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HHS Secretary Kathleen Sebelius and U.S. Attorney General Eric Holder Send Letter to State Attorneys General On Medicare Fraud

From the U.S. Department of Health and Human Services (view the related article HHS, CMS and the Administration on Aging Launch Fraud Prevention Education Campaign , from the Centers for Medicare and Medicaid Services): WASHINGTON - U.S. Secretary of Health and Human Services Kathleen Sebelius...

Southern California Medical Center to Pay U.S. $2.2 Million to Resolve Fraud Allegations

From the US Department of Justice : WASHINGTON - The El Centro Regional Medical Center in Imperial County, Calif., has agreed to pay the United States $2.2 million, plus interest, to settle allegations that it defrauded Medicare, the Justice Department announced Monday. The government alleges...

Brooklyn Doctor Arrested and Charged with Health Care Fraud

From the US Department of Justice : WASHINGTON - Boris Sachakov, M.D., was arrested September 22 in Brooklyn, N.Y., and charged in connection with a scheme to defraud Medicare and numerous other health care benefit programs of at least $3.5 million, announced the Departments of Justice and...

Three Individuals Plead Guilty for Their Roles in a Houston Medicare Fraud Scheme Involving Claims of Hurricane Damage to Power Wheelchairs

From the US Department of Justice : WASHINGTON - Three individuals pleaded guilty September 23 in connection with a Medicare fraud scheme operated out of a Houston-area durable medical equipment (DME) company, announced the Departments of Justice and Health and Human Services (HHS). Melvin...

Home Health Agency Manager Pleads Guilty in Connection with Detroit Fraud Scheme

From the US Department of Justice : WASHINGTON - Detroit-area resident Hassan Akhtar pleaded guilty yesterday for his role in managing a home health care fraud scheme, the Departments of Justice and Health and Human Services (HHS) announced. Akhtar, 26, pleaded guilty before U.S...

Medicare Fraud: Los Angeles Medical Equipment Supplier Sentenced to Prison / New Orleans Doctor and Owner of Equipment Company Plead Guilty to Health Care Fraud Scheme

From the US Department of Justice : Los Angeles Medical Equipment Supplier Sentenced to 46 Months in Prison for Role in Power Wheelchair Scheme to Defraud Medicare WASHINGTON - The owner and operator of a Los Angeles durable medical equipment (DME) company was sentenced to 46 months in prison...

Owner of Two Houston Health Care Companies Pleads Guilty in Connection with Schemes to Defraud Medicare of $6.3 Million

From the US Department of Justice : WASHINGTON - An owner of two Houston health care companies pleaded guilty Tuesday in connection with schemes to defraud Medicare of $6.3 million, announced the Departments of Justice and Health and Human Services (HHS). Princewill Njoku, 51, pleaded...

73 Members and Associates of Organized Crime Enterprise, Others Indicted for Health Care Fraud Crimes Involving More Than $163 Million

From the US Department of Justice : Indictments in Five States - California, Georgia, New Mexico, New York and Ohio WASHINGTON - Seventy-three defendants, including a number of alleged members and associates of an Armenian-American organized crime enterprise, were charged in indictments...

Health care fraud prevention and enforcement efforts recover record $4 billion; new Affordable Care Act tools will help fight fraud

From the Department of Health and Human Services Joint DOJ & HHS efforts result in largest sum ever recovered in single year; new rules under the Affordable Care Act will keep fraudulent providers and suppliers out of Medicare, Medicaid, CHIP and avoid payments of fraudulent claims U...

OIG Report: Medicare / Nursing Home Payments that Exceed National Norms Raise Fraud Concerns

From the Office of Inspector General: Payments for Medicare Part B Services During Non-Part A Nursing Home Stays in 2008 Summary We found that Medicare paid $4.9 billion in 2008 for Part B services during nursing home stays not paid for by Part A (hereinafter referred to as non-Part A...