DOJ Targets Health Care Fraud: Record Settlements and Regulatory Enhancements
The DOJ targets health care fraud with record settlements and focuses on Medicare compliance. Reassess your strategies to navigate heightened scrutiny effectively.
Missouri Man Sentenced for $174M Medicare Genetic Testing Fraud Scheme
Jamie P. McNamara sentenced to 10 years for defrauding Medicare of $174 million through a genetic testing scheme involving telemarketing and fake doctor orders. Federal investigations by HHS-OIG and the FBI led to recovery and prosecution under the Health Care Fraud Strike Force.
Michigan Pharmacist Sentenced for $4M Medicare Fraud Scheme
Michigan pharmacist sentenced to 46 months for $4M Medicare fraud involving phantom prescriptions. DOJ Health Care Fraud Strike Force prosecuted the case.
UnitedHealth Faces Federal Investigations Over Medicare Advantage Billing Practices
UnitedHealth Group is under federal criminal and civil investigation for Medicare Advantage billing practices amid financial pressures and leadership changes. The company cooperates fully and maintains confidence in compliance.
Pennsylvania Doctor Convicted in Major Insurance Fraud Scheme
Dr. Neil K. Anand of Bensalem, PA, convicted of health care and wire fraud, defrauded over $2.3 million through fraudulent 'Goody Bags'. Sentencing is pending.