Healthcare Fraud Enforcement Action Results in 193 Defendants Charged and over $2.75B in False Claims

The Justice Department today announced the 2024 National Health Care Fraud Enforcement Action, which resulted in criminal charges against 193 defendants, including 76 doctors, nurse practitioners, and other licensed medical…

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Texas Medical Center Institutions Agree to Pay $15M Record Settlement Involving Concurrent Billing Claims

Baylor St. Luke’s Medical Center (BSLMC), Baylor College of Medicine (BCM) and Surgical Associates of Texas PA (SAT) have jointly agreed to pay $15 million to resolve claims they billed…

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New Jersey AG Announces New Hanover County Healthcare Fraud Conspiracy Sentencing

General Josh Stein commended his Medicaid Investigations Division (MID), the US Attorney’s Office for the Eastern District of North Carolina, and the US Department of Health and Human Services –…

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Individual Indicted for Stealing from Massachusetts Rest Home and Residents

The Attorney General’s Office (AGO) announced that an administrator of Donna Kay Rest Home, located in Worcester, was indicted in connection with a scheme to steal more than $220,000 from…

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South Carolina AG Announces Arrest of Woman for Stealing from Assisted Living Resident

South Carolina Attorney General Alan Wilson announced that his office’s Vulnerable Adults and Medicaid Provider Fraud unit (VAMPF) has arrested Phyllis J. Daniels, 36 years old, of Barnwell, SC, for…

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South Carolina AG Announces Arrest of Nurse Charged with Stealing Drugs

South Carolina Attorney General Alan Wilson announced that his office’s Vulnerable Adults and Medicaid Provider Fraud unit (VAMPF) and DHEC’s Bureau of Drug Control have arrested Heather Leigh Smith, 44…

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Michigan Nurse Charged with Falsifying Medical Records Connected to Resident Fall

Tessy I. Idusuyi, 49, of East Lansing, was arraigned today in the 55th District Court in Ingham County for falsifying medical records connected to the fall of a resident under…

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CEO of Healthcare Center Indicted for Stealing Federal Grant Money

A federal grand jury indicted the Chief Executive Officer of Silver State Health Services, LLC, for allegedly stealing federal grant funding intended for the healthcare center to provide services to…

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Provider Agrees to Pay over $629,000 to Settle Allegations of False Claims Act Violations

United States Attorney Darcie N. McElwee announced that Jamie P. Loggins, MD has agreed to pay $629,056.76 to settle allegations that he violated the federal False Claims Act. The civil…

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Pharmacy Owners Sentenced for $18M COVID-19 Healthcare Fraud and Money Laundering Scheme

Two pharmacy owners were sentenced for using New York-area pharmacies to submit millions of dollars in false and fraudulent claims to Medicare and then laundering the proceeds, including during the…

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