56 million, the Department of Justice Criminal Division and the Attorney General's Office said in a news release.

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April 27, 2008

Fraud costs military health program $100 million-plus

ap.google.com | 4/26/08 | Ryan J. Foley

MADISON, Wis. (AP) — The U.S. military's health insurance program has been swindled out of more than $100 million over the past decade in the Philippines, where doctors, hospitals and clinics have conspired with American veterans to submit bogus claims, according to prosecutors and court records.

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April 20, 2008

Palm Beach County radiologist settles fraud allegations

bizjournals.com | 4/15/08 | Staff Writer

A Palm Beach County radiologist, his imaging centers and related entities have settled allegations of healthcare fraud with the federal government for $7 million, the U.S. Attorney's Office said.

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April 7, 2008

San Jose cell phone dealers arrested in $2M fraud probe

bizjournals.com | 4/3/08 | Staff Writer

A dozen people have been arrested in connection to about $2 million in fraud and identity thefts involving San Jose wireless phone dealers, employees and customers, state insurance officials said Thursday.

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March 30, 2008

Race in Heels Trips Man on Workers Comp

ap.google.com | 3/29/08 | Staff Writer

HARTFORD, Conn. (AP) — Prosecutors say a video shows a Connecticut correction officer running a 40-yard-dash in women's clothing and high heels — at a time he had claimed he was too injured to work.

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