A 78-year-old Brooklyn clinic owner. A van outside where his staff directed patients to sell their Suboxone. A Florida nurse practitioner who signed prescriptions without seeing a single patient. And a federal informant with a hidden camera who heard Brown-Arkah explain, on the record, exactly why people in his business get arrested.
Two brothers from Naperville. Four laboratories. $293 million in claims for COVID-19 tests that were never performed. And then the gold bars, the overseas mansions, the luxury watches — and a superseding indictment.
He signed with the Seahawks. He made the Packers’ practice squad. He never played a regular-season game. Then he built a $197 million fraud operation targeting the elderly and the families of disabled and deceased veterans.
A Houston strip mall clinic. Mirrored windows. A price list based on which drug you’d receive. And a doctor who prescribed the same opioid cocktail to more than 99% of her patients.
$556 million. One settlement. One health system that is simultaneously the insurer and the physician group. The largest Medicare Advantage risk adjustment fraud settlement in history, and a warning for every physician group in an MA contract.
Your bank’s been deputized as the front line of healthcare fraud detection. Here’s what that means for you.
A Russian criminal organization allegedly bought dozens of legitimate Medicare-enrolled companies, installed fake owners, and submitted $10.6 billion in fraudulent DME claims. The government stopped almost all of it. Almost.
Healthy patients recruited at grocery stores, cash in envelopes, and a fraud ring that didn’t stop even when its ringleader was already sitting in a federal prison.
A Texas fraudster ran a wholesale market in fake doctors’ orders, pressured elderly Medicare patients with an offshore call center, then fled before sentencing. The U.S. Marshals had thoughts about that.
A husband-and-wife team, expired injections, and 15 years of fraud. This Bonnie and Clyde didn’t rob banks, they robbed their patients.