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   sci.med.psychobiology      Dialog and news in psychiatry and psycho      4,736 messages   

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   Criminal and Civil Enforcement | Fraud |   
   26 May 15 12:51:35   
   
   From: hounddog23x@gmail.com   
      
   Criminal and Civil Enforcement | Fraud | Office of Inspector General | U.S.   
   Department of Health and Human Services   
      
      
   May 2015   
      
      
   May 22, 2015; U.S. Department   
   of Justice Medicare Fraud Strike Force Case   
   Detroit-Area Neurosurgeon Admits Causing Serious Bodily Injury to Patients in   
   $11 Million Health Care Fraud Scheme   
   A Detroit-area neurosurgeon pleaded guilty today in two separate criminal   
   cases that resulted in serious bodily injury to his patients and more than $11   
   million in Medicare, Medicaid and private insurance companies.   
   May 21, 2015; U.S. Department of Justice Medicare Fraud Strike Force Case   
   Assistant Administrator of Riverside General Hospital Sentenced to 40 Years in   
   Prison for $116 Million Medicare Fraud Scheme   
   The former assistant administrator of Riverside General Hospital was sentenced   
   today to 40 years in prison for his role in a $116 million Medicare fraud   
   scheme. To date, 10 individuals have pleaded guilty or been convicted for   
   their involvement in the    
   scheme.   
   May 21, 2015; U.S. Attorney; Northern District of California   
   Watsonville Nursing Home Owners, Operators And Manager Agree To Pay $3.8   
   Million To Settle Allegations Of False Claims   
   SAN FRANCISCO - The owners, operators, and manager of two nursing homes in   
   Watsonville, Calif., have agreed to pay $3.8 million to settle allegations   
   that they submitted false claims to the United States, announced United States   
   Attorney Melinda Haag, U.   
   S. Department of Health and Human Services OIG (HHS-OIG) Special Agent in   
   Charge Ivan Negroni, and Federal Bureau of Investigation Special Agent in   
   Charge David J. Johnson.   
   May 21, 2015; U.S. Attorney; District of New Jersey   
   Owner Of Parsippany-Based Diagnostic Testing Facility   
   NEWARK, N.J. - A Morris County, New Jersey, man was sentenced today to 12   
   months in prison for his role in a scheme to bill for diagnostic testing   
   services he did not render and to enable a cardiologist to evade the Medicare   
   program's pre-payment review    
   of his claims, U.S. Attorney Paul J. Fishman announced.   
   May 20, 2015; U.S. Department of Justice Medicare Fraud Strike Force Case   
   Physician Pleads Guilty For Role in Detroit-Area Medicare Fraud Scheme   
   A licensed physician and former owner of a Detroit-area medical practice   
   pleaded guilty today for his role in a $4.2 million health care fraud scheme.   
   May 20, 2015; U.S. Department of Justice   
   Medco to Pay $7.9 Million to Resolve Kickback Allegations   
   Medco Health Solutions Inc., a wholly-owned subsidiary of the pharmacy benefit   
   manager Express Scripts Holding Company, of Missouri, has agreed to pay the   
   government $7.9 million to settle allegations that it engaged in a kickback   
   scheme in violation of    
   the False Claims Act, the Justice Department announced today. Medco provides   
   pharmacy benefit management services to clients who receive subsidies under   
   the Medicare Retiree Drug Subsidy program.   
   May 20, 2015; U.S. Department of Justice   
   Government Settles False Claims Act Allegations against Florida Neurologist   
   for $150,000   
   Dr. Sean Orr of Jacksonville, Florida, has agreed to pay $150,000 to settle   
   allegations that he violated the False Claims Act by providing medically   
   unnecessary services and drugs to federal health care program beneficiaries,   
   the Department of Justice    
   announced today. Dr. Orr is a neurologist formerly employed by Baptist   
   Neurology Inc. and Baptist Medical Center-Jacksonville.   
   May 19, 2015; U.S. Attorney; District of Maryland   
   Pharmacy Owner Sentenced for Conspiracy to Distribute Contraband Cigarettes,   
   Health Care Fraud, and Receiving and Distributing Misbranded Drugs   
   Baltimore, Maryland - U.S. District Judge William D. Quarles, Jr. sentenced   
   the owner of Health Way Pharmacy, Salim Yusufov, age 43, of Reisterstown,   
   Maryland, today to 12 months home confinement as part of four years'   
   probation, for a conspiracy to    
   traffic over $6.6 million in contraband cigarettes, health care fraud, and   
   receipt and delivery of misbranded drugs. Judge Quarles also ordered Yusufov   
   to forfeit $200,000.   
   May 19, 2015; U.S. Attorney; District of Idaho   
   Twin Falls Former Pharmacy Technician Sentenced for Diverting Controlled   
   Substances   
   BOISE - Krista Federer, 46, of Twin Falls, Idaho, was sentenced today to 12   
   months and one day in prison for distributing a controlled substance, U.S.   
   Attorney Wendy J. Olson announced. U.S. District Judge Edward J. Lodge also   
   ordered Federer to serve    
   three years of supervised release, and to pay a $1,000 fine.   
   May 18, 2015; U.S. Department of Justice Medicare Fraud Strike Force Case   
   Administrator and Biller of Illinois Physician Group Convicted in $4.5 Million   
   Medicare Fraud Scheme   
   A federal jury in Chicago on May 15, 2015, convicted the administrator and   
   biller of a Schaumburg, Illinois, in-home visiting physician group for their   
   participation in a $4.5 million health care fraud scheme that included billing   
   Medicare for services    
   rendered to patients who were dead and services rendered by medical   
   professionals who worked over 24 hours in a day.   
   May 15, 2015; U.S. Attorney; Southern District of Illinois   
   Marion Woman Sentenced For Healthcare Fraud   
   Stephen R. Wigginton, United States Attorney for the Southern District of   
   Illinois, announced today, that Charlietta M. Lee, 51, of Marion, Illinois,   
   was sentenced for engaging in a scheme to commit health care fraud by   
   defrauding the Home Services    
   Program, which is a Medicaid Waiver Program designed to allow individuals to   
   stay in their homes instead of entering a nursing home.   
   May 15, 2015; U.S. Attorney; District of New Jersey   
   New Jersey Doctor Sentenced To 14 Months In Prison For Taking Bribes In   
   Test-Referrals Scheme Involving New Jersey Clinical Lab   
   NEWARK, N.J. - A doctor with a medical practice in Montclair, New Jersey, was   
   sentenced today to 14 months in prison for accepting bribes in exchange for   
   test referrals as part of a long-running and elaborate scheme operated by   
   Biodiagnostic Laboratory    
   Services LLC (BLS), of Parsippany, New Jersey, its president and numerous   
   associates, U.S. Attorney Paul J. Fishman announced.   
   May 14, 2015; U.S. Department of Justice   
   Long-Term Care Pharmacy to Pay $31.5 Million to Settle Lawsuit Alleging   
   Violations of Controlled Substances Act and False Claims Act   
      
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