LexisNexis® Legal Newsroom
49 Russian Diplomats and Spouses Charged with Medicaid Fraud, But Diplomatic Immunity Bars Their Arrest

A total of 49 current or former Russian diplomats and their spouses have been charged by U.S. prosecutors with participating in a widespread health care fraud scheme from 2004 to August 2013 to illegally obtain nearly half a million dollars in Medicaid benefits. Not one of the people charged was arrested...

“Skid Row” Health Care Fraud: Doctor Guilty for Recruiting Homeless to Defraud Medicare and Medi-Cal

In the first case filed in relation to the second major investigation into the illegal recruitment of “Skid Row” homeless people in Los Angeles for unnecessary medical procedures, a La Mirada, California, doctor has pleaded guilty to federal tax charges and admitted participating in a large...

#1 in Financial Fraud Law: US Attorney Preet Bharara

When we here at the Financial Fraud Law Blog think about financial fraud law, it does not take long before we think about the U.S. Attorney for the Southern District of New York, Preet Bharara. In a little over four years as U.S. Attorney – following his unanimous confirmation by the Senate –...

$8 Billion Collected by Justice Department in Civil and Criminal Cases in Fiscal Year 2013

The Justice Department collected a lot of money in civil and criminal cases during the last fiscal year. Attorney General Eric Holder totaled it up, and came to at least $8 billion. “The department’s enforcement actions not only help to ensure justice is served, but also deliver a valuable...

New York City Settles Whistleblower Suit Over Medicaid Claims for Psychological Services for Special Education Students

The federal government and the City of New York have settled the case of Ohlmeyer ex rel. United States of America v. City of New York , a whistleblower action brought pursuant to the qui tam provisions of the federal False Claims Act. In its civil complaint, the federal government alleged that the...

Website Operator Tricked Consumers with Phony Information about Obamacare, FTC Alleges

The Federal Trade Commission is taking action against a website operator that allegedly tricked consumers – in advance of the roll-out of the Affordable Care Act (ACA) – with spam emails that falsely claimed that consumers would be violating the ACA if they did not immediately click a link...

Health Care Fraud Prosecutions Set Record in 2013

The U.S. Justice Department’s Medicare Fraud Strike Force set record numbers for health care prosecutions in Fiscal Year 2013. “These record results underscore our determination to hold accountable those who take advantage of vulnerable populations, commit fraud on federal health care...

Bennington School’s Former President Sentenced to 18 Months in Federal Prison for Tax and Health Care Fraud

Matthew Merritt Jr., 82, of West Stockbridge, Massachusetts, has been sentenced to 18 months in federal prison after his guilty plea to charges that he engaged in a scheme to defraud a health care program and commit tax fraud. U.S. District Judge William K. Sessions, III, sitting in Burlington, also...

Disability Doctor Peter J. Lesniewski Sentenced to 8 Years in Prison for His Role in Long Island Railroad Fraud

Peter J. Lesniewski, a Board-certified orthopedist, has been sentenced in Manhattan federal court to eight years in prison for his role in the alleged massive fraud scheme in which Long Island Railroad (LIRR) workers claimed to be disabled upon early retirement so that they could receive disability benefits...

Health Care Fraud Recoveries Hit Record $4.3 Billion Last Year, DOJ Reports

For every dollar federal prosecutors spent on health care-related fraud and abuse investigations under the Health Care Fraud and Abuse Control (HCFAC) Program and other programs over the last three years, the government recovered $8.10. This is the highest three-year average return on investment in the...

A Doctor, a Pharmacist, and a Marketer Found Guilty in Health Care Fraud Scheme

A doctor, a pharmacist, and a marketer have been convicted in federal court in Detroit for health care fraud and controlled substance distribution. A jury returned guilty verdicts against Dr. Carl Fowler, M.D., of West Bloomfield, Michigan, pharmacist Mukesh Khunt, of Toronto, Ontario, Canada, and...

Pharmacy Preyed On HIV Patients While Fraudulently Billing Medicaid for Millions, Prosecutors Assert

Three men have been arrested on charges that they defrauded government-funded health care programs by buying back prescriptions and billing Medicaid as if the medication had been dispensed. The two owners of 184th Street Pharmacy in the Bronx, along with the supervising pharmacist, targeted financially...

7 for 7: Jury Convicts All Defendants in $97 Million Medicare Fraud

A federal jury in Houston has convicted two owners of a former Houston mental health care company, Spectrum Care P.A., several of its employees, and the owners of certain Houston group care homes for their participation in a $97 million Medicare fraud. Physicians Mansour Sanjar and Cyrus Sajadi, the...