Friday, July 30, 2021

Healthcare Shell Game

A Roanoke, Virginia, medical practice dreamed up a lucrative scam to charge the government for doses of an expensive medication that it didn’t administer. Over about nine and a half years, Allergy and Asthma Associates (AAA) billed Medicare $627,540 for Xolair that it didn’t...

Terminal Fraudster

The former head of Novus and Optimum Health Services has pleaded guilty to conspiracy to commit healthcare fraud and healthcare fraud. Bradley J. Harris, 39, admitted in court to using his hospice business to defraud Medicare and Medicaid out tens of millions of dollars. Harris...

Knowledge vs. Wisdom

There’s a difference between being knowledgeable and being wise. You can have knowledge without wisdom, but you can’t have wisdom without knowledge. Uzma Ehtesham, a psychiatrist from Wise, Va., who knew better, was not very wise when she used her knowledge to carry out...

The Stakes Are High

Mississippi residents Dempsey “Bryan” Levi, 51, and Jeffrey Wayne Rollins, 44, have been sentenced for their role in a multi-million-dollar scheme to defraud healthcare programs. This included defrauding Tricare, the healthcare benefit program that provides affordable insurance for members of the U.S. military, veterans,...

Like Father, Like Son

A father-son duo has been sentenced for their roles in defrauding Affordable Care Act (ACA) programs in at least 12 states. California residents Jeffery White, 63, and Nicholas White, 35, admitted to participating in a scheme that resulted in more than $27 million in...

Cracking the Ethics Code

A Rhode Island chiropractor has been sentenced for executing a scheme to defraud a healthcare benefits program and failing to pay taxes on the income he received from his business. (Hiding money from the government doesn’t tend to go well.) Eugene Kramer, 51, was...

Pyramid Scheme

James A. Mays, III, 44, of Winfield, Ala., entered a guilty plea for his role in a drug-billing scheme involving a Haleyville-based pharmacy. Mays pleaded guilty to one count of conspiring to commit healthcare and mail fraud, twelve counts of healthcare fraud, and three...

Trio of Trouble

A trio of Oklahomans, who conspired to carry out a scheme that defrauded Medicare and Oklahoma Medicaid out of tens of thousands of dollars have received their punishment. Dr. James Ferris, 47, Katherine Dossey, 61, and Sherry Isbell, 50, of Oklahoma City have all...

Pharmacy Conspiracy Scheme Goes Awry

A Marlboro, N.J., man took a non-traditional route to increase prescription sales for his family’s pharmacy chain, Prime Aid. Alex Fleyshmakher, 34, paid doctors and their staff to send patients with prescriptions their way. (That’s called a kickback or a bribe, both of which...

An Addiction to Fraud

A pain management doctor from Buffalo, N.Y., has been added to the growing list of medical professionals who have contributed to the nation’s opioid crisis. Dr. Gautam Arora pleaded guilty to prescribing controlled substances with the purpose of defrauding a federal healthcare program. Between April...

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